Hybrid video-assisted and limited open (VALO) resection of superior XXXX .

@entity1 @entity5 @entity20330 @entity158 @entity1118
PURPOSE: To compare the postoperative recovery of @entity1 with superior @entity5 ( @entity20330 ) following conventional open surgery vs. a hybrid video-assisted and limited open approach (VALO). METHODS: The subjects of this retrospective study were 20 @entity1 we operated on to resect a @entity20330 . All @entity1 received induction chemo-radiation followed by surgery, performed via either a conventional thoracotomy approach (n  =  10) or the hybrid VALO approach (n  =  10). In the hybrid VALO group, lobectomy and internal chest wall preparation were performed using a video technique, with rib resection and specimen removal through a limited incision. RESULTS: There was no mortality in either group. Two @entity1 from the thoracotomy group required mechanical ventilation, but there was no major morbidity in the hybrid VALO group. The operative times were similar for the two procedures. The average length of hospital stay  was shorter and the average @entity158 scores were significantly lower in the hybrid VALO group. The incidence of @entity1118 was 10  % in the hybrid VALO group vs. 50  % in the thoracotomy group. CONCLUSIONS: Hybrid VALO resection of @entity20330 is feasible and safe, resulting in faster @entity1 recovery and a significantly lower incidence of severe @entity1118 than open thoracotomy. We conclude that centers experienced with video-assisted lobectomy should consider hybrid VALO surgery as the procedure of choice for @entity20330 .
