P-177is video-assisted thoracoscopic lobectomy associated with lower 30-day morbidity than lobectomy by thoracotomy?

Morbidity and mortality were assessed using multiple logistic regression, and adjusted for sex, age, stage, FEV1 and modified Charlson comorbidity index. Results: In total, 1390 patients underwent lobectomy, 789 patients via VATS and 601 patients via thoracotomy. The two groups were similar in sex, FEV1 and modified Charlson comorbidity index. The patients operated by VATS were older (P< 0.001), had more adenocarcinomas (P< 0.001), and had a lower cancer stage (P< 0.001). Four hundred and ninety-two VATS patients (62.5 %) and 312 thoracotomy patients (51.9 %) avoided minor complications, P< 0.001. Six hundred and twenty-six VATS patients (79.7 %) and 389 thoracot- omy patients (64.7 %) avoided major complications, P< 0.001. The 30-day mortality were 8 patients (1.0 %) in the VATS group and 9 patients in the thora- cotomy group (1.5 %); P = 0.47. Multiple logistic regression analysis showed that the incidence of both minor (OR, 1.6; P < 0.001) and major complications (OR, 2.2; P < 0.001) were significantly higher for the patients who underwent lobectomy via thoracotomy compared with VATS lobectomy. Conclusions: Patients undergoing lobectomy via thoracotomy were 1.6 time