162585 20251017144620.0 doi 10.1016/j.cireng.2023.05.012 sideral 145071 ART-2023-145071 eng Fra-Fernández, Sara Postoperative morbidity after anatomical lung resections by VATS vs thoracotomy: Treatment and intention-to-treat analysis of the Spanish Video-Assisted Thoracic Surgery Group 2023 Objectives: In recent years, video-assisted thoracoscopic lung resections (VATS) have been associated with lower morbidity than open surgery. The aim of our study is to compare postoperative morbidity among patients from the national database of the Spanish Group of Video-Assisted Thoracic Surgery (GE-VATS) after open and video-assisted anatomic lung resections using a propensity score analysis. Methods: From December 2016 to March 2018, a total of 3533 patients underwent anatomical lung resection at 33 centers. Pneumonectomies and extended resections were excluded. A propensity score analysis was performed to compare the morbidity of the thoracotomy group (TG) vs the VATS group (VATSG). Treatment and intention-to-treat (ITT) analyses were conducted. Results: In total, 2981 patients were finally included in the study: 1092 (37%) in the TG and 1889 (63%) in the VATSG for the treatment analysis; and 816 (27.4%) in the TG and 2165 patients (72.6%) in the VATSG for the ITT analysis. After propensity score matching, in the treatment analysis, the VATSG was significantly associated with fewer overall complications than the TG OR 0.680 [95%CI 0.616, 0.750]), fewer respiratory (OR 0.571 [0.529, 0.616]) cardiovascular (OR 0.529 [0.478, 0.609]) and surgical (OR 0.875 [0.802, 0.955]) complications, lower readmission rate (OR 0.669 [0.578, 0.775]) and a reduction of hospital length of stay (−1.741 ([−2.073, −1.410]). Intention-to-treat analysis showed only statistically significant differences in overall complications (OR 0.76 [0.54–0.99]) in favor of the VATSG. Conclusion: In this multicenter population, VATS anatomical lung resections have been associated with lower morbidity than those performed by thoracotomy. However, when an intention-to-treat analysis was performed, the benefits of the VATS approach were less prominent. info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Muñoz-Molina, Gemma María Cabañero-Sánchez, Alberto del Campo-Albendea, Laura Bolufer-Nadal, Sergio Embún-Flor, Raúl Universidad de Zaragoza (orcid)0000-0003-0249-3104 Martínez-Hernández, Néstor J. Moreno-Mata, Nicolás 1013 090 Universidad de Zaragoza Dpto. Cirugía Área Cirugía 101, 11 (2023), 778-786 Cir. esp. (Engl. ed.) Cirugía Española (English Ed.) 2173-5077 351545 http://zaguan.unizar.es/record/162585/files/texto_completo.pdf Versión publicada 2144946 http://zaguan.unizar.es/record/162585/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:162585 articulos driver 2025-10-17-14:21:32 ARTICLE