Feasibility of video-assisted thoracoscopic surgery lobectomy in Veterans Administration patients

Daniel T. Dearmond, Jeremy D. Simmons, Adam M. Cline, Lee Ann Zarzabal, Scott B. Johnson, Clinton E. Baisden

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: Video-assisted thoracoscopic surgery (VATS) pulmonary lobectomy has been associated with decreased complication rates and length of stay compared with lobectomy by thoracotomy. No studies have addressed VATS lobectomy in Veterans Administration (VA) patients. Methods: A retrospective review was undertaken of 50 VATS lobectomies performed between August 2007 and June 2009 by one surgeon in a VA hospital, a university-affiliated county hospital, and a private community hospital. Results: VA patients had more medical comorbidities, poorer lung function, greater current smoker status, and fewer preoperative biopsies. Pleural adhesions or hilar lymphadenopathy were encountered more commonly in VA than nonfederal patients. Surgical times and number of procedures performed were greater in VA patients. There was no statistically significant difference in the risk of postoperative complications or chest tube duration although length of stay was longer for VA patients. Conclusions: VATS lobectomy is feasible in a VA setting. The evidence strongly suggests that veterans can benefit from VATS lobectomy in terms of improved outcomes and diminished length of stay compared with thoracotomy.

Original languageEnglish (US)
Pages (from-to)e15-e20
JournalAmerican journal of surgery
Volume204
Issue number5
DOIs
StatePublished - Nov 1 2012

Keywords

  • Lung cancer
  • Video-assisted thoracoscopic surgery (VATS)

ASJC Scopus subject areas

  • Surgery

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