Details

Autor(en) / Beteiligte

• Sesma, Julio
• Bolufer, Sergio
• García-Valentín, Antonio
• Embún, Raúl
• López, Íker Javier
• Moreno-Mata, Nicolás
• Jiménez, Unai
• Trancho, Florentino Hernando
• Martín-Ucar, Antonio Eduardo
• Gallar, Juana
• Embun, Raul
• Royo-Crespo, Iñigo
• Recuero Díaz, José Luis
• Call, Sergi
• Congregado, Miguel
• Gómez-de Antonio, David
• Jimenez, Marcelo F.
• Moreno-Mata, Nicolas
• Aguinagalde, Borja
• Amor-Alonso, Sergio
• Arrarás, Miguel Jesús
• Blanco Orozco, Ana Isabel
• Boada, Marc
• Cabañero Sánchez, Alberto
• Vázquez, Isabel Cal
• Cilleruelo Ramos, Ángel
• Crowley Carrasco, Silvana
• Fernández-Martín, Elena
• García-Barajas, Santiago
• García-Jiménez, Maria Dolores
• García-Prim, Jose María
• Garcia-Salcedo, Jose Alberto
• Gelbenzu-Zazpe, Juan José
• Giraldo-Ospina, Carlos Fernando
• Gómez Hernández, María Teresa
• Hernández, Jorge
• Illana Wolf, Jennifer D.
• Jauregui Abularach, Alberto
• López Sanz, Iker
• Martínez-Hernández, Néstor J.
• Martínez-Téllez, Elisabeth
• Milla Collado, Lucía
• Mongil Poce, Roberto
• Moradiellos-Díez, Francisco Javier
• Moreno-Balsalobre, Ramón
• Moreno Merino, Sergio B.
• Obiols, Carme
• Quero-Valenzuela, Florencio
• Ramírez-Gil, María Elena
• Ramos-Izquierdo, Ricard
• Rivo, Eduardo
• Rodríguez-Fuster, Alberto
• Rojo-Marcos, Rafael
• Sanchez-Lorente, David
• Sanchez Moreno, Laura
• Simón, Carlos
• Trujillo-Reyes, Juan Carlos
• Hernando Trancho, Florentino

Titel

Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis

Ist Teil von

• JTCVS open, 2022-03, Vol.9, p.268-278

Ort / Verlag

Elsevier Inc

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• The aim of this study is to compare the postoperative complications, perioperative course, and survival among patients from the multicentric Spanish Video-assisted Thoracic Surgery Group database who received video-assisted thoracic surgery lobectomy or video-assisted thoracic surgery anatomic segmentectomy. From December 2016 to March 2018, a total of 2250 patients were collected from 33 centers. Overall analysis (video-assisted thoracic surgery lobectomy = 2070; video-assisted thoracic surgery anatomic segmentectomy = 180) and propensity score–matched adjusted analysis (video-assisted thoracic surgery lobectomy = 97; video-assisted thoracic surgery anatomic segmentectomy = 97) were performed to compare postoperative results. Kaplan–Meier and competing risks method were used to compare survival. In the overall analysis, video-assisted thoracic surgery anatomic segmentectomy showed a lower incidence of respiratory complications (relative risk, 0.56; confidence interval, 0.37-0.83; P = .002), lower postoperative prolonged air leak (relative risk, 0.42; 95% confidence interval, 0.23-0.78; P = .003), and shorter median postoperative stay (4.8 vs 6.2 days; P = .004) than video-assisted thoracic surgery lobectomy. After propensity score–matched analysis, prolonged air leak remained significantly lower in video-assisted thoracic surgery anatomic segmentectomy (relative risk, 0.33; 95% confidence interval, 0.12-0.89; P = .02). Kaplan–Meier and competing risk curves showed no differences during the 3-year follow-up (median follow-up in months: 24.4; interquartile range, 20.8-28.3) in terms of overall survival (hazard ratio, 0.73; 95% confidence interval, 0.45-1.7; P = .2), tumor progression–related mortality (subdistribution hazard ratio, 0.41; 95% confidence interval, 0.11-1.57; P = .2), and disease-free survival (subdistribution hazard ratio, 0.73; 95% confidence interval, 0.35-1.51; P = .4) between groups. Video-assisted thoracic surgery segmentectomy showed results similar to lobectomy in terms of postoperative outcomes and midterm survival. In addition, a lower incidence of prolonged air leak was found in patients who underwent video-assisted thoracic surgery anatomic segmentectomy. [Display omitted]