Syed Mohammad Asim Hussain* and Umme Laila Naqvi
Department of Vascular Surgery, Frimley Park Hospital, Frimley, Camberley, UKFulltext PDF
Objectives: This study compares thoracotomy with Video Assisted Thoracoscopic Surgery (VATS) when performing anatomical lung resection Methods: This is a retrospective study in a single centre between October 2017 and February 2019. The study was performed at XXXXXX. Patients undergoing anatomical lung resections were included. Patients undergoing concomitant wedge resection in another lobe and VATS patients where the primary surgeon was not a consultant were excluded. The primary endpoints were time taken to perform surgery and the duration of hospital stay. Results: We compared 71 thoracotomy patients with 76 VATS patients. The mean procedure time in the thoracotomy group was 139.86 ± 44.5 min compared to a procedure time of 170.26 ± 65.9 min in the VATS group (p=0.009). The mean duration of hospital stay was 6.57 ± 4.95 days in the thoracotomy group compared to 5.16 ± 4.07 days in the VATS group (p=0.005). There were 18 cases at stage T3 and 26 cases with lymph node involvement in the thoracotomy group compared to 3 cases at T3 and 9 cases with lymph node involvement in the VATS group. The percentage of VATS case requiring conversion to open surgery was 8%. Conclusion: Anatomical lung resection is significantly quicker using an open thoracotomy approach. However, VATS is associated with a significantly shorter hospital stay following the procedure. Patients undergoing thoracotomy generally have more advanced disease which makes comparison of prognostic outcomes between thoracotomy and VATS difficult.
Hussain SMA, Naqvi UL. Comparison of Thoracotomy and Video Assisted Thoracoscopic Surgery for Anatomical Lung Resection. Clin Surg. 2022; 7: 3431..