162596 20251017144647.0 doi 10.1016/j.xjon.2022.01.009 sideral 145067 ART-2022-145067 eng Sesma, Julio Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysis 2022 Access copy available to the general public Unrestricted Objectives: 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. info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 0.291 2022 Cardiology and Cardiovascular Medicine 2022 Q3 Surgery 2022 Q3 Pulmonary and Respiratory Medicine 2022 Q3 1.6 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Bolufer, Sergio García-Valentín, Antonio Embún, Raúl Universidad de Zaragoza (orcid)0000-0003-0249-3104 López, Íker Javier Moreno-Mata, Nicolás Jiménez, Unai Trancho, Florentino Hernando Martín-Ucar, Antonio Eduardo Gallar, Juana 1013 090 Universidad de Zaragoza Dpto. Cirugía Área Cirugía 9 (2022), 268-278 JTCVS Open 2666-2736 960935 http://zaguan.unizar.es/record/162596/files/texto_completo.pdf Versión publicada 2843634 http://zaguan.unizar.es/record/162596/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:162596 articulos driver 2025-10-17-14:34:40 ARTICLE