ArticleJournal of cardiothoracic surgery2025
Low-cost video-assisted thoracic surgery lobectomy versus regular VATS lobectomy: a propensity-matched retrospective cohort study.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe study aims to compare the safety and cost-effectiveness of low-cost video-assisted thoracoscopic surgery (VATS) lobectomy, utilizing the twining high-tension knot method, with regular stapler-based VATS lobectomy.
methodsThis retrospective cohort study included 102 patients who underwent VATS lobectomy at a single center between January 2013 and April 2020. Patients were divided into a regular group (n = 57) and a low-cost group (n = 45). Propensity score matching (1:1) balanced baseline characteristics between the groups (45 patients each). Clinical and cost outcomes were analyzed.
resultsThe operative time (256.24 ± 87.45 min vs. 252.67 ± 73.46 min, p = 0.834), intraoperative blood loss (102.89 ± 96.38 mL vs.138.44 ± 257.07 mL, p = 0.39), and postoperative drainage tube indwelling time (3.04 ± 1.62 days vs. 4.02 ± 4.8 days, p = 0.19) were comparable between the low-cost and regular groups. The length of hospital stay was significantly lower in low-cost VATS (5.91 ± 2.51) compared to regular VATS (8.47 ± 7.39) (P = 0.03). The low-cost group demonstrated significantly reduced intraoperative consumable expenses (11,830.09 ± 7,565.13 CNY vs. 25,965.42 ± 7,441.93 CNY, P < 0.001) and total hospitalization costs (34,001.55 ± 12,649.06 CNY vs. 53,166.76 ± 10,966.48 CNY, P < 0.001).
conclusionsLow-cost VATS lobectomy, using the twining high-tension knot method, is as safe and effective as conventional stapler-based VATS lobectomy while significantly reducing costs. This innovative technique offers a practical, accessible alternative for minimally invasive thoracic surgery, particularly in resource-limited settings. CLINICAL TRIAL REGISTRATION NUMBER: ChiCTR2100047430 in Chinese Clinical Trial Registry.
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