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Video-assisted thoracoscopic surgery (VATS) lobectomy is effective for non-small-cell lung carcinoma. VATS demonstrated equivalent outcomes and costs compared to open thoracotomy in this study.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Video-assisted thoracoscopic surgery (VATS) lobectomy is a minimally invasive approach for non-small-cell lung carcinoma (NSCLC).
  • The comparative efficacy of VATS versus open thoracotomy for NSCLC diagnosis and treatment remains a subject of ongoing debate.
  • Optimizing patient outcomes and resource utilization in NSCLC management is a critical clinical objective.

Purpose of the Study:

  • To evaluate the effectiveness of VATS lobectomy in improving patient outcomes for NSCLC at a single institution.
  • To compare VATS lobectomy with traditional open thoracotomy in terms of operative parameters, postoperative recovery, and cost.

Main Methods:

  • A retrospective chart review of 109 patients undergoing either VATS or thoracotomy for NSCLC between 2013 and 2014.
  • Key variables analyzed included operative time, length of stay (LOS), intensive care unit (ICU) time, complications, and direct costs.
  • Patient demographics and pathological staging were also compared between the two surgical groups.

Main Results:

  • Demographics were similar, though the thoracotomy group had a higher disease stage.
  • Operative time, postoperative LOS, lymph node yield, and ICU stay showed no significant differences between VATS and thoracotomy.
  • Average procedure costs were comparable, with VATS costing $15,588.11 and thoracotomy $14,003.61.

Conclusions:

  • VATS lobectomy did not significantly reduce postoperative LOS or ICU time compared to thoracotomy.
  • Pain perception was similar between groups and correlated with time post-operation.
  • VATS is a safe, effective, and cost-equivalent alternative to thoracotomy for lung nodule resection.