Clinical application of multidisclplinary team in the surgical treatment for non-small cell lung cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CAO Xiong , LIN Ruijiang , LI Renpeng , ZHANG Yu ,  HAN Biao

Department of Thoracic Surgery, First Hospital of Lanzhou University, Lanzhou, 730000, P.R.China;

Corresponding author：

HAN Biao, Email: hanbiao66@163.com

Keywords：

Multidisclplinary team; non-small cell lung cancer; surgical treatment

DOI：

10.7507/1007-4848.201811005

Video：

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Objective To investigate the clinical value of multidisclplinary team (MDT) in the application of non-small cell lung cancer (NSCLC). Methods We retrospectively analyzed the postoperative clinical data of 80 patients with NSCLC in the First Hospital of Lanzhou University between January 2014 and May 2018. There were 56 males, 24 females at age of 59±10 years. Forty five patients were performed lobectomy with conventional model, 35 patients were also performed lobectomy after MDT discussion. The clinical effect of the two groups was compared. Results Compared to conventional model, MDT can shorten operation time, intraoperative blood loss, postoperative chest drainage, catheterization time, complications, length of stay and hospital costs. But there was no significant difference in intraoperative transthoracotomy proportion, delayed wound healing and postoperative pulmonary leakage between the two groups. Conclusion The efficacy of MDT in the surgical treatment of NSCLC is satisfactory. The MDT is valuable during operation, which reduces surgical trauma and accelerate patients’ recovery, and deserves the clinical promotion.

Citation： CAO Xiong, LIN Ruijiang, LI Renpeng, ZHANG Yu, HAN Biao. Clinical application of multidisclplinary team in the surgical treatment for non-small cell lung cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(8): 780-783. doi: 10.7507/1007-4848.201811005 Copy

1.	李晓雷, 徐俊, 胡欣, 等. 多中心多学科治疗模式下对局部晚期非小细胞肺癌患者的新辅助化疗疗效及预后影响的临床研究. 东南大学学报, 2018, 37(4): 667-672.
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10.	赵玉沛. 重视胰腺癌的多学科诊疗. 中华外科杂志, 2016, (11): 801-803.
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12.	刘成武, 刘伦旭. 肺癌微创外科治疗进展. 中华胸部外科电子杂志, 2016, 3(2): 65-69.
13.	吴一旻, 柴莹. 单孔胸腔镜在肺癌外科中的应用进展. 国际外科学杂志, 2016, 43(5): 357-360.
14.	刘成武, 刘伦旭. 单孔胸腔镜: 微创肺癌切除的再次升华. 中国肺癌杂志, 2014, 17(7): 527-530.
15.	Liu CY, Lin CS, Shih CH, et al. Single-port video-assisted thoracoscopic surgery for lung cancer. J Thorac Dis, 2014, 6(1): 1421.
16.	McKenna RJ Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
17.	Samson P, Guitron J, Reed MF, et al. Predictors of conversion to thoracotomy for video-assisted thoracoscopic lobectomy: a retrospective analysis and the influence of computed tomographybased calcification assessment. J Thorac Cardiovasc Surg, 2013, 145(6): 1512-1518.
18.	Byun CS, Lee S, Kim DJ, et al. Analysis of unexpected conversion to thoracotomy during thoracoscopic lobectomy in lung cancer. Ann Thorac Surg, 2015, 100(3): 968-973.
19.	Augustin F, Maier HT, Weissenbacher A, et al. Causes, predictors and consequences of conversion from VATS to open lung lobectomy. Surg Endosc, 2016, 30(6): 2415-2421.
20.	方丹青, 葛林虎, 彭品贤, 等. 胸腔镜手术危险因素分析及并发症防治. 中国内镜杂志, 2006, 12(3): 278-281.

1. 李晓雷, 徐俊, 胡欣, 等. 多中心多学科治疗模式下对局部晚期非小细胞肺癌患者的新辅助化疗疗效及预后影响的临床研究. 东南大学学报, 2018, 37(4): 667-672.
2. 聂俊, 何文杰, 江波. 肺癌多学科综合诊疗模式的探讨. 医学与哲学, 2017, 2(38): 79-81.
3. Behera M, Owonikoko TK, Chen Z, et al. Single-agent maintenance therapy for advanced stage non-small cell lung cancer: a meta-analysis. Lung Cancer, 2012, 77(2): 331-338.
4. Andey T, Marepally S, Patel A, et al. Cationic lipid guided short-hairpin RNA interference of annexin A2 attenuates tumor growth and metastasis in a mouse lung cancer stem cell model. J Control Release, 2014, 184(7): 67-78.
5. Siegel R, Naishadham D, Jemal A. Cancer statistics,2013. CA Cancer J Clin, 2013, 63(1): 11-30.
6. Lamb BW, Green GS, Benn J, et al. Improving decision making in multidisiciplinary tumor boards: prospective longitudinal evaluation of a multicomponent intervention for 1421 patients. J Am Coll Surg, 2013, 217(3): 412-420.
7. Prades J, Borras JM. Shifting sands: adapting the multidisciplinary team model to technological and organizational innovations in cancer care. Future Oncol, 2014, 10(13): 1995-1998.
8. Denton E, Conron M. Improving outcomes in lung cancer:the value of the multidisciplinary healthcare team. J Multidiscip Healthc, 2016, 30(9): 137-144.
9. 吕文平, 张文智, 蔡守旺, 等. 多学科协作诊疗模式应用初探. 中华医学科研管理杂志, 2012, 25(1): 48.
10. 赵玉沛. 重视胰腺癌的多学科诊疗. 中华外科杂志, 2016, (11): 801-803.
11. Gaga M, Powell CA, Schraufnagel DE, et al. An official American Thoracic Society/European Respiratory Society Statement: The Role of the Pulmonologist in the Diagnosis and Management of Lung Cancer. Am J Respir Crit Care Med, 2013, 188(4): 503-507.
12. 刘成武, 刘伦旭. 肺癌微创外科治疗进展. 中华胸部外科电子杂志, 2016, 3(2): 65-69.
13. 吴一旻, 柴莹. 单孔胸腔镜在肺癌外科中的应用进展. 国际外科学杂志, 2016, 43(5): 357-360.
14. 刘成武, 刘伦旭. 单孔胸腔镜: 微创肺癌切除的再次升华. 中国肺癌杂志, 2014, 17(7): 527-530.
15. Liu CY, Lin CS, Shih CH, et al. Single-port video-assisted thoracoscopic surgery for lung cancer. J Thorac Dis, 2014, 6(1): 1421.
16. McKenna RJ Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
17. Samson P, Guitron J, Reed MF, et al. Predictors of conversion to thoracotomy for video-assisted thoracoscopic lobectomy: a retrospective analysis and the influence of computed tomographybased calcification assessment. J Thorac Cardiovasc Surg, 2013, 145(6): 1512-1518.
18. Byun CS, Lee S, Kim DJ, et al. Analysis of unexpected conversion to thoracotomy during thoracoscopic lobectomy in lung cancer. Ann Thorac Surg, 2015, 100(3): 968-973.
19. Augustin F, Maier HT, Weissenbacher A, et al. Causes, predictors and consequences of conversion from VATS to open lung lobectomy. Surg Endosc, 2016, 30(6): 2415-2421.
20. 方丹青, 葛林虎, 彭品贤, 等. 胸腔镜手术危险因素分析及并发症防治. 中国内镜杂志, 2006, 12(3): 278-281.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical application of multidisclplinary team in the surgical treatment for non-small cell lung cancer

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