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Surgery Today

, Volume 28, Issue 1, pp 41–45 | Cite as

Cost analysis for thoracoscopy: Thoracoscopic wedge resection and lobectomy

  • Kazuro Sugi
  • Yoshikazu Kaneda
  • Kouichi Nawata
  • Nobuhiro Fujita
  • Kazuhiro Ueda
  • Sumihiko Nawata
  • Kensuke Esato
Original Articles

Abstract

We reviewed our experience with video-assisted thoracic surgeyr (VATS) in our most recent 80 patients for the purpose of cost analysis. The costs incurred in the patients undergoing a VATS wedge resection for nodules (n=30) and a VATS lobectomy for lung cancer (n=10) were compared with the costs in similar patients undergoing a wedge resection (n=20) and lobectomy (n=20) using open techniques. The disposable instrument costs were US $1071 higher for a VATS wedge resection; however, the operative time was shorter (0.99h for VATS versus 1.75h for the open procedure). The length of hospital stay was also shorter after a VATS wedge resection (10.4 days for VATS versus 16.8 days for the open procedure), thus resulting in lower total hospital charge in the VATS group. The disposable instrument costs were $3190 higher for a VATS lobectomy, and the operative time was longer (5.56 h for VATS versus 4.25 h for the open procedure). The length of hospital stay was similar in both groups (25.2 days for VATS versus 27.7 days for the open procedure), thus resulting in a higher total hospital charge in the VATS lobectomy group. The cost of a VATS wedge resection for removing peripheral nodules is competitive with that of open techniques, but the cost of a VATS lobectomy is higher than that for an open lobectomy.

Key Words

thoracoscopy cost wedge resection lobectomy video-assisted thoracic surgery 

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Copyright information

© Springer-Verlag 1998

Authors and Affiliations

  • Kazuro Sugi
    • 1
  • Yoshikazu Kaneda
    • 1
  • Kouichi Nawata
    • 1
  • Nobuhiro Fujita
    • 1
  • Kazuhiro Ueda
    • 1
  • Sumihiko Nawata
    • 1
  • Kensuke Esato
    • 1
  1. 1.First Department of SurgeryYamaguchi University School of MedicineUbe, YamaguchiJapan

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