The financial impact of employing minimally invasive techniques for lobectomy compared
with traditional open thoracotomy was assessed. A retrospective review was conducted
using ICD9 codes for thoracotomy, video-assisted thoracic surgery (VATS), and robotic
VATS lobectomy to determine total average costs associated with the resultant hospital
stay. The difference in total average costs was calculated for each group. Robotic
VATS lobectomy had higher associated costs than VATS only, primarily attributed to
increased costs of the first hospital day, but was still less costly than thoracotomy.
The average cost of VATS is substantially less than thoracotomy primarily because
of a decreased length of stay. The cost of robotic assistance for VATS is still less
than thoracotomy, but greater than VATS alone.
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
