F-054
THORACOSCOPIC ANATOMICAL SEGMENTECTOMY VERSUS OPEN SEGMENTECTOMY: A CASE MATCHED ANALYSIS AT A SINGLE CENTRE

Objectives: Pulmonary segmentectomy is indicated in some selected patients yet few studies explored thoracoscopic segmentectomy advantages.This study compares thoracoscopic segmentectomy (TS) with open segmentectomy (OS).

Methods: This is an observational study performed on a prospective quality-controlled, electronic database at a single centre from 2000 to 2014. Hundred and twenty-two anatomical segmentectomies; 100 OS and 22 TS. Propensity score case matching was performed to select samples of patients for balanced comparative analysis according to baseline characteristics. Within the two matched groups of patients (22 OS and 22 TS) operative and postoperative outcomes were compared.

Results: Twenty-two well matched pairs of patients, undergoing OS and TS were compared. We had similar operative time in both groups. Pleural effusion was significantly lower in the TS group (370 ml vs 589 ml, P = 0.006). Moreover incidence of total morbidity complications was higher in OS group (6 vs 2, P = 0.08). Chest tube duration was significantly lower in the TS group (6.2 vs 2.3, P = 0.004). Howerver, hospital length of stay was shorter among the patients undergoing TS (4.4 vs 7, P = 0.01).

Conclusions: Video-assisted thoracoscopic segmentectomy is a safe procedure which is associated with better outcomes and reduced hospital stay when compared with an open segmentectomy.

Disclosure: No significant relationships.