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Comparative Study
. 2000 Nov;70(5):1644-6.
doi: 10.1016/s0003-4975(00)01909-3.

Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy

S Kaseda  1 , T Aoki, N Hangai, K Shimizu
Affiliations
Comparative Study

Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy

S Kaseda et al. Ann Thorac Surg. 2000 Nov.

Abstract

Background: Data regarding pulmonary function and prognosis after video-assisted thoracic surgery lobectomy are limited.

Methods: From September 1992 to April 2000, 204 video-assisted thoracic surgery lobectomies were performed, and their preoperative and postoperative pulmonary function test results and prognoses were evaluated.

Results: The postoperative to preoperative ratio of pulmonary function tests (vital capacity and forced expiratory volume in 1 s) were better in video-assisted thoracic surgery lobectomy than in open thoracotomy (p < 0.0001). Furthermore, the 5-year survival rate of pathologic stage I lung cancers after video-assisted thoracic surgery was 97.0%, whereas that after open thoracotomy was 78.5% (p = 0.0173; Mantel-Cox).

Conclusions: Pulmonary function and prognosis were far better after video-assisted thoracic surgery lobectomy than after open thoracotomy.

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