کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4279669 | 1611525 | 2012 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Video-assisted thoracoscopic lobectomy is associated with better perioperative outcomes than open lobectomy in a veteran population Video-assisted thoracoscopic lobectomy is associated with better perioperative outcomes than open lobectomy in a veteran population](/preview/png/4279669.png)
BackgroundWe sought to establish the feasibility and efficacy of video-assisted thoracoscopic (VATS) lobectomy in treating lung cancer in a veteran population.MethodsWe retrospectively analyzed preoperative, intraoperative, and postoperative parameters in 46 VATS versus 45 open lobectomy patients at a single center.ResultsThe 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).ConclusionsVATS lobectomy in a veteran population is feasible and safe and may lead to better perioperative outcomes than open thoracotomy without compromising oncologic principles.
Journal: The American Journal of Surgery - Volume 204, Issue 5, November 2012, Pages 607–612