In-hospital mortality down with video-assisted thoracoscopic Sx
Hem Desai, M.D., from the University of Arizona Health Sciences in Tucson, and colleagues used data from the U.S. Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2009 to 2012 to compare outcomes for VATS versus open lobectomy.
Of the 27,451 patients who underwent lobectomy during the study period, 65 percent of procedures were performed by thoracotomy and 35 percent by VATS. A total of 9,393 propensity matched pairs were created. The researchers found that patients undergoing VATS lobectomy had significantly lower in-hospital mortality (1.3 versus 2.5 percent; P < 0.001) and shorter length of hospital stay (6.21 versus 8.75 days; P < 0.001). The overall rate of perioperative complications was low, with the likelihood of any perioperative morbidity lower for those undergoing VATS.
"Use of VATS for lobectomy has increased in recent years relative to thoracotomy. This trend has coincided with increased survival and shorter length of stay for VATS lobectomy compared to thoracotomy," the authors write. "Further studies are needed to identify comorbidities that identify ideal candidates for VATS lobectomy."
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