100 days). Additionally, five year survival for the "cut-in patch-out" group was 48% versus the traditional group at 12.5% (p = 0.04). Conclusions Compared with a traditional thoracotomy and separate chest wall resection approach for P-NSCLC, a "cut-in patch-out" technique offers an alternative approach that appears to have at least oncologic equivalence while decreasing pain. We have more recently adapted this technique to select patients with pulmonary neoplasms involving chest wall invasion and believe further investigation is warranted."/>
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Table 1 Patient and operative characteristics

From: The "cut-in patch-out" technique for Pancoast tumor resections results in postoperative pain reduction: a case control study

Characteristic Cut-in patch out (n = 25) Thoracotomy (n = 16) pvalue
Mean age (SD) 56.9 (±9.4) 57.3 (±9.6) 0.90
Female (%) 15 (60.0%) 8 (50.0%) 0.76
Race: White (%) 20 (80.0%) 11 (68.8%) 0.66
Mean Pack Years (SD) 48.6 (±26.4) 44.2 (±29.4) 0.62
Taking Oral Narcotics Preoperatively 3 (12.0%) 4 (25.0%) 0.40
Neoadjuvant Treatment    
Radiation Only (%) 2 (8.0%) 2 (12.5%) 0.64
Chemoradiation (%) 22 (88.0%) 12 (75.0%) 0.40
Location: Left (%) 19 (73.1%) 11 (68.8%) 0.88
Pathology    
Adenocarcinoma (%) 13 (52.0%) 8 (50.0%) 0.98
Squamous (%) 9 (36.0%) 7 (43.8%) 0.75
Other (%) 3 (12.0%) 1 (6.3%) 0.98
Epidural pain catheter (%) 14 (56.0%) 9 (56.3%) 0.98
Estimated Blood Loss (SD) 442 (±223) 423 (±256) 0.83
Mean ribs resected (SD) 3.65 (±0.83) 3.38 (±0.51) 0.25
Mean tumor Size in cm (SD) 4.20 (±3.03) 4.71 (±2.14) 0.56
Mean number of nodes sampled (SD) 14.2 (±5.1) 14.8 (±6.6) 0.75
Positive lymph nodes (%) 2 (8.0%) 4 (25.0%) 0.19
R0 resection 23 (92.0%) 14 (87.5%) 0.64
R1 resection 2 (8.0%) 2 (12.5%)  
Final Pathology Staging    
≤ T2 3 (12.0%) 2 (12.5%) 0.96
T3 10 (40.0%) 6 (33.3%) 0.87
T4 12 (48.0%) 8 (50.0%) 0.90
Vertebral Body 9 (40.0%) 6 (37.5%) 0.93
Subclavian Vessels 3 (12.0%) 2 (12.5%) 0.96
N0 23 (92.0%) 11 (68.8%) 0.13
N1 1 (4.0%) 1 (6.3%) 0.74
N2 1 (4.0%) 3 (18.8%) 0.31
  1. Categorical data presented as a number (%) while continuous data presented as mean ± standard deviation unless otherwise stated. p-values represent with either independent sample t-test or chi-squared as dictated by data type.