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Related Experiment Videos

Cost analysis for thoracoscopy: thoracoscopic wedge resection

S R Hazelrigg1, S K Nunchuck, R J Landreneau

  • 1Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, Springfield 62794-9230.

The Annals of Thoracic Surgery
|September 1, 1993
PubMed
Summary
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Video-assisted thoracic surgery (VATS) is cost-competitive with open resection for nodules. While VATS has higher disposable instrument costs, shorter operative times and hospital stays offer comparable overall costs and patient benefits.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Cost Analysis

Background:

  • Video-assisted thoracic surgery (VATS) is increasingly utilized.
  • Evolving instrumentation and video equipment in VATS can be expensive.

Purpose of the Study:

  • To perform a cost analysis of VATS wedge resection versus open wedge resection.
  • To compare the costs and outcomes of VATS and open techniques for peripheral nodule resection.

Main Methods:

  • Retrospective review of 150 VATS cases.
  • Comparison of costs and outcomes between VATS (n=45) and open (n=31) wedge resections for nodules.

Main Results:

  • VATS patients had less ICU time. Disposable instrument costs were higher for VATS ($623), but shorter operative times made OR costs comparable.

Related Experiment Videos

  • VATS resulted in shorter hospital stays (4.4 vs. 6.5 days), though not statistically significant. Total hospital charges were lower for VATS.
  • VATS wedge resection for peripheral nodules is cost-competitive with open techniques, with added benefits like reduced pain and shorter stays.

    • Conclusions:

    • VATS wedge resection for peripheral nodules is a cost-effective alternative to open techniques.
    • Shorter operative times, reduced hospital stays, and decreased pain are significant advantages of VATS.
    • Increased experience with VATS leads to reduced operative times and lower disposable instrument costs.