Perioperative Outcomes and Long-term Survival in Clinically Early-stage Thymic Malignancies: Video-assisted Thoracoscopic Thymectomy versus Open Approaches
Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort stud...
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| Published in | Zhongguo fei ai za zhi Vol. 19; no. 7; pp. 453 - 458 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Chinese |
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China
Chinese Anti-Cancer Association Chinese Antituberculosis Association
20.07.2016
Chinese Anti-Cancer Association; Chinese Antituberculosis Association |
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| Abstract | Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART).
Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study. Among them, 241 cases underwent VATS thymectomy (VATS group), while 876 cases underwent open thymectomy (Open group). Univariate analyses were used to compare the clinical character and perioperative outcomes between the two groups. And multivariate analysis was performed to determine the independent predictive factors for long-term survival.
Compared with the Open group, the VATS group had higher percentage of total thymectomy (80.5% vs 73.9%, P=0.028), resection rate (98.8% vs 88.7 |
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| AbstractList | Background and objective Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). Methods Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study. Among them, 241 cases underwent VATS thymectomy (VATS group), while 876 cases underwent open thymectomy (Open group). Univariate analyses were used to compare the clinical character and perioperative outcomes between the two groups. And multivariate analysis was performed to determine the independent predictive factors for long-term survival. Results Compared with the Open group, the VATS group had higher percentage of total thymectomy (80.5% vs 73.9% BACKGROUNDVideo-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART).METHODSBetween 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study. Among them, 241 cases underwent VATS thymectomy (VATS group), while 876 cases underwent open thymectomy (Open group). Univariate analyses were used to compare the clinical character and perioperative outcomes between the two groups. And multivariate analysis was performed to determine the independent predictive factors for long-term survival.RESULTSCompared with the Open group, the VATS group had higher percentage of total thymectomy (80.5% vs 73.9%, P=0.028), resecti 背景与目的 胸腔镜胸腺切除术相比开放手术治疗早期（Masaoka-Koga I期或II期）胸腺恶性肿瘤在理论上具有优势，然而尚未有研究报道其在长期生存率方面的差异。本研究基于中国胸腺肿瘤研究协作组（Chinese Alliance for Research in Thymomas, ChART）的数据库对此进行了研究。方法 以数据库中1994年到2012年间的1,117例早期（Masaoka-Koga I期或II期）胸腺恶性肿瘤患者为研究对象。其中241例行胸腔镜胸腺切除术，876例行开放手术。 采用单因素分析比较两组的临床资料与围手术期结果方面的差异。采用多因素分析明确影响长期预后的相关因素。结果 与开放手术组相比，胸腔镜组的全胸腺切除比例更高（80.5% vs 73.9%, P=0.028），根治性切除率更高（98.8% vs 88.7%, P<0.000），而复发率更低（2.9% vs 16.0%, P<0.001），5年无瘤生存率更高（92% vs 83%, P=0.011），而两组的5年生存率接近（92% vs 92%, P=0.15）。Cox比例风险模型分析显示WHO分型、Masaoka-Koga分期和术后辅助治疗是影响胸腺恶性肿瘤长期生存的独立因素。结论 胸腔镜胸腺切除术是治疗早期胸腺恶性肿瘤安全有效的方法，与开放手术相比其围手术期效果更好，肿瘤学疗效一致。 Background and objective Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). Methods Between 1994 Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II) thymic malignancies. However, longterm outcomes have not been well studied. We compared the postoperative outcomes and survival from a cohort study based on the database of the Chinese Alliance for Research in Thymomas (ChART). Between 1994 and 2012, data of 1,117 patients having surgery for clinically early-stage (Masaoka-Koga stage I and II) tumors were enrolled for the study. Among them, 241 cases underwent VATS thymectomy (VATS group), while 876 cases underwent open thymectomy (Open group). Univariate analyses were used to compare the clinical character and perioperative outcomes between the two groups. And multivariate analysis was performed to determine the independent predictive factors for long-term survival. Compared with the Open group, the VATS group had higher percentage of total thymectomy (80.5% vs 73.9%, P=0.028), resection rate (98.8% vs 88.7 |
| Author | Tan, Lijie Zhang, Peng Han, Yongtao Chen, Chun Liu, Yongyu Liu, Yangchun Fu, Jianhua Shen, Yi Cui, Youbing Li, Yin Fang, Wentao Ding, Jianyong Chen, Ke-Neng Chen, Hezhong Liu, Yuan Pang, Liewen Zhang, Renquan Gu, Zhitao Wei, Yucheng Zhou, Xinming Wang, Yun Yu, Zhentao Wang, Hao |
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| References | 24976996 - J Thorac Dis. 2014 Jun;6(6):726-33 21255798 - J Thorac Cardiovasc Surg. 2011 Mar;141(3):694-701 23691442 - Cancer Biol Med. 2013 Mar;10(1):28-35 11413766 - Chest Surg Clin N Am. 2001 May;11(2):439-45 24926546 - J Thorac Oncol. 2014 Jul;9(7):1018-22 22748641 - Ann Thorac Surg. 2012 Sep;94(3):974-81; discussion 981-2 12124843 - Cancer. 2002 Jul 15;95(2):420-9 16731193 - Ann Thorac Surg. 2006 Jun;81(6):2328-34 24290709 - J Thorac Cardiovasc Surg. 2014 May;147(5):1599-603 10769987 - Jpn J Thorac Cardiovasc Surg. 2000 Feb;48(2):89-95 20493997 - Ann Thorac Surg. 2010 Jun;89(6):S2135-41 23585937 - J Thorac Dis. 2013 Apr;5(2):129-34 14602300 - Ann Thorac Surg. 2003 Nov;76(5):1635-41; discussion 1641-2 15084623 - J Clin Oncol. 2004 Apr 15;22(8):1501-9 24732738 - Surg Laparosc Endosc Percutan Tech. 2015 Feb;25(1):47-51 16279589 - Jpn J Thorac Cardiovasc Surg. 2005 Oct;53(10):565-8 19913436 - Eur J Cardiothorac Surg. 2010 Apr;37(4):824-6 12963221 - Ann Thorac Surg. 2003 Sep;76(3):878-84; discussion 884-5 23870330 - World J Sur |
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| Snippet | Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and II)... 背景与目的 胸腔镜胸腺切除术相比开放手术治疗早期（Masaoka-Koga I期或II期）胸腺恶性肿瘤在理论上具有优势，然而尚未有研究报道其在长期生存率方面的差异。本研究基于中国胸腺肿瘤研究协作组（Chinese Alliance for Research in Thymomas,... BACKGROUNDVideo-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage (Masaoka-Koga stage I and... Background and objective Video-assisted thoracoscopic surgery (VATS) theoretically offers advantages over open thymectomy for clinically early-stage... |
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| SubjectTerms | Adult Aged Cancer therapies China Cohort Studies Disease-Free Survival Esophageal cancer Female Hospitals Humans Male Medical prognosis Middle Aged Neoplasm Staging Open surgery Perioperative Period Retrospective Studies Surgeons Surgery Surgical techniques Thoracic surgery Thoracic Surgery, Video-Assisted Thymectomy Thymic malignancies Thymoma - mortality Thymoma - pathology Thymoma - surgery Thymus Neoplasms - mortality Thymus Neoplasms - pathology Thymus Neoplasms - surgery Tumors Video-assisted Thoracoscopic Surgery (VATS) |
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| Title | Perioperative Outcomes and Long-term Survival in Clinically Early-stage Thymic
Malignancies: Video-assisted Thoracoscopic Thymectomy versus Open Approaches |
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