- Video-assisted thoracoscopic (VATS) and robotic lobectomies offered significantly lower readmission rates compared with open lobectomy, as well as better outcomes, in patients with lung cancer.
- VATS offered fewer early complications and lower cost vs robotic lobectomy.
Why this matters
- The association between surgical approach and readmission was unclear.
- 129,539 patients from the Nationwide Readmissions Database underwent pulmonary lobectomy between 2010 and 2014.
- Funding: None disclosed.
- 57.5% of cases were open, 37.2% VATS, 5.3% robotic.
- 10.5% of patients were readmitted within 30 days of index surgery.
- Open surgery was associated with a significantly higher 30-day readmission rate than VATS and robotic surgery (10.5% vs 9.3%; P<.001>
- Compared with VATS and robotic groups, the open lobectomy group had higher in-hospital mortality (2.02% vs 1.18%), median costs ($21,846 vs $20,779), and median length of stay (6 vs 4 days; P<.001 for all>
- Compared with the VATS group, the robotics group had higher median costs ($23,870 vs $20,279; P<.001 discharges home vs p=".006)," and pulmonary complications>
- Readmission rates, in-hospital mortality, and length of stay were similar between robotic and VATS groups.
- After multivariable analysis, open lobectomy was an independent predictor of readmission (OR, 1.12; P<.001>
- Retrospective study.