Aqilah Nurahmah Argani, . (2026) LUARAN KLINIS PASIEN KANKER PARU PASCA OPERASI LOBEKTOMI TORAKOTOMI DAN OPERASI TORAKS MINIMAL INVASIF DI RSUP PERSAHABATAN TAHUN 2021 – 2024. Skripsi thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Background: Lobectomy is the main surgical procedure in the management of lung cancer, which can be performed through thoracotomy or video-assisted thoracoscopic surgery (VATS). Understanding the characteristics of patients, clinical conditions, and postoperative outcomes of both methods is important to support clinical decision-making. This study aims to describe the characteristics of patients, preoperative clinical conditions, intraoperative findings, and clinical outcomes of lung cancer patients who underwent lobectomy using the thoracotomy and VATS methods at Persahabatan General Hospital from 2021 to 2024. Methods: This was a descriptive study using a retrospective cohort approach involving 49 lung cancer patients who underwent lobectomy using the thoracotomy method (n=35) and VATS (n=14). Data included demographic characteristics, comorbidities, preoperative lung function, cancer characteristics, intraoperative procedures, and postoperative clinical outcomes, which were analyzed descriptively. Results: Patients aged 23–73 years with a mean age of 50 ± 12.2 years and a median age of 54 years, the majority were in the late adult age group. The gender distribution was relatively balanced, with a history of smoking in most patients. Diabetes mellitus and COPD were only found in the thoracotomy group. The majority of patients had normal preoperative lung function and primary lung cancer, with a higher proportion of lung metastases in the thoracotomy group. Intraoperatively, the duration of surgery, bleeding, and the need for blood transfusions were more common in thoracotomy. The postoperative morbidity and mortality rates were relatively low and comparable in both groups, while hospital stays of ≤7 days were more common in the VATS group. Conclusion : Lobectomy using thoracotomy and VATS methods show differences in characteristics, indications, and clinical outcomes. The thoracotomy method is more commonly used in cases with complexity and advanced stages, while the VATS method provides intraoperative and postoperative advantages in patients who are eligible for surgery. Therefore, the choice of lobectomy method needs to be tailored individually based on the clinical condition and characteristics of the patient.
| Item Type: | Thesis (Skripsi) |
|---|---|
| Additional Information: | [No.Panggil : 2210211047] [Pembimbing 1 : Yanto Sandy Tjang] [Pembimbing 2 : Feda Anisah Makkiyah] [Penguji : Muttia Amalia] |
| Uncontrolled Keywords: | Lung Cancer, Lobectomy, Thoracotomy, VATS, Morbidity, Mortality, Length of Hospital Stay |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RD Surgery |
| Divisions: | Fakultas Kedokteran > Program Studi Kedokteran (S1) |
| Depositing User: | AQILAH NURAHMAH ARGANI |
| Date Deposited: | 11 May 2026 02:57 |
| Last Modified: | 11 May 2026 02:57 |
| URI: | http://repository.upnvj.ac.id/id/eprint/41693 |
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