TY - JOUR AU - Novellis, Pierluigi AU - Bottoni, Edoardo AU - Voulaz, Emanuele AU - Cariboni, Umberto AU - Testori, Alberto AU - Bertolaccini, Luca AU - Giordano, Laura AU - Dieci, Elisa AU - Granato, Lorenzo AU - Vanni, Elena AU - Montorsi, Marco AU - Alloisio, Marco AU - Veronesi, Giulia PY - 2018 TI - Robotic surgery, video-assisted thoracic surgery, and open surgery for early stage lung cancer: comparison of costs and outcomes at a single institute JF - Journal of Thoracic Disease; Vol 10, No 2 (February 14, 2018): Journal of Thoracic Disease Y2 - 2018 KW - N2 - Background: Robotic surgery is increasingly used to resect lung cancer. However costs are high. We compared costs and outcomes for robotic surgery, video-assisted thoracic surgery (VATS), and open surgery, to treat non-small cell lung cancer (NSCLC). Methods: We retrospectively assessed 103 consecutive patients given lobectomy or segmentectomy for clinical stage I or II NSCLC. Three surgeons could choose VATS or open, the fourth could choose between all three techniques. Between-group differences were assessed by Fisher’s exact, two-way analysis of variance (ANOVA), and Wilcoxon-Mann-Whitney test. P values Results: Twenty-three patients were treated by robot, 41 by VATS, and 39 by open surgery. Age, physical status, pulmonary function, comorbidities, stage, and perioperative complications did not differ between the groups. Pathological tumor size was greater in the open than VATS and robotic groups (P=0.025). Duration of surgery was 150, 191 and 116 minutes, by robotic, VATS and open approaches, respectively (P Discussion: Robotic surgery for early lung cancer was associated with shorter stay and more extensive lymph node dissection than VATS and open surgery. Duration of surgery was shorter for robotic than VATS. Although the cost of robotic thoracic surgery is high, the hospital makes a profit. UR - https://jtd.amegroups.org/article/view/18984