ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2018
Minimally Invasive Lung Cancer Surgery Performed by Thoracic Surgeons as Effective as Thoracotomy.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- Comparative Effectiveness of Surgical Approaches for Lung Cancer.The Journal of surgical research · 2021Pooled it
- Efficacy of digital therapeutics for perioperative management in patients with lung cancer: a randomized controlled trial.BMC medicine · 2025Trial
- Analgesic Efficacy of Thoracoscopic Direct-View Versus Ultrasound-Guided Thoracic Paravertebral Block in Multi-Port Video-Assisted Thoracoscopic Lung Surgery: A Randomized Controlled Non-Inferiority Study.Drug design, development and therapy · 2025Trial
- Initial clinical experience with saroa, a haptic feedback-enabled surgical assist robot, in pulmonary anatomical resection.General thoracic and cardiovascular surgery · 2026Observational
- Predictive accuracy of the Kristersson/Olsen formula after lung resection: a prospective study comparing minimally invasive surgery and thoracotomy.BMC pulmonary medicine · 2026Article
- Long-Term Oncological Outcomes of Minimally Invasive Surgery in Non-Small Cell Lung Cancer: An Updated Review.Cancers · 2026Review
- Sugammadex versus neostigmine on postoperative adverse respiratory events in elderly patients undergoing lung resection: study protocol for a randomized controlled trial.Annals of medicine · 2025Article
- Effect of coenzyme Q10 on pain prevention after thoracoscopic surgery: study protocol.Pain management · 2025Article
- Artificial pleural effusion-assisted intraoperative ultrasound for the localization of pulmonary tumors during video-assisted thoracic surgery.Quantitative imaging in medicine and surgery · 2025Article
- Integrating a Multimodal Digital Device for Continuous Perioperative Monitoring in Patients With Lung Cancer Undergoing Thoracic Surgery: Development and Usability Study.JMIR mHealth and uHealth · 2025Article
- Minimally invasiveTranslational lung cancer research · 2025Article
- Screening for Lung Cancer, Overdiagnosis, and Healthcare Utilization: A Nationwide Population-Based Study.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2025Article
- Comparison of patient-reported outcomes after uniportal versus multiportal video-assisted thoracoscopic sub-lobar resection.Journal of thoracic disease · 2025Article
- Article
- Preferred management of post-operative chest tube placement after lung resection.Journal of thoracic disease · 2024Article
- Postoperative leukocyte counts as a surrogate for surgical stress response in matched robot- and video-assisted thoracoscopic surgery cohorts of patients: A preliminary report.Journal of robotic surgery · 2024Article
- Video- assisted thoracoscopic lung resection with or without enhanced recovery after surgery: a single institution, prospective randomized controlled study.Frontiers in oncology · 2024Article
- Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience.Journal of chest surgery · 2023Article
- Non-intubated uniportal video-assisted thoracoscopic lobectomy: expanding the boundaries of minimally invasive surgery while mindful of patient safety.Journal of thoracic disease · 2023Article
- Multi-center experience in an optimized right upper lobectomy surgical procedure in China.Thoracic cancer · 2023Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
Abstract
Purpose The prevalence of minimally invasive lung cancer surgery using video-assisted thoracic surgery (VATS) has increased dramatically over the past decade, yet recent studies have suggested that the lymph node evaluation during VATS lobectomy is inadequate. We hypothesized that the minimally invasive approach to lobectomy for stage I lung cancer resulted in a longitudinal outcome that was not inferior to thoracotomy. Patients and Methods Patients > 65 years of age who had undergone lobectomy for stage I lung cancer between 2002 and 2013 were analyzed within the Society of Thoracic Surgeons General Thoracic Surgery Database, which had been linked to Medicare data, as part of a retrospective-cohort, noninferiority study. Results A total of 10,597 patients with clinical stage I lung cancer who underwent lobectomy were evaluated (4,448 patients underwent thoracotomy, and 6,149 underwent VATS). VATS patients had a more favorable distribution of all health-related variables, including pulmonary function (59% of VATS patients had intact spirometry v 51% of thoracotomy patients; P < .001). Cox proportional hazards models were performed over two eras to account for an evolving practice standard. The mortality risk associated with the VATS approach was not greater than thoracotomy in either the earlier era (2002 to 2008; hazard ratio, 0.97; 95% CI, 0.87 to 1.09; P = .62) or the more recent era (2009 to 2013; hazard ratio, 0.84; 95% CI, 0.75 to 0.93; P < .001). Kaplan-Meier survival estimates of 2,901 propensity-matched VATS-thoracotomy pairs demonstrated that the 4-year survival associated with VATS (68.6%) was modestly superior to thoracotomy (64.8%; P = .003). The analyses detailed above were replicated in a separate cohort of pathologic stage I patients with similar findings. Conclusion The long-term efficacy of lobectomy for stage I lung cancer performed using the VATS approach by board-certified thoracic surgeons does not seem to be inferior to that of thoracotomy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.