Purpose: The role of video lobectomy (VL) in general thoracic surgical practice is unclear. We analyzed records of patients undergoing lobectomy to determine benefits, if any, of video-assisted lobectomy over muscle-sparing thoracotomy and lobectomy (MST). Methods: 212 patients undergoing lobectomy over two years were studied. Patient characteristics analyzed were age, sex, PFTs, neoadjuvant therapy and admission HCT. Operative time, estimated blood loss, and transfusions were determined. Hospital stay data, such as length of stay (LOS), chest tube time, and analgesic use, were quantified. Tumor size and stage and morbidity and mortality were analyzed. Results: 49 VLs and 163 MSTs were available for analysis. There were no differences in patient characterists or operative time. A subgroup of MSTs with small tumors, no neoadjuvant tx and no prolonged air leak (81 pts) was compared with all VLs. LOS (8.2±9.9 vs. 5.4±2.7 days), epidural use (3.6±1.7 vs 2.3±2.0 days) and incidence of complications were significantly greater in MSTs. Conclusions: VL shortened LOS and decreased complications compared to MSTs. Clinical Implications: VL is a safe technique in experience hands and offers decreased complications and shortened length of stay in those patients in whom it can be safely done.
|Original language||English (US)|
|Issue number||4 SUPPL.|
|State||Published - Oct 1996|
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine