Outcomes of Video-Assisted Thoracic Surgery Compared to Open Thoracic Surgery for Pulmonary Hydatid Disease: A Systematic Review and Meta-Analysis.
Ayham Mohammad Hussein, Bara M Hammadeh, Abdullah Yousef Aldalati et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the efficacy and safety of video-assisted thoracic surgery (VATS) compared to open thoracic surgery (OTS) for pulmonary hydatid disease. Analyzing nine retrospective cohort studies, VATS was associated with significantly shorter operation times (MD -38.08 min; p<0.001) and reduced hospital stays (MD -3.68 days; p<0.001).
Key findings
- VATS resulted in shorter operation times compared to OTS (MD -38.08 min; p<0.001).
- Patients undergoing VATS experienced lower perioperative blood loss (MD -64.02 mL; p=0.006).
- Postoperative drainage volume was significantly reduced in the VATS group (MD -124.46 mL; p=0.003).
- VATS led to earlier chest drain removal by an average of 2.27 days (MD -2.27 days; p<0.001).
Why it matters
Understanding the comparative outcomes of VATS and OTS for pulmonary hydatid disease is crucial for optimizing surgical approaches, potentially leading to improved patient recovery and reduced healthcare costs.
What to keep in mind
The majority of included studies were retrospective, and significant heterogeneity and high risk of bias were noted in several domains.