| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1993;56:633-635
© 1993 The Society of Thoracic Surgeons
a Southern Illinois University, Springfield, Illinois USA
b University of Pittsburgh, Pittsburgh, Pennsylvania USA
c Humana Hospital, Dallas, Texas USA
d St. Louis University, St. Louis, Missouri USA
* Address reprint requests to Dr Hazelrigg, Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, PO Box 19230, Springfield, IL 62794-9230.
Video-assisted thoracic surgery (VATS) procedures are now being performed with increasing frequency. The instrumentation and video equipment continue to evolve and much of this new technology is expensive. We reviewed our experience with VATS in our most recent 150 cases for the purpose of cost analysis. The costs incurred in patients undergoing VATS wedge resection for nodules (n = 45) were compared with those in similar patients having wedge resection using open techniques (n = 31). We found that patients who undergo open resections were more likely to spend time in the intensive care unit after surgery. The anesthesia costs were similar in the two groups. Disposable instrument costs were $623 higher for VATS resection; however, the operative time was shorter (101.4 minutes for VATS versus 122.5 minutes for the open procedure), making the total operating room costs comparable. The length of hospital stay was shorter after VATS resection (4.4 days for VATS versus 6.5 days for the open procedure), resulting in lower total hospital changes in the VATS group; however, this difference was not statistically significant. The cost of a VATS wedge resection for removing peripheral nodules is competitive with that of open techniques. Additional benefits, such as reduced pain, shorter operating times, and decreased hospital stays, make thoracoscopy a valuable diagnostic tool. The length of hospital stay, operating room time, disposable instrument costs, complications, and patient acuity all have an impact on the total costs and vary for different procedures. The operative time has shortened and the use of disposable instrumentation has lessened as our experience with thoracoscopy has increased. These changes ultimately have a favorable impact on the overall costs.
This article has been cited by other articles:
|
|
 |
|
  W. R. Burfeind Jr., N. P. Jaik, N. Villamizar, E. M. Toloza, D. H. Harpole Jr., and T. A. D'Amico A cost-minimisation analysis of lobectomy: thoracoscopic versus posterolateral thoracotomy Eur J Cardiothorac Surg, April 1, 2010; 37(4): 827 - 832. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A U Wells, N Hirani, and on behalf of the BTS Interstitial Lung Disease Gui Interstitial lung disease guideline Thorax, September 1, 2008; 63(Suppl_5): v1 - v58. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Salati, A. Brunelli, F. Xiume, M. Refai, V. Sciarra, A. Soccetti, and A. Sabbatini Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax: clinical and economic analysis in comparison to the traditional approach Interact CardioVasc Thorac Surg, February 1, 2008; 7(1): 63 - 66. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Sedrakyan, J. van der Meulen, J. Lewsey, and T. Treasure Video assisted thoracic surgery for treatment of pneumothorax and lung resections: systematic review of randomised clinical trials BMJ, October 30, 2004; 329(7473): 1008. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. C. Earle Outcomes Research in Lung Cancer J Natl Cancer Inst Monographs, October 1, 2004; 2004(33): 56 - 77. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Van Schil Cost analysis of video-assisted thoracic surgery versus thoracotomy: critical review Eur. Respir. J., November 1, 2003; 22(5): 735 - 738. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. L. Mutsaerts, F. A. Zoetmulder, S. Meijer, P. Baas, A. A. Hart, and E. J. Rutgers Outcome of thoracoscopic pulmonary metastasectomy evaluated by confirmatory thoracotomy Ann. Thorac. Surg., July 1, 2001; 72(1): 230 - 233. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. C Stoica and W. S Walker Video assisted thoracoscopic surgery Postgrad. Med. J., September 1, 2000; 76(899): 547 - 550. [Full Text]
|
|
|
|
 |
|
 P. E. Stensrud Anesthesia for Thoracoscopy Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2000; 4(1): 18 - 25. [Abstract] [PDF]
|
|
|
|
 |
|
 S. J. Swanson, M. T. Jaklitsch, S. J. Mentzer, R. Bueno, J. M. Lukanich, and D. J. Sugarbaker Management of the Solitary Pulmonary Nodule* : Role of Thoracoscopy in Diagnosis and Therapy Chest, December 1, 1999; 116(2011): 523S - 524S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Russo, R. J. Wiechmann, J. A. Magovern, G. W. Szydlowski, M. J. Mack, K. S. Naunheim, and R. J. Landreneau Early chest tube removal after video-assisted thoracoscopic wedge resection of the lung Ann. Thorac. Surg., November 1, 1998; 66(5): 1751 - 1754. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. L. Demmy, M. J. Krasna, F. C. Detterbeck, G. G. Kline, L. J. Kohman, M. M. DeCamp Jr, and J. C. Wain Multicenter VATS experience with mediastinal tumors Ann. Thorac. Surg., July 1, 1998; 66(1): 187 - 192. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. J. deGuzman, D. B. Lautz, F. Y. Chen, R. G. Laurence, R. M. Ahmad, K. A. Horvath, and L. H. Cohn Thoracoscopic Transmyocardial Laser Revascularization Ann. Thorac. Surg., July 1, 1997; 64(1): 171 - 174. [Abstract] [Full Text]
|
|
|
|
 |
|
 S. R. Hazelrigg, M. J. Magee, and T. M Boley Thoracoscopy for Management of Lung Disease (Including Emphysema) Surgical Innovation, December 1, 1996; 3(4): 224 - 232. [Abstract] [PDF]
|
|
|
|
 |
|
 K. S. Naunheim, M. J. Mack, S. R. Hazelrigg, M. K. Ferguson, P. F. Ferson, T. M. Boley, and R. J. Landreneau Safety and efficacy of video-assisted thoracic surgical techniques for the treatment of spontaneous pneumothorax J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1198 - 1204. [Abstract] [Full Text]
|
|
|
|
|
|
D. E. Maziak and M. F. McKneally Video-assisted thoracic surgery Ann. Thorac. Surg., March 1, 1995; 59(3): 780 - 781. [PDF]
|
|
|
|
|
|
L. J. Molin, J. B. Steinberg, and L. A. Lanza VATS increases costs in patients undergoing lung biopsy for interstitial lung disease Ann. Thorac. Surg., December 1, 1994; 58(6): 1595 - 1598. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
