ArticleJournal of cardiothoracic surgery2019
Comparison of postoperative complications between segmentectomy and lobectomy by video-assisted thoracic surgery: a multicenter study.
Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 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.
The trial behind it
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
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.
- Survival outcomes of segmentectomy and lobectomy for early stage non-small cell lung cancer: a systematic review and meta-analysis.Journal of cardiothoracic surgery · 2024Pooled it
- Rhomboid intercostal block versus serratus block for postoperative analgesia after thoracoscopic sympathectomy for primary palmar hyperhidrosis: a randomized controlled trial.BMC anesthesiology · 2023Trial
- Rhomboid intercostal block combined with sub-serratus plane block versus rhomboid intercostal block for postoperative analgesia after video-assisted thoracoscopic surgery: a prospective randomized-controlled trial.BMC pulmonary medicine · 2021Trial
- Thoracoscopic Segmentectomy Within an Enhanced Recovery Pathway Improves Days Alive and Out of Hospital Compared with Lobectomy.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Post-operative volume changes in residual lung lobes after VATS pulmonary segmentectomy for early stage non-small cell lung cancer.Journal of cardiothoracic surgery · 2026Article
- The effect of lobar versus sublobar video-assisted thoracoscopic surgery lung resection on patient quality of life.Journal of thoracic disease · 2025Article
- Outcomes After VATS Single Versus Multiple Segmentectomy for cT1N0 Non-Small-Cell Lung Cancer.Cancers · 2025Article
- Patient Preferences in empYema treatment (PAPY-study): are we investigating relevant outcomes for patients?Journal of thoracic disease · 2025Article
- Application of FOCUS-PDCA cycle in enhancing the standardization of emergency collaboration among thoracic surgery nurses.Scientific reports · 2025Article
- Article
- Video-Assisted vs. Robotic-Assisted Thoracoscopic Surgery in Lung Cancer: A Comprehensive Review of Techniques and Outcomes.Journal of clinical medicine · 2025Review
- Accurate Selection of Sublobar Resection for Small Non-small Cell Lung Cancer.Annals of surgical oncology · 2025Article
- ASO Author Reflections: Utility of Sublobar Resection for Small-Sized Non-Small Cell Lung Cancer.Annals of surgical oncology · 2025Article
- The relationship between the timing of lung surgery and postoperative pulmonary complications in patients after SARS-CoV-2 infection: a prospective cohort study.Frontiers in medicine · 2025Article
- Perioperative Challenges: Analysis of Surgical Complications in Screening Lung Carcinoma Patient.Cureus · 2024Article
- Article
- Uniportal video-assisted thoracic surgery: segmentectomy versus lobectomy-early outcomes.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Article
- Effect of transbronchial or intravenous administration of indocyanine green on resection margins during near-infrared-guided segmentectomy: a review.Frontiers in surgery · 2024Review
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- Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompared to lobectomy by video-assisted thoracic surgery (VATS), segmentectomy by VATS has a potential higher risk of postoperative atelectasis and air leakage. We compared postoperative complications between these two procedures, and analyzed their risk factors.
methodsWe reviewed the records of all patients who underwent anatomical pulmonary resections by VATS from January 2014 to March 2018 in two Swiss university hospitals. All complications were reported. A logistic regression model was used to compare the risks of complications for the two interventions. Adjustment for patient characteristics was performed using a propensity score, and by including risk factors separately.
resultsAmong 690 patients reviewed, the major indication for lung resection was primary lung cancer (86.4%) followed by metastasis resection (5.8%), benign lesion (3.9%), infection (3.2%) and emphysema (0.7%). Postoperatively, there were 80 instances (33.3%) of complications in 240 segmentectomies, and 171 instances (38.0%) of complications in 450 lobectomies (P = 0.73). After adjustment for the patient's propensity to be treated by segmentectomy rather than lobectomy, the risks of a complication remained comparable for the two techniques (odds ratio for segmentectomy 0.91 (0.61-1.30), p = 0.59). Length of hospital stay and drainage duration were shorter after segmentectomy. On multivariate analysis, an American Society of Anesthesiologists score above 2 and a forced expiratory volume in one second below 80% of predicted value were significantly associated with the occurrence of complications.
conclusionsThe rate of complications and their grade were similar between segmentectomy and lobectomy by VATS.
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Registered trials
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