Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Anatomic lung resections using minimally invasive thoracic surgery (MITS).

R L Quigley1

  • 1Division of Cardiothoracic Surgery, Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141, USA. quigleyr@aehn2.einstein.edu

Clinical Lung Cancer
|January 22, 2004
PubMed
Summary

Minimally invasive thoracic surgery (MITS) offers significant advantages over muscle-sparing thoracotomy (MST). MITS resulted in shorter hospital stays, lower costs, and reduced complications, promoting faster patient recovery.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The role of echocardiography in mitral valve dysfunction after repair.

Minerva cardioangiologica·2007
Same author

Symmetry aortic connector system.

The Journal of thoracic and cardiovascular surgery·2003
Same author

Thrombelastographic changes in OPCAB surgical patients.

Perfusion·2002
Same author

Creative arterial bypass grafting can be performed on the beating heart.

The Annals of thoracic surgery·2001
Same author

Coronary artery bypass with "snake" grafts: fifteen-year follow-up.

Journal of cardiac surgery·1999
Same author

Regulation of integrin-mediated adhesion by muscarinic acetylcholine receptors and protein kinase C in small cell lung carcinoma.

Chest·1998

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Surgical Outcomes

Background:

  • Conventional muscle-sparing thoracotomy (MST) is a standard surgical approach.
  • Minimally invasive thoracic surgery (MITS) techniques are evolving.
  • Comparative outcome data for MITS versus MST are crucial for clinical decision-making.

Purpose of the Study:

  • To compare the outcomes of minimally invasive thoracic surgery (MITS) with conventional muscle-sparing thoracotomy (MST).
  • To evaluate differences in recovery, complications, and costs between MITS and MST.

Main Methods:

  • Retrospective comparison of 70 MITS patients and 70 MST patients undergoing thoracotomy for similar pathologies (1995-1997).
  • Statistical analysis using Student's t-test to compare extubation times, ICU stays, analgesia needs, morbidity/mortality, hospital length of stay (LOS), and costs.

Related Experiment Videos

  • Tracking of intraoperative conversions from MITS to MST.

    • Main Results:

    • MITS group had a significantly shorter mean LOS (2.87 days) and lower mean hospital cost ($6,480) compared to MST (8.28 days, $11,490; P < 0.01).
    • MITS group experienced no deaths and 6 complications, versus 2 mortalities and 15 complications in the MST group.
    • Nine MITS procedures were converted to MST; all required ICU admission, unlike some MITS patients.

    Conclusions:

    • Minimally invasive thoracic surgery (MITS) is associated with reduced morbidity, lower costs, and shorter hospital stays compared to muscle-sparing thoracotomy (MST).
    • MITS facilitates early ambulation and hospital discharge.
    • MITS represents a safe and effective alternative to conventional thoracotomy for thoracic procedures.