OBJECTIVES: The indications for video-assisted thoracoscopic surgery (VATS) for @entity5 are expanding, but the criteria vary among institutions. This study compared the minimal invasiveness and oncologic validity of VATS lobectomy and thoracotomy lobectomy for the treatment of large-diameter primary @entity2 . METHODS: We retrospectively reviewed clinical features and surgical outcomes of 68 @entity1 who underwent anatomical pulmonary resection for primary @entity2 of >5-cm diameter from July 2006 to March 2013. The @entity1 were divided into a VATS group (Group V, n = 35) and a thoracotomy group (Group T, n = 33). RESULTS: Group V exhibited less intraoperative @entity548 (p = 0.012) and had a shorter length of postoperative hospital stay (p = 0.024). The 1- and 5-year overall survival rates were 91.3% and 39.3% in Group V and 84.8% and 56.9% in Group T, respectively (p = 0.48). Multivariate analysis showed that limited lymph node dissection contributed to local recurrence. The extraction bag lavage cytology in Group V revealed that the positivity rate was 35.7%. CONCLUSIONS: VATS for primary @entity2 of >5-cm diameter is similar to thoracotomy in terms of surgical outcomes. @entity5 must be carefully maneuvered during VATS to prevent @entity5 .

Surgical Outcome of Video-Assisted Thoracoscopic Surgery vs. Thoracotomy for Primary XXXX >5 cm in Diameter.

@entity5 :: ('MESH:D009369', 'Disease') :: ['Large tumors', 'cancer cell spillage', 'advanced-stage lung cancer'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding']
@entity2 :: (MESH:D008175,Disease) :: ['Lung Cancer']
