caa a22 4500 475801261 CHVBK 20180406123737.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s002689910006 doi (NATIONALLICENCE)springer-10.1007/s002689910006 Video-assisted Thoracoscopic Lobectomy Achieves a Satisfactory Long-term Prognosis in Patients with Clinical Stage IA Lung Cancer [Elektronische Daten] [Kazuro Sugi, Yoshikazu Kaneda, Kensuke Esato] We designed a prospective trial to determine the long-term prognosis of video-assisted thoracoscopic (VATS) lobectomy versus conventional lobectomy for patients with clinical stage IA (T1N0M0) lung cancer. Between January 1993 and June 1994, 100 consecutive patients with clinical stage IA non-small cell lung carcinoma underwent either conventional lobectomy through an open thoracotomy (open group; n= 52) or VATS lobectomy (VATS group; n= 48). Lymph node dissections were performed in a similar manner in both groups. No significant differences were observed in the number of dissected lymph nodes between the 2 groups. Pathologic N1 and N2 disease was found in 3 and 1 patients, respectively, from the open group, and in 2 and 1 patients, respectively, from the VATS group. During the follow-up period, distant metastases and local or regional recurrences developed in 7 and 3 of the open group patients, respectively, and in 2 and 3 of the VATS group patients, respectively. Two and one of the open and VATS group patients developed second primary cancers, respectively. The overall survival rates 5 years after surgery were 85% and 90% in the open and VATS groups, respectively (log-rank test, p= 0.74; generalized Wilcoxon test, p= 0.91). VATS lobectomy with lymph node dissection achieved an excellent 5-year survival, similar to that achieved by the conventional approach. by the Société Internationale de Chirurgie, 2000 Sugi Kazuro Department of Clinical Research, National Sanyo Hospital, Higashikiwa 685, Ube, Yamaguchi, 755-0241 Japan, JP aut Kaneda Yoshikazu First Department of Surgery, Yamaguchi University School of Medicine, Kogushi 1144, Ube, Yamaguchi, 755-8505 Japan, JP aut Esato Kensuke First Department of Surgery, Yamaguchi University School of Medicine, Kogushi 1144, Ube, Yamaguchi, 755-8505 Japan, JP aut World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 27-31 0364-2313 24:1<27 2000 24 268 https://doi.org/10.1007/s002689910006 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910006 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sugi Kazuro Department of Clinical Research, National Sanyo Hospital, Higashikiwa 685, Ube, Yamaguchi, 755-0241 Japan, JP aut NATIONALLICENCE 700 1- Kaneda Yoshikazu First Department of Surgery, Yamaguchi University School of Medicine, Kogushi 1144, Ube, Yamaguchi, 755-8505 Japan, JP aut NATIONALLICENCE 700 1- Esato Kensuke First Department of Surgery, Yamaguchi University School of Medicine, Kogushi 1144, Ube, Yamaguchi, 755-8505 Japan, JP aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 27-31 0364-2313 24:1<27 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer