Cost and effectiveness of lung lobectomy by video-assisted thoracic surgery for lung cancer.
J Thorac Dis
; 9(8): 2534-2543, 2017 Aug.
Article
in En
| MEDLINE
| ID: mdl-28932560
ABSTRACT
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<0.05).CONCLUSIONS:
The VATS approach surgery allowed earlier recovery at a lower cost than OPEN with a better cost-effectiveness profile.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Health_economic_evaluation
Language:
En
Journal:
J Thorac Dis
Year:
2017
Document type:
Article
Affiliation country:
Spain