Abstract:
BACKGROUND:Video-assisted thoracic surgery (VATS) emerged as a minimally invasive surgery for diseases in the field of thoracic surgery. We herein reviewed our experience on thoracoscopic lobectomy for early lung cancer and evaluated Health System use. METHODS:A cost-effectiveness study was performed comparing VATS vs. open thoracic surgery (OPEN) for lung cancer patients. Demographic data, tumor localization, dynamic pulmonary function tests [forced vital capacity (FVC), forced expiratory volume in one second (FEV1), diffusion capacity (DLCO) and maximal oxygen uptake (VO2max)], surgical approach, postoperative details, and complications were recorded and analyzed. RESULTS:One hundred seventeen patients underwent lung resection by VATS (n=42, 36%; age: 63±9 years old, 57% males) or OPEN (n=75, 64%; age: 61±11 years old, 73% males). Pulmonary function tests decreased just after surgery with a parallel increasing tendency during first 12 months. VATS group tended to recover FEV1 and FVC quicker with significantly less clinical and post-surgical complications (31% vs. 53%, P=0.015). Costs including surgery and associated hospital stay, complications and costs in the 12 months after surgery were significantly lower for VATS (P<0.05). CONCLUSIONS:The VATS approach surgery allowed earlier recovery at a lower cost than OPEN with a better cost-effectiveness profile.
journal_name
J Thorac Disjournal_title
Journal of thoracic diseaseauthors
Mafé JJ,Planelles B,Asensio S,Cerezal J,Inda MD,Lacueva J,Esteban MD,Hernández L,Martín C,Baschwitz B,Peiró AMdoi
10.21037/jtd.2017.07.51subject
Has Abstractpub_date
2017-08-01 00:00:00pages
2534-2543issue
8eissn
2072-1439issn
2077-6624pii
jtd-09-08-2534journal_volume
9pub_type
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