Video-assisted thoracoscopic surgery versus thoracotomy for recurrent spontaneous pneumothoraxA comparison of results and costs

Crisci, Roberto; Gf, Coloni

doi:10.1016/s1010-7940(96)80424-6

Cited by 54 publications

(31 citation statements)

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“…10) Thoracoscopic surgery may thus minimize any decrease of ADL after surgery and reported to shorten the duration of tube drainage and length of post-operative hospital stay after surgery for spontaneous pneumothorax. [10][11][12][13][14][15][16] From our and these results, VATS was safe and effective for the treatment of secondary pneumothorax even in elderly patients.…”

Section: Discussionmentioning

confidence: 89%

Surgical Results of Video-Assisted Thoracic Surgery and Risk Factors for Prolonged Hospitalization for Secondary Pneumothorax in Elderly Patients

Matsuoka

Kuroda

Kang

et al. 2013

ATCS

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Background: The treatment of secondary pneumothorax in elderly patients is difficult because of underlying diffuse lung injury and complex medical comorbidities. Such patients still have high morbidity rates, resulting in longer periods of hospitalization. Methods: To examine the results of video-assisted thoracic surgery for elderly patients (aged 70 years or over) with secondary pneumothorax and investigate the risk factors for hospital stay longer than 7 days, we retrospectively analyzed the results obtained in such patients at our institution. Results: From among 73 patients who entered this study, 7 patients (9.6%) had postoperative complications. Video-assisted thoracic surgery could treat pneumothorax in 71 patients, except for the 2 who died in hospital. The median postoperative drainage and hospital stay periods were 2 days (1-40 days) and 5 days (2-51 days). Patients with interstitial pneumonitis, pulmonary infection and low total protein or sodium levels were the risk factors for hospital stay longer than 7 days. Conclusions: VATS is a safe and effective procedure for secondary pneumothorax in elderly patients. Patients with interstitial pneumonitis, pulmonary infection, and hyponutrition state were the risk factors for postoperative hospital stay prolongation.

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Section: Discussionmentioning

confidence: 89%

Surgical Results of Video-Assisted Thoracic Surgery and Risk Factors for Prolonged Hospitalization for Secondary Pneumothorax in Elderly Patients

Matsuoka

Kuroda

Kang

et al. 2013

ATCS

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“…Only eight studies specifically addressed cost analysis [3][4][5][6][7][8][9][10] (table 2). Seven of these were retrospective and only one was prospective but nonrandomised [7].…”

Section: Resultsmentioning

confidence: 99%

Cost analysis of video-assisted thoracic surgeryversusthoracotomy: critical review

Schil

2003

Eur Respir J

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Cost containment has become an important issue in thoracic surgery. Applying the principles of evidence-based medicine a literature search was performed to determine whether video-assisted thoracic surgery (VATS) has an advantage over thoracotomy concerning total cost.Only eight studies specifically looked at cost; all but one were retrospective. Lung biopsy by VATS yielded higher operating room costs compared with limited thoracotomy. The cost of VATS wedge resection of lung nodules was competitive with open techniques. In a prospective study regarding the treatment of pneumothorax by VATS, no advantages were demonstrated compared with axillary minithoracotomy. In two retrospective studies the total economic cost of VATS was lower but not all relevant factors were considered. Lung volume reduction surgery by VATS had a lower total inpatient cost compared with sternotomy but no specific details were provided. Finally, VATS treatment of lung cancer yielded conflicting results regarding total hospital charges.From these studies it is clear that video-assisted thoracic surgery has a higher initial cost. Whether this is offset by a more rapid discharge remains to be proven. There is a definite need for high-quality prospective randomised studies. Eur Respir J 2003; 22: 735-738.

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“…A despeito de várias publicações sugerindo os benefí-cio da videotoracoscopia (17)(18)(19)(20) , o único trabalho prospectivo e randomizado, estabelecendo a comparação entre a toracotomia póstero-lateral e a videotoracoscopia foi a publicação de Waller et al (21) . Mesmo com menores índi-ces de recidiva para os submetidos à toracotomia (3,3% x 13% nos pacientes com PEP), os autores concluem sobre as vantagens da videotoracoscopia baseados no menor tempo de hospitalização e na menor intensidade da dor no pós-operatório.…”

Section: Discussionunclassified

Tratamento cirúrgico do pneumotórax espontâneo primário no primeiro episódio

Filho¹,

Leite²,

Perin³

et al. 2001

J. Pneumologia

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Video-assisted thoracoscopic surgery versus thoracotomy for recurrent spontaneous pneumothoraxA comparison of results and costs

Abstract: The study has demonstrated the therapeutic efficacy of VATS and in the same time that in VATS the total economic cost is lower (22.7%) in comparison with traditional thoracotomy.

Cited by 54 publications

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Surgical Results of Video-Assisted Thoracic Surgery and Risk Factors for Prolonged Hospitalization for Secondary Pneumothorax in Elderly Patients

Surgical Results of Video-Assisted Thoracic Surgery and Risk Factors for Prolonged Hospitalization for Secondary Pneumothorax in Elderly Patients

Cost analysis of video-assisted thoracic surgeryversusthoracotomy: critical review

Tratamento cirúrgico do pneumotórax espontâneo primário no primeiro episódio

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