Articles Vol. 63 No. Số tiếng Anh (2022) 08/12/2022

SURGICAL CHARACTERISTICS OF STAGE I-IIA NON-SMALL CELL LUNG CANCER

Le Minh Phong1, Tong Duc Minh2, Nguyen Huu Ben2, Bui Khanh Toan3
1 Military Hospital 175
2 Vietnam Military Medical University
3 Tay Nguyen Institute of Hygiene and Epidemiology
Corresponding author: drminhphong@gmail.com
DOI: 10.52163/yhc.v63i9.553
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Keywords
Non-small cell lung cancer, surgery.
Abstract

Objectives: To describe surgical characteristics of stage I-IIA non-small cell lung
cancer.
Subjects and methods: An uncontrolled intervention study on 83 patients diagnosed
with stage I - IIa non-small cell lung cancer who underwent thoracoscopy at Military
Hospital 175 from January 2015 to December 2020.
Results: The average surgical time in the study was 137.5 minutes and the blood loss
was not much. Small incisions have an average length of 2.95cm, high aesthetics and
low postoperative pain (5.92 days). The patient had a tumor that pulled the visceral
pleura 62/83 (74.7%); 21/83 (25.3%) patients with tumors located in parenchyma;
6/83 (7.2%) patients had lung adhesions to the chest wall. There were 2 (2.4%) patients
with bleeding complications that required conversion to open surgery; After surgery,
there were 7 complications including 1 (1.2%) pneumonia; 1 (1.2%) empyema caused
by green pus bacilli; 5 (6.0%) cases of gas leak lasting more than 7 days.
Conclusion: Tumor characteristics in surgery include features of tugging visceral
pleura, tumor located in parenchyma, lung sticking to chest wall. Common
complications include bleeding. Complications after surgery include pneumonia,
empyema caused by green pus bacilli, prolonged gas.

References
[1]
Freddie Bray, Jacques Ferlay, Isabelle Google Scholar
[2]
Soerjomataram et al., Global Cancer Google Scholar
[3]
Statistics 2018: GLOBOCAN Estimates Google Scholar
[4]
of Incidence and Mortality Worldwide Google Scholar
[5]
for 36 Cancers in 185 Countries. Ca Google Scholar
[6]
Cancer J Clin, 68: 394–424, 2018. Google Scholar
[7]
Loscertales J., Valenzuela F. Q., Video - Google Scholar
[8]
Assisted Thoracic Surgery Lobectomy: Google Scholar
[9]
Results in Lung Cancer. J Thorac Dis, 2: Google Scholar
[10]
– 35, 2010. Google Scholar
[11]
Mack M. J., Landreneau R. J. Kirby Google Scholar
[12]
T. J., Lobectomy- videoassisted Google Scholar
[13]
thoracic surgery versus muscle-sparing Google Scholar
[14]
thoracotomy. A randomized trial. J Google Scholar
[15]
Thorac Cardiovasc Surg, 109: 997-1002, Google Scholar
[16]
Vu Huu Vinh, Nguyen Van Khoi, Google Scholar
[17]
Endoscopic lobectomy - incision Google Scholar
[18]
and applicability. Laparoscopic and Google Scholar
[19]
endoscopic surgery in Vietnam, 1(3): 46- Google Scholar
[20]
, 2013. Google Scholar
[21]
Tran Minh Bao Luan, Evaluation of Google Scholar
[22]
treatment results for non-small cell lung Google Scholar
[23]
cancer by laparoscopic lobectomy and Google Scholar
[24]
lymph node dissection. Thesis of Doctor Google Scholar
[25]
of Medicine, University of Medicine and Google Scholar
[26]
Pharmacy, Ho Chi Minh City, 2019. Google Scholar
[27]
Swanson S. J., D’A i o T. A., Video - Google Scholar
[28]
Assisted Thoracic Surgery Lobectomy: Google Scholar
[29]
Report of CALGB 39802 - A Prospective, Google Scholar
[30]
Multi - Institution Feasibility Study. J Google Scholar
[31]
Clin Oncol, 25(31): 4993 – 4997, 2007. Google Scholar
[32]
Ngo Van Hoang Linh, Pham Vinh Quang, Google Scholar
[33]
Kieu Trung Thanh et al., Thoracic Google Scholar
[34]
lobectomy: The first successful cases Google Scholar
[35]
of surgery at 103 Hospital. Journal of Google Scholar
[36]
military medicine and pharmacy, 34(7): Google Scholar
[37]
-69, 2009. Google Scholar
[38]
Anraku M., Keshavjee S, Lung Cancer: Google Scholar
[39]
Surgical Treatment. Sabiston & Spencer Google Scholar
[40]
surgery of the chest, 8th ed, Saunders, Google Scholar
[41]
Philadelphia: 253-277, 2010. Google Scholar