SURGICAL CHARACTERISTICS OF STAGE I-IIA NON-SMALL CELL LUNG CANCER
Main Article Content
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.
Article Details
Keywords
Non-small cell lung cancer, surgery.
References
Soerjomataram et al., Global Cancer
Statistics 2018: GLOBOCAN Estimates
of Incidence and Mortality Worldwide
for 36 Cancers in 185 Countries. Ca
Cancer J Clin, 68: 394–424, 2018.
[2] Loscertales J., Valenzuela F. Q., Video -
Assisted Thoracic Surgery Lobectomy:
Results in Lung Cancer. J Thorac Dis, 2:
29 – 35, 2010.
[3] Mack M. J., Landreneau R. J. Kirby
T. J., Lobectomy- videoassisted
thoracic surgery versus muscle-sparing
thoracotomy. A randomized trial. J
Thorac Cardiovasc Surg, 109: 997-1002,
1995.
[4] Vu Huu Vinh, Nguyen Van Khoi,
Endoscopic lobectomy - incision
and applicability. Laparoscopic and
endoscopic surgery in Vietnam, 1(3): 46-
50, 2013.
[5] Tran Minh Bao Luan, Evaluation of
treatment results for non-small cell lung
cancer by laparoscopic lobectomy and
lymph node dissection. Thesis of Doctor
of Medicine, University of Medicine and
Pharmacy, Ho Chi Minh City, 2019.
[6] Swanson S. J., D’A i o T. A., Video -
Assisted Thoracic Surgery Lobectomy:
Report of CALGB 39802 - A Prospective,
Multi - Institution Feasibility Study. J
Clin Oncol, 25(31): 4993 – 4997, 2007.
[7] Ngo Van Hoang Linh, Pham Vinh Quang,
Kieu Trung Thanh et al., Thoracic
lobectomy: The first successful cases
of surgery at 103 Hospital. Journal of
military medicine and pharmacy, 34(7):
64-69, 2009.
[8] Anraku M., Keshavjee S, Lung Cancer:
Surgical Treatment. Sabiston & Spencer
surgery of the chest, 8th ed, Saunders,
Philadelphia: 253-277, 2010.