Worse outcomes after conversion of thoracoscopic lobectomy for lung cancer
| Autor: | Paweł Zieliński, Piotr Gabryel, Mariusz Kasprzyk, Magdalena Roszak, Cezary Piwkowski, Wojciech Dyszkiewicz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Lung Neoplasms Time Factors Thoracic medicine.medical_treatment Kaplan-Meier Estimate Logistic regression Risk Factors Thoracoscopy medicine Humans Thoracotomy Pneumonectomy Lung cancer Survival rate Lymph node Aged Retrospective Studies Surgeons medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry Retrospective cohort study Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Mediastinal lymph node Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interact Cardiovasc Thorac Surg |
| ISSN: | 1569-9285 |
| Popis: | OBJECTIVES Conversion of thoracoscopic lobectomy for lung cancer to thoracotomy can adversely affect short-term outcomes, but the impact on long-term outcomes is unknown. This study aimed to identify the risk factors for conversion and to determine the influence of conversion on the outcomes of lung cancer treatment. METHODS This retrospective study included 1002 consecutive patients with lung cancer who underwent thoracoscopic lobectomy between 7 June 1999 and 17 July 2018. The groups of patients with and without conversion were compared in terms of possible risk factors and the short- and long-term outcomes. The survival of patients was analysed by the Kaplan–Meier method. RESULTS Conversion was done in 105 patients (10.5%). On multivariable logistic regression analysis, the independent risk factors for conversion were pleural adhesions (P CONCLUSIONS Pleural adhesions and lymph node metastases increased the probability of conversion to thoracotomy. Conversion adversely affected the short-term outcomes of thoracoscopic lobectomy. Long-term outcomes of treatment of non-small-cell lung cancer could be worse in patients after conversion, but definitive conclusions cannot be made in this regard because of the absence of control of selection bias. |
| Databáze: | OpenAIRE |
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