OBJECTIVE: To compare postoperative length of stay and 30-day outcomes between thoracoscopic and open lobectomy performed on a nonemergency basis for @entity358 using a validated national database. MATERIALS AND METHODS: We identified all nonemergency lobectomies performed on @entity1 with @entity358 in the 2012 National Surgical Quality Improvement Program (NSQIP) Pediatric database and compared demographic, clinical, and 30-day outcome characteristics between @entity1 who underwent an open or thoracoscopic lobectomy. Logistic regression with Firth's penalized likelihood bias-reduction method was used to determine predictive risk factors for a postoperative length of stay (LOS) of >3 days. RESULTS: Of 101 @entity1 included, 40 (39%) underwent thoracoscopic lobectomy. In comparison with @entity1 undergoing thoracoscopic lobectomy, @entity1 undergoing open lobectomy were significantly more likely to be admitted prior to surgery, be American Society of Anesthesiologists Class >= 3, receive @entity26 support prior to surgery, and have other @entity154 or cardiac risk factors. Both groups had similar total operative times (open versus thoracoscopic, 150 versus 173 minutes; P=.216). @entity1 undergoing open lobectomy had longer postoperative LOS (4 versus 3 days; P=.001) and more often received an intraoperative or postoperative transfusion (12% versus 0%; P=.003). The procedure type was not an independent risk factor for postoperative LOS >3 days in the multivariable analysis. CONCLUSIONS: @entity1 undergoing thoracoscopic lobectomy have fewer comorbidities at baseline, receive fewer perioperative transfusions, and have a shorter postoperative LOS. Accrual of additional @entity1 within the NSQIP Pediatric database will allow for further risk-adjusted analyses to control for differences in baseline characteristics between @entity1 undergoing open and thoracoscopic resections.

Comparison of 30-Day Outcomes Between Thoracoscopic and Open Lobectomy for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity154 :: ('MESH:D000013', 'Disease') :: ['congenital anomalies'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity358 :: ('MESH:D008171', 'Disease') :: ['congenital pulmonary lesions']
@entity358 :: (MESH:D008171,Disease) :: ['Congenital Pulmonary Lesions']
