000162595 001__ 162595
000162595 005__ 20251017144645.0
000162595 0247_ $$2doi$$a10.1016/j.arbres.2024.05.032
000162595 0248_ $$2sideral$$a145064
000162595 037__ $$aART-2024-145064
000162595 041__ $$aeng
000162595 100__ $$aAguinagalde, Borja
000162595 245__ $$aComparison of 5-Year Survival and Disease Recurrence After Trisegmentectomy or Left Upper Lobectomy: A Propensity Score Analysis of the National GEVATS Database
000162595 260__ $$c2024
000162595 5203_ $$aIntroduction: Trisegmentectomy, or resection of the upper subdivision of the left upper lobe with preservation of the lingula, is considered by some authors to be equivalent to right upper lobectomy with middle lobe preservation.
Our objective was to compare survival and recurrence after trisegmentectomy versus left upper lobectomy procedures registered in the Spanish Video-Assisted Thoracic Surgery group (GEVATS) database.
Methods: We compared mortality, survival and recurrence in patients with left upper lobectomy or trisegmentectomy after propensity score matching for the following variables: age, smoking habit, tumor size, histologic type, radiological density of tumor, surgical access, forced expiratory volume in one second, diffusing capacity of the lungs for carbon monoxide, hypertension, chronic heart failure, ischemic heart disease, arrhythmia, stroke, peripheral vascular disease, diabetes and pre-surgery nodal status by positron emission tomography/computed tomography.
Results: A total of 540 left upper lobectomies and 83 trisegmentectomies were registered in the GEVATS database. After propensity score matching, 134 left upper lobectomies and 67 trisegmentectomies were selected. Survival outcomes were similar, but differences were found for recurrence (21.5% for trisegmentectomies vs. 35.4% for left upper lobectomies, p = 0.05). Moreover, the recurrence patterns differed, with the lobectomy group showing a greater tendency to distant dissemination.
Conclusions: Trisegmentectomy and left upper lobectomy show similar 5-year survival rates. In our database, recurrence after trisegmentectomy was lower than after left upper lobectomy, while the recurrence pattern differed among the 2 surgical approaches, with a greater tendency to distant metastasis after left upper lobectomy.
000162595 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000162595 592__ $$a0.466$$b2024
000162595 590__ $$a9.2$$b2024
000162595 593__ $$aPulmonary and Respiratory Medicine$$c2024$$dQ3
000162595 591__ $$aRESPIRATORY SYSTEM$$b6 / 108 = 0.056$$c2024$$dQ1$$eT1
000162595 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162595 700__ $$aFerrer-Bonsoms, Juan A.
000162595 700__ $$aLópez, Iker
000162595 700__ $$aLizarbe, Ion Ander
000162595 700__ $$aFernández-Monge, Arantza
000162595 700__ $$aRecuero, José Luis
000162595 700__ $$aRoyo, Iñigo
000162595 700__ $$0(orcid)0000-0003-0249-3104$$aEmbún, Raúl$$uUniversidad de Zaragoza
000162595 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000162595 773__ $$g60, 11 (2024), 705-713$$pArch. bronconeumol.$$tArchivos de Bronconeumologia$$x0300-2896
000162595 8564_ $$s1488992$$uhttps://zaguan.unizar.es/record/162595/files/texto_completo.pdf$$yVersión publicada
000162595 8564_ $$s2469009$$uhttps://zaguan.unizar.es/record/162595/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162595 909CO $$ooai:zaguan.unizar.es:162595$$particulos$$pdriver
000162595 951__ $$a2025-10-17-14:33:35
000162595 980__ $$aARTICLE