SciELO - Scientific Electronic Library Online

vol.18 issue3Monitoring of Chronic Home Ventilation: Experience based on a Day Hospital ModelPulmonary Lobectomy: What are the Benefits of Video-assisted Thoracoscopy? author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista americana de medicina respiratoria

On-line version ISSN 1852-236X


DEFRANCHI, Sebastián et al. Lobectomía pulmonar: ¿Qué beneficios ofrece la videotoracoscopía?. Rev. am. med. respir. [online]. 2018, vol.18, n.3, pp.172-177. ISSN 1852-236X.

Introduction: Despite the widespread adoption of video-assisted thoracoscopic lobectomy, this surgical approach still remains controversial. The objective of this paper is to compare the surgical results of video-assisted thoracoscopic lobectomy to open thoracotomy lobectomy, performed at the Hospital Universitario Fundación Favaloro between 2008 and 2017. Materials and Methods: One-hundred and fifty three patients (n = 89 males) had surgery during the study period; 39/153 had video-assisted thoracoscopic lobectomy. Results: Patients that had video-assisted thoracoscopic lobectomy were more likely to have stage I lung cancer (25/39). Postoperative complications and mortality rates were similar in both groups. Video-assisted thoracoscopic lobectomy patients had a shorter chest tube drainage time (4 vs. 3 days, p = 0.004) and length of hospital stay (6 vs. 4 days of stay, p = 0.03). The median number of lymph node stations sampled at surgery was significantly higher in the patients that had open thoracotomy lobectomy (4 vs. 3.5 lymph node stations, p < 0.001). Conclusion: Video-assisted thoracoscopic lobectomy is at least equivalent to open thoracotomy lobectomy in terms of postoperative complications and mortality. The main benefits of the video-assisted thoracoscopic approach are a shorter chest tube drainage time and length of hospital stay. Special attention should be taken at the time of nodal sampling when the surgery is performed by the video-assisted thoracoscopic approach.

Keywords : Lobectomía pulmonar; Lobectomía videotoracoscópica; Complicaciones postoperatorias; Lobectomy; Video assisted thoracoscopic surgery lobectomy; Postoperative complications.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License