Sternotomy or bilateral thoracoscopy: XXXX and postoperative complications after lung-volume reduction surgery.

@entity1 @entity1340 @entity773 @entity10036 @entity158 @entity282
OBJECTIVES: Video-assisted thoracoscopic surgery (VATS) and @entity10036 ( @entity10036 ) are two approaches in lung-volume reduction surgery (LVRS). This study focused on the two surgical approaches with regard to @entity282 . METHODS: In this prospective, non-randomized study, @entity158 was measured preoperatively and postoperatively using the visual analog scale (VAS) and the brief @entity158 inventory (BPI). Incentive spirometry (IS) assessed restriction of the thoracic cage due to @entity158 . Factors associated with treatment complications, medication usage, hospital stay, operating times, and chest-tube duration differences were examined between groups. RESULTS: Of 85 @entity1 undergoing LVRS, 23 @entity1 underwent reduction via @entity10036 and 62 @entity1 via bilateral VATS. VAS scores revealed no difference in @entity282 except for VAS scores on days 6 (PM) and 7 (PM). BPI scores yielded higher scores in the VATS group on postoperative day (POD) 1 in the reactive dimension, but no other overall differences. @entity10036 @entity1 receiving @entity1340 consumed a higher mean amount than VATS @entity1 on POD 5 and POD 6. IS change from baseline to postoperative were similar between groups, and increased @entity158 correlated with decreased IS scores on @entity773 . Chest-tube duration, complications, and @entity158 medication were similar between groups. CONCLUSIONS: Bilateral VATS and @entity10036 offer similar outcomes with regard to @entity282 and complications. These results suggest that the choice of LVRS operative approach should be dependent on disease presentation, surgeon expertise, and @entity1 preference, not based upon differences in perceived @entity282 between @entity10036 and bilateral VATS.
