Title: F-021 * IS IT SAFE TO PERFORM COMPLETION LOBECTOMY USING VIDEO-ASSISTED THORACOSCOPIC SURGERY?
Abstract: Objectives: To compare the short term surgical outcome and complications after video-assisted thoracoscopic surgery (VATS) completion lobectomy for primary lung cancer after VATS diagnostic wedge resection with VATS non-completion lobectomy. Methods: Data were retrieved from a prospective institutional database of consecutive VATS lobectomies between 1 January 2007 and 31 December 2013. Patients were grouped into VATS completion lobectomy or VATS non-completion lobectomy. OR time, perioperative blood loss, chest tube duration, prolonged air leak >7 days and length of stay was compared between the two groups using Student's t test for statistical analysis. Results: In total 82 VATS completion lobectomies and 1174 VATS non-completion lobectomies were performed. For completion lobectomies versus non-completion lobectomies mean OR time was 121 vs 121 min (P = 0.91), mean perioperative bleeding was 164 vs 136 ml (P = 0.19), mean chest tube duration was 4.1 vs 4.4 days (P = 0.67), mean length of stay was 5.5 vs 6.0 days (P = 0.44). In the completion lobectomy group there were 12 patients with prolonged air leak >7 days (PAL) (14.6 %) compared to 176 (15.0 %) in the non-lobectomy group. Conclusions: In our data there was no significant difference between VATS completion lobectomy and VATS non-completion lobectomy when comparing OR time, perioperative bleeding, chest tube duration length or stay and PAL >7 days indicating the safety and feasibility of VATS completion lobectomy. Disclosure: R.H. Petersen and H.J. Hansen: Speakers for Covidien.