Abstract

Uniportal VATS Lobectomy for Lung Cancer: Feasibility and Cost Effectiveness in a Single Center Experience

Highlights

  • In last decades, video-assisted thoracic surgery (VATS) together with robotic-assisted thoracic surgery (RATS) can be considered the biggest innovation in thoracic surgery

  • For NO-VATS and 7.0% in VATS, p=0.0007). This is probably due to a longer stay in intensive care unit (ICU) that we observed in these outliers’ patients which is due to the higher complications incidence that we found in the NO-VATS group

  • Patients who underwent VATS had a reduction in postoperative pain level and a lower request for breakthrough pain medications

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Summary

Introduction

Video-assisted thoracic surgery (VATS) together with robotic-assisted thoracic surgery (RATS) can be considered the biggest innovation in thoracic surgery. This approach drastically changed the way of performing surgical operations, improving patient’s outcome undergoing thoracic surgery. Performed for minor pulmonary resections [1], VATS has been subsequently applied for major operations such as lobectomies with many authors pointing out possible risks in terms of oncological radicality, safety (complications and mortality), advantages for patients in terms of pain level and better quality of life.

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