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Ann Thorac Surg. 2000 Nov;70(5):1644-6.

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

Author information

1
Department of Thoracic Surgery, Saiseikai Kanagawa-ken Hospital, Yokohama, Japan. kaseda@ra2.so-net.ne.jp

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.

PMID:
11093502
[Indexed for MEDLINE]

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