Related Experiment Video
Updated: May 18, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Video-assisted thoracoscopic lobectomy is associated with better perioperative outcomes than open lobectomy in a
Miguel D Cajipe1, Danny Chu, Faisal G Bakaeen
1Division of Cardiothoracic Surgery, Baylor College of Medicine, Michael E. DeBakey Veteran Affairs Medical Center, Houston, TX 77030, USA.
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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