Our Summary

The research paper is a study on the use of video-assisted thoracoscopic surgery (VATS), a less invasive surgery technique, versus traditional open thoracotomy (OT) for lung surgery in the Veterans Health Administration (VHA) from 2008 to 2018. The study found that the use of VATS increased over time and had better outcomes compared to OT.

They looked at data from nearly 17,000 patients who had either of these surgeries. To ensure a fair comparison, they matched patients having the two types of surgeries based on factors like the type of lung surgery, pre-surgery diagnosis, and other health conditions.

The results showed that patients who had VATS had fewer health complications following surgery and spent 2 days less in the hospital on average. In 2008, around 76% of lung surgeries were done using the traditional open method, but by 2018, almost 70% of surgeries were performed using VATS. Additionally, the rate of major complications was 8% lower for VATS in 2008 compared to OT, but by 2018, this rate was 58% lower for VATS.

In conclusion, the use of VATS for lung surgeries in the VHA has increased over time and has shown better results in terms of fewer complications and shorter hospital stays compared to traditional open surgery.

FAQs

  1. What is the difference between video-assisted thoracoscopic surgery (VATS) and traditional open thoracotomy (OT)?
  2. How did the use and outcomes of VATS compare to OT in lung surgeries from 2008 to 2018 according to the study?
  3. What improvements were observed in patients who underwent VATS compared to those who underwent the traditional open method?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lung surgery is to discuss with their healthcare provider the option of video-assisted thoracoscopic surgery (VATS) as it may lead to fewer complications and a shorter hospital stay compared to traditional open thoracotomy (OT). It is important to have a thorough discussion with your doctor about the benefits and risks of each surgical approach to determine the best option for your individual case.

Suitable For

Patients who are typically recommended for lung surgery include those with:

  • Lung cancer
  • Lung infections
  • Chronic obstructive pulmonary disease (COPD)
  • Lung nodules
  • Pleural effusion
  • Lung abscesses
  • Lung cysts
  • Lung tumors

It is important for patients to undergo a thorough evaluation by a healthcare provider to determine the best course of treatment, which may include surgery. The decision to undergo lung surgery, whether using VATS or traditional open thoracotomy, should be based on individual factors such as the patient’s overall health, the severity of the condition, and the expertise of the surgical team.

Timeline

Before lung surgery:

  • Patient undergoes various tests and consultations to determine the best course of treatment
  • Patient may need to stop certain medications or follow a specific diet leading up to surgery
  • Patient is informed about the procedure, risks, and recovery process

After lung surgery:

  • Patient is closely monitored in the hospital for any complications
  • Patient may need to use a chest tube to drain excess fluid or air from the lungs
  • Patient undergoes physical therapy to regain lung function and mobility
  • Patient is given instructions for at-home care and follow-up appointments

Overall, the study shows that the use of VATS for lung surgery has become more common and has led to better outcomes for patients in the VHA over the years.

What to Ask Your Doctor

Some questions a patient should ask their doctor about lung surgery, particularly regarding the choice between VATS and traditional open thoracotomy, may include:

  1. What are the benefits of VATS compared to traditional open thoracotomy for my specific condition?
  2. What are the potential risks and complications associated with each type of surgery?
  3. How long is the recovery period for each type of surgery?
  4. Will I have a smaller scar with VATS compared to traditional open thoracotomy?
  5. What is the success rate of each type of surgery for my condition?
  6. How experienced are you in performing VATS procedures?
  7. Will I need any additional treatments or therapies after the surgery?
  8. How long will I need to stay in the hospital after the surgery?
  9. What are the long-term outcomes for patients who undergo VATS versus traditional open thoracotomy?
  10. Are there any alternative treatment options to consider?

Reference

Authors: Napolitano MA, Sparks AD, Werba G, Rosenfeld ES, Antevil JL, Trachiotis GD. Journal: Thorac Cardiovasc Surg. 2022 Jun;70(4):346-354. doi: 10.1055/s-0041-1728707. Epub 2021 May 27. PMID: 34044463