Abstract 1222P
Background
The feasibility and safety of spontaneous ventilation video-assisted thoracoscopic surgery (SV-VATS) in geriatric patients aged ≥60 years with non-small-cell lung cancer (NSCLC) remain unclear.
Methods
A total of 164 geriatric patients with NSCLC undergoing SV-VATS and 1238 patients undergoing mechanical ventilation video-assisted thoracoscopic surgery (MV-VATS) between April 2012 and July 2018 were analysed. We used propensity score matching (PSM) to minimize the difference in baseline characteristics. The perioperative outcomes between the SV-VATS group and MV-VATS group were compared.
Results
After PSM, 152 of 164 patients in the SV-VATS group, and 152 of 1238 patients in the MV-VATS group were matched based on similar propensity scores. There were no significant differences in anesthesia time (225 ± 94 vs 235 ± 62 min; P =0.30), surgery time (191 ± 105 vs 177 ± 80 min; P =0.24) and intraoperative bleeding (75 ± 217 vs 62 ± 120 ml; P =0.72) between two groups. After surgery, hospitalization (17 ± 7 vs 16 ± 7 days; P =0.30), chest tube duration (6 ± 9 vs 4 ± 2 days; P =0.366) and incidence of complications (7% vs 10%; P =0.41) were non-significant and comparable between both groups.
Conclusions
In this study, SV-VATS proved to be feasible and safe in the geriatric patients with NSCLC. Further investigation is required to evaluate the long-term effects of SV-VATS in geriatric patients with NSCLC.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
The First Affiliate Hospital of Guangzhou Medical University.
Funding
Has not received any funding.
Disclosure
All authors have declared no conflicts of interest.