Original articleGeneral thoracicPulmonary Segmentectomy by Thoracotomy or Thoracoscopy: Reduced Hospital Length of Stay With a Minimally-Invasive Approach
Section snippets
Patients and Methods
After local Institutional Review Board approval waiving individual patient consent owing to the retrospective nature of the review, the Duke University Medical Center Surgical Billing Office was queried for Current Procedural Terminology codes linked with sublobar anatomic resection (segmentectomy) by either an open approach or by a thoracoscopic approach between January 1, 2000, and January 31, 2006. Careful attention was paid to individual operative notes and surgical pathology reports to
Results
Seventy-seven patients were identified who underwent pulmonary segmentectomy in the stated time period; 29 patients underwent OS and 48 patients underwent TS. The distribution of segmentectomy procedures performed per study year is depicted in Figure 1, with TS achieving increased utilization during the study period and OS procedures remaining stable. Approximately 1,500 lobectomy procedures were performed during this time frame; therefore, the number of segmentectomies reported represents
Comment
Although thoracoscopic lobectomy has achieved increased utilization over the past several years, thoracoscopic segmentectomy has merely been superficially mentioned in the literature [12, 18, 22]. Our data demonstrate that TS is feasible and can be performed safely and with good outcomes for experienced thoracoscopic surgeons. Furthermore, these data demonstrate that TS techniques are applicable to the treatment of primary lung cancer, benign pulmonary conditions, and to metastatic pulmonary
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