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Related Experiment Video

Updated: Jun 29, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

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Published on: May 26, 2023

Outpatient thoracic surgery.

Laureano Molins¹, Juan J Fibla, Jose M Mier

¹Thoracic Surgery Department, Sagrat Cor University Hospital, Viladomat 288, E-08029 Barcelona, Spain. molins@hscor.com

Thoracic Surgery Clinics

|October 4, 2008

Summary

Outpatient thoracic surgery programs (OTSP) show great growth potential and can be performed safely for specific procedures. Economic benefits depend on hospital policies, with further experience needed to expand their use.

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Area of Science:

Thoracic Surgery
Ambulatory Surgery
Healthcare Economics

Background:

Outpatient surgery has seen significant growth as an alternative to hospitalization.
Thoracic surgery has lagged behind other surgical fields in adopting outpatient models.
There is a recognized potential for expanding ambulatory procedures in thoracic surgery.

Purpose of the Study:

To evaluate the clinical outcomes, results, and economic impact of an established outpatient thoracic surgery program (OTSP).
To identify thoracic surgical procedures suitable for safe ambulatory performance.
To assess the factors influencing the economic benefits of OTSP compared to traditional hospitalization.

Main Methods:

Review of clinical data from patients undergoing specific thoracic procedures within an OTSP.
Analysis of safety, efficacy, and patient outcomes for ambulatory thoracic surgeries.
Comparison of economic impact based on varying hospital stay policies.

Main Results:

Procedures like video-assisted mediastinoscopy, lung biopsy, and bilateral thoracic sympathectomy can be safely performed in a significant number of cases as outpatient procedures.
The economic benefits of OTSP are influenced by the existing hospital's policy regarding length of stay.
A substantial percentage of thoracic surgeries can be safely performed in an ambulatory setting.

Conclusions:

Outpatient thoracic surgery is a viable and safe option for selected procedures.
The economic advantages of OTSP are contingent upon departmental policies and require further optimization.
Increased experience and procedural expansion are necessary to maximize the substitution of conventional hospitalization by OTSP.