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Optimal surgical management of pulmonary metastases: VATS versus thoracotomy
Author(s) -
Numan Rachel C,
Baas Paul,
Klomp Houke M,
Wouters Michel W
Publication year - 2016
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/resp.12607
Subject(s) - medicine , thoracotomy , metastasectomy , vats lobectomy , surgery , chest tube , video assisted thoracoscopic surgery , anesthesia , metastasis , lung , pneumonectomy , cancer , pneumothorax
Survival benefit after pulmonary metastasectomy is under question and knowledge of functional recovery after pulmonary metastasectomy by thoracotomy and video‐assisted thoracoscopic surgery ( VATS) is of great importance. We analysed prospective data of 100 patients operated for pulmonary metastasis by either VATS or thoracotomy. VATS yielded a better physical performance 1 month postoperative, shorter hospital stay, a shorter duration of chest tube drainage and epidural analgesia. We concluded that VATS is the preferable approach due to superior functional outcome.