C Porrello, G Scerrino, A Vaglica, M Palazzolo, C M Gagliardo, F Giangregorio, D Iadicola, G Tomasello, F Lo Faso, K Kawamukai, N Lacava, Fabrizio Carini, G Cocorullo, R Gullo
{"title":"Postoperative complications, pain and quality of life after thoracoscopic or thoracotomic lobectomy for lung cancer.","authors":"C Porrello, G Scerrino, A Vaglica, M Palazzolo, C M Gagliardo, F Giangregorio, D Iadicola, G Tomasello, F Lo Faso, K Kawamukai, N Lacava, Fabrizio Carini, G Cocorullo, R Gullo","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>Thoracoscopic lobectomy is superior to thoracotomy, but the evidence for this assumption is low. We present a comparison between thoracotomy and thoracoscopy in term of postoperative complications, mortality, postoperative pain, hospital stay and quality of life.</p><p><strong>Patients and methods: </strong>This is a retrospective analysis of 224 lobectomies in 24-months. 128 patients (57.1%) were operated by thoracotomy; 96 patients (42.9%) by videothoracoscopy.</p><p><strong>Results: </strong>Major complications were observed in 4/128 (3.1%) in thoracotomy group and in 1/96 (1%) in thoracoscopy. Minor complications were observed in 38/128 patients (29.7%) in the thoracotomy, and in 16/96 (16.7%) thoracoscopy. Thoracoscopy patients had a shorter hospital stay.</p><p><strong>Conclusion: </strong>Our study shows an advantage of thoracoscopy over thoracotomy but further studies are needed.</p>","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 2","pages":"115-119"},"PeriodicalIF":0.4000,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Giornale di Chirurgia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: Thoracoscopic lobectomy is superior to thoracotomy, but the evidence for this assumption is low. We present a comparison between thoracotomy and thoracoscopy in term of postoperative complications, mortality, postoperative pain, hospital stay and quality of life.
Patients and methods: This is a retrospective analysis of 224 lobectomies in 24-months. 128 patients (57.1%) were operated by thoracotomy; 96 patients (42.9%) by videothoracoscopy.
Results: Major complications were observed in 4/128 (3.1%) in thoracotomy group and in 1/96 (1%) in thoracoscopy. Minor complications were observed in 38/128 patients (29.7%) in the thoracotomy, and in 16/96 (16.7%) thoracoscopy. Thoracoscopy patients had a shorter hospital stay.
Conclusion: Our study shows an advantage of thoracoscopy over thoracotomy but further studies are needed.
期刊介绍:
Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.