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VATS Reduces Lobectomy Mortality

February 1, 2017 at 12:01 am

By John Hansen-Flaschen, MD, editor, Annals of the American Thoracic Society

Follow Dr. Hansen-Flaschen on Twitter @AnnalsATSEditor

Decreased In-hospital Mortality after Lobectomy Using Video-Assisted Thoracoscopic Surgery Compared to Open Thoracotomy

For their Annals of the American Thoracic Society study, researchers analyzed the records of 27,451 patients who underwent lobectomy from 2009-13 to determine whether lobectomy performed by video-assisted thoracoscopic surgery (VATS) resulted in lower mortality compared to open surgical lobectomy.  The study found that VATS did, in fact, reduce hospital mortality (1.3% vs 2.5%), as well as shorten hospital stays (6.21 vs 8.75 days) than open lobectomy.  Researchers write that during the study time period, nearly two-thirds of the lobectomies were open, but the data showed an increasing trend to use VATS. “VATS is emerging as an important surgical approach to provide a safer alternative for lung lobectomy,” they write. “Further studies are needed to identify comorbidity factors that identify ideal candidates for VATS lobectomy.”

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Beginning April 1, David J. Lederer, MD, MS, will transition to editor-in-chief of the Annals of the American Thoracic Society. Dr. Lederer is an associate professor in the Department of Medicine at Columbia University Physicians and Surgeons and the Department of Epidemiology at the Mailman School of Public Health at Columbia University. He is the Associate Division Chief for Clinical and Translational Research and Director of the Pulmonary & Intensive Care Translational Outcomes Research (PICTOR) Group in the Division of Pulmonary, Allergy, and Critical Care at Columbia. Stay tuned to hear more from the editor in our upcoming video/audio series.

Outgoing AnnalsATS Editor, John Hansen-Flaschen, MD, completes his five-year term in April 2017.


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