Table 5. Patient characteristic and perioperative outcome.
Characteristic | VATS (n=60) | Thoracotomy (n=60) | P value |
---|---|---|---|
Age [range], yr | 75 [70-83] | 75 [70-83] | a |
Gender, n (%) | a | ||
Female | 18 (30.0) | 18 (30.0) | |
Male | 42 (70.0) | 42 (70.0) | |
CCI, n (%) | a | ||
0 | 27 (45.0) | 27 (45.0) | |
1 | 16 (26.7) | 16 (26.7) | |
2 | 15 (25.0) | 15 (25.0) | |
3 | 2 (3.3) | 2 (3.3) | |
Pathologic stage, n (%) | a | ||
I | 49 (81.7) | 49 (81.7) | |
II | 8 (13.3) | 8 (13.3) | |
IIIa | 3 (5.0) | 3 (5.0) | |
Type of resection, n (%) | a | ||
Wedge/segment | 19 (31.7) | 19 (31.7) | |
Lobectomy | 36 (60.0) | 36 (60.0) | |
Bilobectomy | 2 (3.3) | 2 (3.3) | |
Extendedb | 3 (5.0) | 3 (5.0) | |
Smoking, n (%) | 33 (55.0) | 37 (61.7) | 0.459 |
Hypertension, n (%) | 27 (45.0) | 25 (41.7) | 0.715 |
Coronary artery disease, n (%) | 15 (25.0) | 10 (16.7) | 0.265 |
Diabetes mellitus, n (%) | 6 (10.0) | 9 (15.0) | 0.412 |
History of CVA/TIA, n (%) | 4 (6.7) | 8 (13.3) | 0.227 |
COPD, n (%) | 11 (18.3) | 6 (10.0) | 0.194 |
FEV1% [range] | 76 [51-95] | 76 [52-95] | 0.933 |
ASA, n (%) | 0.543 | ||
1 | 4 (6.7) | 3 (5.0) | |
2 | 30 (50.0) | 36 (60.0) | |
3 | 26 (43.3) | 21 (35.0) | |
Histology, n (%) | 0.824 | ||
Adenocarcinoma | 31 (51.7) | 34 (56.7) | |
Squamous | 19 (31.7) | 18 (30.0) | |
Othersc | 10 (16.7) | 8 (13.3) | |
Tumor diameter (range), cm | 2.5 (0.5-7.0) | 2.7 (0.5-8.0) | 0.76 |
Perioperative outcome | |||
Conversions, n (%) | 0 | – | – |
Length of stay [range], days | 19 [12-35] | 21 [13-38] | 0.013 |
Complications, n (%) | 15 (25.0) | 26 (43.3) | 0.034 |
Death, n (%) | 0 | 2 (3.3) | 0.159 |
a, used as matching variable; b, bronchoplasty and pulmonary artery reconstruction in one case and bronchial sleeve lobectomy in two cases; c, adenosquamous carcinoma, bronchoalveolar carcinoma, large-cell carcinoma and carcinosarcoma; VATS, video-assisted thoracic surgery; CCI, Charlson Comorbidity Index; CVA, cerebrovascular disease; TIA, transient ischemic attack; COPD, chronic bstructive pulmonary disease; FEV1%, forced expiratory volume as a percentage of forced vital capacity; ASA, American Society of Anesthesiology.