Comparing Pain and Quality of Life Measures after Anatomic Lung Resection Using Either Thoracoscopy or Thoracotomy

Abstract

Objective: is to compare the pain score and quality of life between thoracoscopy and thoracotomy in lung resection surgery.

Methodology: Randomized controlled trial was conducted at National Institute of cardiovascular diseases (NICVD) during 1^st September 2022 to 30^th August 2023. A total of 60 patients were enrolled and dived into two groups 35 patients in thoracoscopy and 25 in thoracotomy groups. Patients were compared in terms of quality of life and pain score. Eight pints scoring scale was for quality of life assessment and Brief pain index scale for pain measurement.

Results: The comorbidities in both the groups were almost equal. Adenocarcinoma were noted 20 (80.0%) and 22 (62.9%) in thoracotomy and VATS group, respectively. Further, the mean length of stay of thoracotomy and VATS group was 5.61±2.11 days and 6.31±2.47 days, respectively. The differences were statistically insignificant in both the study groups, (p>0.050). The comparison of life quality score at baseline, postoperative, 4^th month, 8^th month & 12^th month of mental and physical component summary was shown in table. II. The differences were almost equal in thoracotomy and VATS group, (p>0.050).

Conclusion: Patient-reported Physical Component Summary (PCS) and pain scores were similar in the first 12 months following in two different surgical procedures Video-Assisted Thoracoscopic Surgery (VATS) and thoracotomy.