Original articleGeneral thoracicVideo-Assisted Thoracoscopic Lobectomy Is Less Costly and Morbid Than Open Lobectomy: A Retrospective Multiinstitutional Database Analysis
Section snippets
Material and Methods
A protocol describing the analysis objectives, criteria for patient selection, data elements of interest, and statistical methods was submitted to the New England Institutional Review Board. Exemption was obtained.
Results
Of 8,228 patients in the database with elective, inpatient resections for lung cancer, 3,961 patients underwent lobectomy by a thoracic surgeon using either an open technique (n = 2,907) or a VATS approach (n = 1,054). A patient attrition diagram is shown in Figure 1. Characteristics of eligible patients are summarized in Table 1. There were more females than males in both groups, and most patients were over 60 years of age and covered by Medicare. Most patients were Caucasian, with primary (as
Comment
In this retrospective analysis of a large, nationally representative database of more than 600 hospitals, VATS lobectomies for lung cancer were performed in approximately one-half of all hospitals and one-quarter of all patients undergoing lobectomy for cancer. Patients with VATS lobectomy had significantly shorter lengths of stay and lower hospital costs than patients undergoing open lobectomy for lung cancer. These differences persisted even after adjusting for potentially important
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