PP 23. Three-Port Two-Instrument Complete Thoracoscopic Lobectomy For Lung Cancer
Y. Cheng
18:52 - 18:58h
at Margrit Room
Categories: Gastrointestinal Surgery, Poster Session , Robotic and Minimal Invasive Surgery
Session: Poster (P2) - Gastrointestinal Surgery / Minimal Invasive
Background
Cosmetic factor does matter in the era of minimal invasive surgery. For cosmetic improvement a complete thoracoscopic lobectomy is accomplished via three- port two-instrument technique (TPTI). The resected specimen is removed without extending the port wounds.
Material and Methods
From January 2011 to December 2013, sixty lung cancer patients received lobectomy and complete mediastinal lymph node dissection via a three-port two-instrument thoracoscopic approach without an accessory wound. The first 30 cases and the latest 30 cases were compared to detail the learning
curve.
Result
There were no differences between these two groups with respect to age, sex, tumor size, location ofthe lobectomy, mean blood loss, mean post-operative drainage time, and mean hospitalization time (p > 0.05, respectively). The mean surgical time significantly decreased and the mean number of lymph nodes removed significantly increased in the latest 30 cases (p < 0.05, respectively). The conversion rate was similar in both groups.
Conclusion
Three-port complete thoracoscopic lobectomy with two-instrument technique is feasible for lung cancer treatment. The learning curve in the initial cases is acceptable. This TPTI technique should be popularized.
