Langenbeck's Archives of Surgery

, Volume 387, Issue 1, pp 32–36

Thoracoscopy versus thoracotomy: a prospective comparison of trauma and quality of life

  • Rolf Förster
  • Martin Storck
  • Jan Schäfer
  • Eva Hönig
  • Gunter Lang
  • Florian Liewald
Original Article

DOI: 10.1007/s00423-002-0287-9

Cite this article as:
Förster, R., Storck, M., Schäfer, J. et al. Langenbeck's Arch Surg (2002) 387: 32. doi:10.1007/s00423-002-0287-9

Abstract

Background. Reliable comparisons of thoracoscopy (TCC) and anterolateral thoracotomy (ATT) with regard to trauma and post-operative quality of life are rare. This study was conducted to quantify the results of TCC, which was expected to show an advantage. Methods. Using a matched-pair design (matching criteria: comparable intracavitary procedure, benign/malignant disease and sex), 22 patients were compared who underwent either TCC or ATT (Wilcoxon matched-pairs signed-ranks test, P<0.05). Results. Incision and operation time were shorter for TCC (TCC 5.3 vs ATT 23.7 cm, P=0.003; TCC 64 vs ATT 87 min, P=0.029). Differences in favor of TCC were detected for interleukin 6 (IL6) (TCC 17.2 vs ATT 105.6 pg/ml, P=0.036) in the immediate postoperative period, C-reactive protein (CRP) (TCC 28.2 vs ATT 86.6 mg/l; P=0.010) on the day 1 after the operation, forced vital capacity (FVC) (TCC 2.5 vs ATT 1.5 l, P=0.0173), elevation of the arm (EA) (TCC 143 vs ATT 109; P=0,026), pain on coughing (CP) (TCC 2.5 vs ATT 6.9 patients; P=0.009) and Spitzer Index (SI) (TCC 9.2 vs ATT 7,1 patients; P=0.009), as well as CP (TCC 1.4 vs ATT 4.4 patients; P=0,005) on day 4 after the operation. Forced expiratory volume in the first second, pain, creatin kinase, blood glucose and neopterin showed no differences. Conclusions. In terms of surgical trauma and quality of life ICC is superior to ATT in the immediate postoperative period. With the exception of pain and coughing, there were no differences after postoperative day 4.

Thoracotomy Thoracoscopy Ttrauma Quality of life IL6 Neopterin

Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Rolf Förster
    • 1
  • Martin Storck
    • 2
  • Jan Schäfer
    • 3
  • Eva Hönig
    • 1
  • Gunter Lang
    • 1
  • Florian Liewald
    • 1
  1. 1.Department of Thoracic and Vascular Surgery, University of Ulm, Ulm, Germany
  2. 2.Department of Vascular Surgery, Parkkrankenhaus-Leipzig, Academic City Hospital, University of Leipzig, Leipzig, Germany
  3. 3.Department of Surgery, St. Anna-Hospital, Academic City Hospital, University of Witten-Herdecke, Herne, Germany
  4. 4.Klinik für Gefäß- und Thoraxchirurgie, Ammerland-Klinik GmbH, Lange Str. 38, 26655 Westerstede, Germany