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New Data Suggest Minimally Invasive, Video-Assisted Thorascopic Wedge Resections for Lung Cancer Provide Clinical and Economic Advantages to Patients, Hospitals and Payors
Date:2/23/2012

d by the New England Institutional Review Board and exemption was obtained. The Premier hospital database used to collect data contains complete patient billing, hospital cost and coding histories from more than 25 million inpatient discharges and 175 million hospital outpatient visits. Since VATS is such a new technology, the analyzable dataset was restricted to procedures occurring in 2007-2008. Only data that were anonymized with regard to patient identifiers were used. 

Eligible patients were those of any age undergoing wedge resection by a thoracic surgeon for cancer diagnosis or treatment, via VATS methods or via open thoracotomy. Initial counts, percentages, means, and standard deviations for patient demographics, comorbid conditions, hospital characteristics, and safety, utilization, and cost outcomes were summarized for open wedge resection and VATS groups using descriptive statistics. The wedge resections studied were performed in 182 hospitals, with somewhat more performing open resections (n=170) than VATS resections (n=139). Hospitals in the open group did not appear to differ from those hospitals performing VATS, in terms of distribution of locations, sizes, or teaching status.

About Thoracic Surgery

Historically, surgery involving the lung was accomplished in one of two ways, depending upon the clinical indication: via a thoracoscope inserted using a small incision, or via an open thoracotomy, involving a larger incision and rib-spreading to improve visibility and access for control of the surgical field. Thoracoscopic procedures were typically reserved for biopsies for diagnostic purposes, while open thoracotomies were performed for more extensive procedures such as wedge resection or lobectomy, often with therapeutic intent in severe emphysema or cancer.

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Ethicon Endo-Surgery is the world's leader in providing advanced medical devices for minimally invasive and open su
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