Cost and effectiveness of lung lobectomy by video-assisted thoracic surgery for lung cancer
| Autor: | Mafé J, Planelles B, Asensio S, Cerezal J, Inda MD, Lacueva F, Esteban MD, Martin C, Baschwitz B, Peiro, A |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Journal of Thoracic Disease r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| ISSN: | 2077-6624 |
| Popis: | Background: Video-assisted thoracic surgery (VATS) emerged as a minimally invasive surgery for diseases in the field of thoracic surgery. We herein reviewed our experience on thoracoscopic lobectomy for early lung cancer and evaluated Health System use. Methods: A cost-effectiveness study was performed comparing VATS vs. open thoracic surgery (OPEN) for lung cancer patients. Demographic data, tumor localization, dynamic pulmonary function tests [forced vital capacity (FVC), forced expiratory volume in one second (FEV1), diffusion capacity (DLCO) and maximal oxygen uptake (VO2max)], surgical approach, postoperative details, and complications were recorded and analyzed. Results: One hundred seventeen patients underwent lung resection by VATS (n=42, 36%; age: 63 +/- 9 years old, 57% males) or OPEN (n=75, 64%; age: 61 +/- 11 years old, 73% males). Pulmonary function tests decreased just after surgery with a parallel increasing tendency during first 12 months. VATS group tended to recover FEV1 and FVC quicker with significantly less clinical and post-surgical complications (31% vs. 53%, P=0.015). Costs including surgery and associated hospital stay, complications and costs in the 12 months after surgery were significantly lower for VATS (P |
| Databáze: | OpenAIRE |
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