Add to Quick Collection
Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.14/301121
378 Visitors
447 Hits
0 Downloads
- Title
- Long-term outcome and cost-effectiveness of complete versus assisted video-assisted thoracic surgery for non-small cell lung cancer
- Related
- Journal of surgical oncology, Vol. 104, No. 2, (2011), p.162-168
- DOI
- 10.1002/jso.21908
- Publisher
- John Wiley & Sons
- Date
- 2011
- Author/Creator
- He, Jianxing
- Author/Creator
- Shao, Wenlong
- Author/Creator
- Zhong, Baoliang
- Author/Creator
- Cao, Christopher
- Author/Creator
- Yan, Tristan
- Author/Creator
- Wang, Daoyuan
- Author/Creator
- Xiong, Xin-guo
- Author/Creator
- Yin, Weiqiang
- Author/Creator
- Xu, Xin
- Author/Creator
- Chen, Hanzhang
- Author/Creator
- Qiu, Yuan
- Description
- Background To compare the outcomes and costs of two methods of video-assisted thoracoscopic surgery (VATS) major pulmonary resection in patients with clinically resectable non-small cell lung cancer (NSCLC). Methods Between January 2000 and December 2007, 1,058 patients with proven stages I-IIIA NSCLC underwent complete VATS (c-VATS) or assisted VATS (a-VATS) major pulmonary resection together with a systematic nodal dissection. Results The study cohort consisted of 736 men and 322 women. Mean operative time was shorter for the a-VATS cohort compared with the c-VATS group (P = 0.038). Overall survival (OS) at 5 years based on Kaplan-Meier analysis was 55.3% (95%CI, 50.6-60.0%) for those who underwent c-VATS and 47.7% (95%CI, 41.2-54.2%) for those who underwent a-VATS (P = 0.404). Gender, final pathology, TNM stage, and pT status were significant predictive factors for OS according to multivariate analysis. The total cost of a-VATS lobectomy was lower than that of c-VATS lobectomy. Conclusions c-VATS and a-VATS yield similar results in patients with clinically resectable NSCLC. a-VATS, however, may be less expensive and easier to adopt, making it a particularly attractive option for thoracic surgeons in developing countries.
- Description
- 7 page(s)
- Subject Keyword
- 111200 Oncology and Carcinogenesis
- Subject Keyword
- cost-effectiveness
- Subject Keyword
- long-term outcomes
- Subject Keyword
- non-small cell lung cancer
- Subject Keyword
- video-assisted thoracoscopic surgery
- Resource Type
- journal article
- Organisation
- Macquarie University. Australian School of Advanced Medicine
- Identifier
- http://hdl.handle.net/1959.14/301121
- Identifier
- mq:32698
- Identifier
- ISSN:0022-4790
- Identifier
- mq-rm-2013004464
- Identifier
- mq_res-ext-2-s2.0-79960022379
- Language
- eng
- Reviewed
Macquarie University ResearchOnline
