000162596 001__ 162596
000162596 005__ 20251017144647.0
000162596 0247_ $$2doi$$a10.1016/j.xjon.2022.01.009
000162596 0248_ $$2sideral$$a145067
000162596 037__ $$aART-2022-145067
000162596 041__ $$aeng
000162596 100__ $$aSesma, Julio
000162596 245__ $$aThoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis
000162596 260__ $$c2022
000162596 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162596 5203_ $$aObjectives: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
000162596 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000162596 592__ $$a0.291$$b2022
000162596 593__ $$aCardiology and Cardiovascular Medicine$$c2022$$dQ3
000162596 593__ $$aSurgery$$c2022$$dQ3
000162596 593__ $$aPulmonary and Respiratory Medicine$$c2022$$dQ3
000162596 594__ $$a1.6$$b2022
000162596 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162596 700__ $$aBolufer, Sergio
000162596 700__ $$aGarcía-Valentín, Antonio
000162596 700__ $$0(orcid)0000-0003-0249-3104$$aEmbún, Raúl$$uUniversidad de Zaragoza
000162596 700__ $$aLópez, Íker Javier
000162596 700__ $$aMoreno-Mata, Nicolás
000162596 700__ $$aJiménez, Unai
000162596 700__ $$aTrancho, Florentino Hernando
000162596 700__ $$aMartín-Ucar, Antonio Eduardo
000162596 700__ $$aGallar, Juana
000162596 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000162596 773__ $$g9 (2022), 268-278$$tJTCVS Open$$x2666-2736
000162596 8564_ $$s960935$$uhttps://zaguan.unizar.es/record/162596/files/texto_completo.pdf$$yVersión publicada
000162596 8564_ $$s2843634$$uhttps://zaguan.unizar.es/record/162596/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162596 909CO $$ooai:zaguan.unizar.es:162596$$particulos$$pdriver
000162596 951__ $$a2025-10-17-14:34:40
000162596 980__ $$aARTICLE