Is Video-Assisted Thoracic Surgery Lobectomy Better

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Pie chart comparison of pain control at 3 weeks after lobectomy by standard thoracotomy or video-assisted thoracic surgery (VATS). The pie charts show.

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Is Video-Assisted Thoracic Surgery Lobectomy Better Is Video-Assisted Thoracic Surgery Lobectomy Better? Quality of Life Considerations Todd L. Demmy, MD, Chukwumere Nwogu, MD The Annals of Thoracic Surgery Volume 85, Issue 2, Pages S719-S728 (February 2008) DOI: 10.1016/j.athoracsur.2007.09.056 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Discharge independence after thoracoscopic lobectomy. The bar graphs demonstrate a much lower need for home health services in the video-assisted thoracic surgery (VATS) group. The types of services needed for each procedure type are displayed as well. (OT = occupational therapy; other = other miscellaneous care needs; PT = physical therapy.) Adapted from Demmy TL, et al. Discharge independence with minimally invasive lobectomy. Am J Surg 2004;188:698–702. The Annals of Thoracic Surgery 2008 85, S719-S728DOI: (10.1016/j.athoracsur.2007.09.056) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pain control at 3 weeks after video assisted thoracic surgery (VATS) lobectomy. The pie charts show that VATS patients have significantly (p < 0.01) less pain as measured by the most potent analgesic still required: severe—–schedule 2 narcotic; moderate—schedule 3 or lower; mild–nonsteroidal anti-inflammatory drugs or acetaminophen. These data represent an updated series of high-risk reported previously [49, 61]. The Annals of Thoracic Surgery 2008 85, S719-S728DOI: (10.1016/j.athoracsur.2007.09.056) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Outpatient support, including home health care, rehabilitation, nursing home care, or death, required for 200 consecutive thoracic surgery patients by age group at Roswell Park Cancer Institute preceding the video-assisted thoracic surgery (VATS) lobectomy preference era. This bar graph shows the abrupt increase in outpatient support required after patients reach the eighth decade of life. The Annals of Thoracic Surgery 2008 85, S719-S728DOI: (10.1016/j.athoracsur.2007.09.056) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions