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Video-assisted thoracoscopic lobectomy is associated with better perioperative outcomes than open lobectomy in a veteran population

Authors
Journal
The American Journal of Surgery
0002-9610
Publisher
Elsevier
Volume
204
Issue
5
Identifiers
DOI: 10.1016/j.amjsurg.2012.07.022
Keywords
  • Lung Cancer
  • Veterans
  • Veterans Affairs
  • Lobectomy
  • Video-Assisted Thoracoscopic Surgery
  • Outcomes
  • Vats
  • Complications
Disciplines
  • Biology
  • Medicine

Abstract

Abstract Background We sought to establish the feasibility and efficacy of video-assisted thoracoscopic (VATS) lobectomy in treating lung cancer in a veteran population. Methods We retrospectively analyzed preoperative, intraoperative, and postoperative parameters in 46 VATS versus 45 open lobectomy patients at a single center. Results The 2 groups were similar in preoperative and intraoperative variables. Although surgical mortality was not significantly different after lobectomy performed with VATS (0 of 46) compared with open lobectomy (2 of 45, 4%; P = .2), there were fewer complications in VATS patients (14 of 46, 30%) than their open counterparts (26 of 45, 58%; P = .009). VATS patients also had a shorter chest tube duration and length of stay. In multivariate analysis, VATS was associated independently with a reduced risk of complications (odds ratio, .359; P = .04). Conclusions VATS lobectomy in a veteran population is feasible and safe and may lead to better perioperative outcomes than open thoracotomy without compromising oncologic principles.

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