Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis
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 segme...
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| Veröffentlicht in: | JTCVS open 2022-03, Vol.9, p.268-278 |
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| creator | 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 Bolufer, Sergio Sesma, Julio 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 Jiménez, Unai 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 |
| description | 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] |
| doi_str_mv | 10.1016/j.xjon.2022.01.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9390783</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2666273622000213</els_id><sourcerecordid>2706718159</sourcerecordid><originalsourceid>FETCH-LOGICAL-c432t-fff05941a334c1d060da73f106cdba30c244692e3efbc25354e33fac709b22123</originalsourceid><addsrcrecordid>eNp9UUtOwzAQtRCIVqUXYJUlm4axnTgNQkhVxU-qxKasLceZtK6SONhpRXfcgQtwFo7CSUjVCsGG1Yxm3nszeo-QcwohBSouV-HrytYhA8ZCoCFAekT6TAgxYgkXx7_6Hhl6vwIAFlMex-NT0uMCgEcJ9Ml8vrROaeu1bYwOPC4qrFvUra22wQadX_ugtNl-cBVMPj8aZxusvWm3QUdy-PX2XqlWLzEPVK3KrTf-jJwUqvQ4PNQBeb67nU8fRrOn-8fpZDbSEWftqCgKiNOIKs4jTXMQkKuEFxSEzjPFQbMoEilDjkWmWczjCDkvlE4gzRijjA_IzV63WWcV5rr73KlSNs5Uym2lVUb-3dRmKRd2I1OeQjLmncDFQcDZlzX6VlbGayxLVaNde8kSEAkd0zjtoGwP1c5677D4OUNB7hKRK7lLRO4SkUBll0hHut6TsHNhY9BJrw3WGnPjOktlbs1_9G9ikJd5</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2706718159</pqid></control><display><type>article</type><title>Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>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 ; Bolufer, Sergio ; Sesma, Julio ; 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 ; Jiménez, Unai ; 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</creator><creatorcontrib>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 ; Bolufer, Sergio ; Sesma, Julio ; 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 ; Jiménez, Unai ; 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 ; Spanish Video-Assisted Thoracic Surgery Group</creatorcontrib><description>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]</description><identifier>ISSN: 2666-2736</identifier><identifier>EISSN: 2666-2736</identifier><identifier>DOI: 10.1016/j.xjon.2022.01.009</identifier><identifier>PMID: 36003470</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>anatomic segmentectomy ; lobectomy ; lung cancer ; sublobar resection ; Thoracic: Lung Cancer ; thoracoscopy ; VATS</subject><ispartof>JTCVS open, 2022-03, Vol.9, p.268-278</ispartof><rights>2022 The Author(s)</rights><rights>2022 The Author(s) 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D.</creatorcontrib><creatorcontrib>Jauregui Abularach, Alberto</creatorcontrib><creatorcontrib>Jiménez, Unai</creatorcontrib><creatorcontrib>López Sanz, Iker</creatorcontrib><creatorcontrib>Martínez-Hernández, Néstor J.</creatorcontrib><creatorcontrib>Martínez-Téllez, Elisabeth</creatorcontrib><creatorcontrib>Milla Collado, Lucía</creatorcontrib><creatorcontrib>Mongil Poce, Roberto</creatorcontrib><creatorcontrib>Moradiellos-Díez, Francisco Javier</creatorcontrib><creatorcontrib>Moreno-Balsalobre, Ramón</creatorcontrib><creatorcontrib>Moreno Merino, Sergio B.</creatorcontrib><creatorcontrib>Obiols, Carme</creatorcontrib><creatorcontrib>Quero-Valenzuela, Florencio</creatorcontrib><creatorcontrib>Ramírez-Gil, María Elena</creatorcontrib><creatorcontrib>Ramos-Izquierdo, Ricard</creatorcontrib><creatorcontrib>Rivo, Eduardo</creatorcontrib><creatorcontrib>Rodríguez-Fuster, Alberto</creatorcontrib><creatorcontrib>Rojo-Marcos, Rafael</creatorcontrib><creatorcontrib>Sanchez-Lorente, David</creatorcontrib><creatorcontrib>Sanchez Moreno, Laura</creatorcontrib><creatorcontrib>Simón, Carlos</creatorcontrib><creatorcontrib>Trujillo-Reyes, Juan Carlos</creatorcontrib><creatorcontrib>Hernando Trancho, Florentino</creatorcontrib><creatorcontrib>Spanish Video-Assisted Thoracic Surgery Group</creatorcontrib><title>Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis</title><title>JTCVS open</title><description>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]</description><subject>anatomic segmentectomy</subject><subject>lobectomy</subject><subject>lung cancer</subject><subject>sublobar resection</subject><subject>Thoracic: Lung Cancer</subject><subject>thoracoscopy</subject><subject>VATS</subject><issn>2666-2736</issn><issn>2666-2736</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UUtOwzAQtRCIVqUXYJUlm4axnTgNQkhVxU-qxKasLceZtK6SONhpRXfcgQtwFo7CSUjVCsGG1Yxm3nszeo-QcwohBSouV-HrytYhA8ZCoCFAekT6TAgxYgkXx7_6Hhl6vwIAFlMex-NT0uMCgEcJ9Ml8vrROaeu1bYwOPC4qrFvUra22wQadX_ugtNl-cBVMPj8aZxusvWm3QUdy-PX2XqlWLzEPVK3KrTf-jJwUqvQ4PNQBeb67nU8fRrOn-8fpZDbSEWftqCgKiNOIKs4jTXMQkKuEFxSEzjPFQbMoEilDjkWmWczjCDkvlE4gzRijjA_IzV63WWcV5rr73KlSNs5Uym2lVUb-3dRmKRd2I1OeQjLmncDFQcDZlzX6VlbGayxLVaNde8kSEAkd0zjtoGwP1c5677D4OUNB7hKRK7lLRO4SkUBll0hHut6TsHNhY9BJrw3WGnPjOktlbs1_9G9ikJd5</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Sesma, 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Juana ; Embun, Raul ; Royo-Crespo, Iñigo ; Recuero Díaz, José Luis ; Bolufer, Sergio ; Sesma, Julio ; 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 ; Jiménez, Unai ; 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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-fff05941a334c1d060da73f106cdba30c244692e3efbc25354e33fac709b22123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>anatomic segmentectomy</topic><topic>lobectomy</topic><topic>lung cancer</topic><topic>sublobar resection</topic><topic>Thoracic: Lung Cancer</topic><topic>thoracoscopy</topic><topic>VATS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sesma, Julio</creatorcontrib><creatorcontrib>Bolufer, Sergio</creatorcontrib><creatorcontrib>García-Valentín, Antonio</creatorcontrib><creatorcontrib>Embún, Raúl</creatorcontrib><creatorcontrib>López, Íker Javier</creatorcontrib><creatorcontrib>Moreno-Mata, Nicolás</creatorcontrib><creatorcontrib>Jiménez, Unai</creatorcontrib><creatorcontrib>Trancho, Florentino Hernando</creatorcontrib><creatorcontrib>Martín-Ucar, Antonio Eduardo</creatorcontrib><creatorcontrib>Gallar, Juana</creatorcontrib><creatorcontrib>Embun, Raul</creatorcontrib><creatorcontrib>Royo-Crespo, Iñigo</creatorcontrib><creatorcontrib>Recuero Díaz, José Luis</creatorcontrib><creatorcontrib>Bolufer, Sergio</creatorcontrib><creatorcontrib>Sesma, Julio</creatorcontrib><creatorcontrib>Call, Sergi</creatorcontrib><creatorcontrib>Congregado, Miguel</creatorcontrib><creatorcontrib>Gómez-de Antonio, David</creatorcontrib><creatorcontrib>Jimenez, Marcelo F.</creatorcontrib><creatorcontrib>Moreno-Mata, Nicolas</creatorcontrib><creatorcontrib>Aguinagalde, Borja</creatorcontrib><creatorcontrib>Amor-Alonso, Sergio</creatorcontrib><creatorcontrib>Arrarás, Miguel Jesús</creatorcontrib><creatorcontrib>Blanco Orozco, Ana Isabel</creatorcontrib><creatorcontrib>Boada, Marc</creatorcontrib><creatorcontrib>Cabañero Sánchez, Alberto</creatorcontrib><creatorcontrib>Vázquez, Isabel Cal</creatorcontrib><creatorcontrib>Cilleruelo Ramos, Ángel</creatorcontrib><creatorcontrib>Crowley Carrasco, Silvana</creatorcontrib><creatorcontrib>Fernández-Martín, Elena</creatorcontrib><creatorcontrib>García-Barajas, Santiago</creatorcontrib><creatorcontrib>García-Jiménez, Maria Dolores</creatorcontrib><creatorcontrib>García-Prim, Jose María</creatorcontrib><creatorcontrib>Garcia-Salcedo, Jose Alberto</creatorcontrib><creatorcontrib>Gelbenzu-Zazpe, Juan José</creatorcontrib><creatorcontrib>Giraldo-Ospina, Carlos Fernando</creatorcontrib><creatorcontrib>Gómez Hernández, María Teresa</creatorcontrib><creatorcontrib>Hernández, Jorge</creatorcontrib><creatorcontrib>Illana Wolf, Jennifer D.</creatorcontrib><creatorcontrib>Jauregui Abularach, Alberto</creatorcontrib><creatorcontrib>Jiménez, Unai</creatorcontrib><creatorcontrib>López Sanz, Iker</creatorcontrib><creatorcontrib>Martínez-Hernández, Néstor J.</creatorcontrib><creatorcontrib>Martínez-Téllez, Elisabeth</creatorcontrib><creatorcontrib>Milla Collado, Lucía</creatorcontrib><creatorcontrib>Mongil Poce, Roberto</creatorcontrib><creatorcontrib>Moradiellos-Díez, Francisco Javier</creatorcontrib><creatorcontrib>Moreno-Balsalobre, Ramón</creatorcontrib><creatorcontrib>Moreno Merino, Sergio B.</creatorcontrib><creatorcontrib>Obiols, Carme</creatorcontrib><creatorcontrib>Quero-Valenzuela, Florencio</creatorcontrib><creatorcontrib>Ramírez-Gil, María Elena</creatorcontrib><creatorcontrib>Ramos-Izquierdo, Ricard</creatorcontrib><creatorcontrib>Rivo, Eduardo</creatorcontrib><creatorcontrib>Rodríguez-Fuster, Alberto</creatorcontrib><creatorcontrib>Rojo-Marcos, Rafael</creatorcontrib><creatorcontrib>Sanchez-Lorente, David</creatorcontrib><creatorcontrib>Sanchez Moreno, Laura</creatorcontrib><creatorcontrib>Simón, Carlos</creatorcontrib><creatorcontrib>Trujillo-Reyes, Juan Carlos</creatorcontrib><creatorcontrib>Hernando Trancho, Florentino</creatorcontrib><creatorcontrib>Spanish Video-Assisted Thoracic Surgery Group</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JTCVS open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sesma, Julio</au><au>Bolufer, Sergio</au><au>García-Valentín, Antonio</au><au>Embún, Raúl</au><au>López, Íker Javier</au><au>Moreno-Mata, Nicolás</au><au>Jiménez, Unai</au><au>Trancho, Florentino Hernando</au><au>Martín-Ucar, Antonio Eduardo</au><au>Gallar, Juana</au><au>Embun, Raul</au><au>Royo-Crespo, Iñigo</au><au>Recuero Díaz, José Luis</au><au>Bolufer, Sergio</au><au>Sesma, Julio</au><au>Call, Sergi</au><au>Congregado, Miguel</au><au>Gómez-de Antonio, David</au><au>Jimenez, Marcelo F.</au><au>Moreno-Mata, Nicolas</au><au>Aguinagalde, Borja</au><au>Amor-Alonso, Sergio</au><au>Arrarás, Miguel Jesús</au><au>Blanco Orozco, Ana Isabel</au><au>Boada, Marc</au><au>Cabañero Sánchez, Alberto</au><au>Vázquez, Isabel Cal</au><au>Cilleruelo Ramos, Ángel</au><au>Crowley Carrasco, Silvana</au><au>Fernández-Martín, Elena</au><au>García-Barajas, Santiago</au><au>García-Jiménez, Maria Dolores</au><au>García-Prim, Jose María</au><au>Garcia-Salcedo, Jose Alberto</au><au>Gelbenzu-Zazpe, Juan José</au><au>Giraldo-Ospina, Carlos Fernando</au><au>Gómez Hernández, María Teresa</au><au>Hernández, Jorge</au><au>Illana Wolf, Jennifer D.</au><au>Jauregui Abularach, Alberto</au><au>Jiménez, Unai</au><au>López Sanz, Iker</au><au>Martínez-Hernández, Néstor J.</au><au>Martínez-Téllez, Elisabeth</au><au>Milla Collado, Lucía</au><au>Mongil Poce, Roberto</au><au>Moradiellos-Díez, Francisco Javier</au><au>Moreno-Balsalobre, Ramón</au><au>Moreno Merino, Sergio B.</au><au>Obiols, Carme</au><au>Quero-Valenzuela, Florencio</au><au>Ramírez-Gil, María Elena</au><au>Ramos-Izquierdo, Ricard</au><au>Rivo, Eduardo</au><au>Rodríguez-Fuster, Alberto</au><au>Rojo-Marcos, Rafael</au><au>Sanchez-Lorente, David</au><au>Sanchez Moreno, Laura</au><au>Simón, Carlos</au><au>Trujillo-Reyes, Juan Carlos</au><au>Hernando Trancho, Florentino</au><aucorp>Spanish Video-Assisted Thoracic Surgery Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis</atitle><jtitle>JTCVS open</jtitle><date>2022-03-01</date><risdate>2022</risdate><volume>9</volume><spage>268</spage><epage>278</epage><pages>268-278</pages><issn>2666-2736</issn><eissn>2666-2736</eissn><abstract>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]</abstract><pub>Elsevier Inc</pub><pmid>36003470</pmid><doi>10.1016/j.xjon.2022.01.009</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2666-2736 |
| ispartof | JTCVS open, 2022-03, Vol.9, p.268-278 |
| issn | 2666-2736 2666-2736 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9390783 |
| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | anatomic segmentectomy lobectomy lung cancer sublobar resection Thoracic: Lung Cancer thoracoscopy VATS |
| title | Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis |
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