1. Saving the split: the benefits of VATS thymectomy
- Author
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Bardiya Zangbar, Robert Poston, Abbasali Badami, Nagarajan Muthu, Louis H. Stein, Daniel J. Gross, Rainer W.G. Gruessner, and Erin H. Chang
- Subjects
Pulmonary and Respiratory Medicine ,Financial costs ,medicine.medical_specialty ,Multivariate analysis ,business.industry ,medicine.medical_treatment ,Mediastinum ,Length of hospitalization ,Mean age ,030204 cardiovascular system & hematology ,Surgery ,Thymectomy ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Video-assisted thoracoscopic surgery ,medicine ,In patient ,Original Article ,business - Abstract
BACKGROUND: With the advent of minimally invasive techniques, the standard approaches to many surgeries have changed. We compared the financial costs and health care outcomes between standard thymectomy via sternotomy and video assisted thoracoscopic surgery (VATS). METHODS: A 3-year review [2010–2012] of the National Inpatient Sample (NIS) was performed. All patients undergoing thymectomy were included. Patients undergoing VATS thymectomy were identified. Outcomes measured were hospital length of stay (LOS), hospital charges, and mortality. Univariate and multivariate analyses were performed to control for demographics and comorbidities. RESULTS: The results of 2,065 patients who underwent thymectomy were analyzed, of which 373 (18.1%) had VATS thymectomy and 1,692 (81.9%) had standard thymectomy. Mean age was 52.8±16, 42.5% were male, and 65.5% were Caucasian. There was a significant interval increase in number of patients undergoing VATS thymectomy (10% in 2010 vs. 19.2% in 2012, P
- Published
- 2019