Evidence map›Paper›PMID 38290794›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

A successful shift from thoracotomy to video-assisted thoracoscopic lobectomy for non-small cell lung cancer in a low-volume center.

Viktor Asbjornsson, Gyda Johannsdottir, Daniel Myer, Thorri Geir Runarsson, Leon Arnar Heitmann, Gudrun N Oskarsdottir, Per Martin Silverborn, Henrik Jessen Hansen, Tomas Gudbjartsson

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Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Viktor AsbjornssonFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Gyda JohannsdottirFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Daniel MyerFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Thorri Geir RunarssonFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Leon Arnar HeitmannFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Gudrun N OskarsdottirDepartment of Pulmonology, Landspitali University Hospital, Reykjavik, Iceland.
Per Martin SilverbornDepartment of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland.
Henrik Jessen HansenDepartment of Cardiothoracic Surgery, Rigshospitalet University Hospital, Copenhagen, Denmark.
Tomas GudbjartssonFaculty of Medicine, University of Iceland, Reykjavik, Iceland.

Funding

Research Fund of the Icelandic Cancer Society
6 · The paper itself

Abstract

objectivesAlthough video-assisted thoracoscopic surgery (VATS) lobectomy has become the gold standard for pulmonary resections of non-small-cell lung cancer (NSCLC), lobectomy is still performed via thoracotomy in many European and North American centres. VATS lobectomy was implemented overnight from thoracotomy in our low-volume centre in early 2019, after 1 senior surgeon undertook observership VATS-training overseas, and immediately became the mainstay of surgical treatment for NSCLC in Iceland. We aimed to investigate our short-term outcomes of VATS lobectomy.

methodsThis was a retrospective study on all pulmonary resections for NSCLC in Iceland 2019-2022, especially focusing on VATS lobectomies, all at cTNM stage I or II. Data were retrieved from hospital charts, including information on perioperative complications, mortality, length of stay and operation time.

resultsOut of 204 pulmonary resections, mostly performed by a single senior cardiothoracic surgeon, 169 were lobectomies (82.9%) with 147 out of 169 (87.0%) being VATS lobectomies. Anterolateral thoracotomy was used in 34 cases (16.7%), including 22 lobectomies (64.7%), and 5 (3.4%) conversions from VATS lobectomy. The median postoperative stay for VATS lobectomy was 4 days and the average operating time decreased from 155 to 124 min between the first and last year of the study (P < 0.001). The rate of major and minor complications was 2.7% and 15.6% respectively. One year survival was 95.6% and all patients survived 30 days postoperatively.

conclusionsThe implementation of VATS lobectomy has been successful in our small geographically isolated centre, serving a population of 390 000. Although technically challenging, VATS lobectomy was implemented fast for most NSCLC cases, with short-term outcomes that are comparable to larger high-volume centres.

Indexed as

30-Day mortalityConversionLearning curveLobectomyNon-small-cell lung cancerVideo-assisted thoracoscopic surgery

Identifiers

PMID38290794
PMCPMC10882427

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