Evidence map›Paper›PMID 42249906›Full record

ArticleSurgery today2026

Textbook outcome after minimally invasive pulmonary resection for clinical stage I lung cancer: A retrospective cohort study.

Yasuaki Kubouchi, Ryota Yasuda, Yuji Nozaka, Wakako Fujiwara, Shinji Matsui, Yugo Tanaka

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yasuaki KubouchiDivision of General Thoracic Surgery and Breast and Endocrine Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Ryota YasudaDivision of General Thoracic Surgery and Breast and Endocrine Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Yuji NozakaDivision of General Thoracic Surgery and Breast and Endocrine Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Wakako FujiwaraDivision of General Thoracic Surgery and Breast and Endocrine Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Shinji MatsuiDivision of General Thoracic Surgery and Breast and Endocrine Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Yugo TanakaDivision of General Thoracic Surgery and Breast and Endocrine Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan. tanakay@tottori-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to assess the textbook outcomes (TO) after minimally invasive lung cancer surgery and identify factors associated with TO failure.

methodsThis retrospective study included 853 patients with clinical stage I lung cancer who underwent minimally invasive resection between 2015 and 2025 at our institution. TO was defined using predefined perioperative events. A logistic regression analysis was performed to identify the factors associated with TO failure. Cause-specific mortality was evaluated using a competing risk analysis.

resultsOf the 853 patients, 647 (75.8%) achieved TO. Prolonged air leaks, reintervention, arrhythmia, prolonged hospital stay, and pneumonia were the main factors associated with TO failure. Smoking history and respiratory comorbidities were independent risk factors for TO failure. Segmentectomy was associated with a higher likelihood of achieving TO in the present study. At 5 years, no significant difference in the incidence of cancer-related death was observed between the TO and non-TO groups (5.4% vs. 4.2%, P = 0.841). However, the incidence of noncancer-related death was significantly higher in the non-TO group (13.5% vs. 10.5%, P = 0.004).

conclusionTO was achieved in most patients who underwent minimally invasive surgery. TO failure was significantly associated with a smoking history, respiratory comorbidities, surgical procedures, and an increased incidence of noncancer-related death after minimally invasive surgery.

Indexed as

Lung NeoplasmsMinimally Invasive Surgical ProceduresPneumonectomyAgedCohort StudiesFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesRisk FactorsSmokingTreatment OutcomeComplicationLung cancerMinimally invasive surgerySegmentectomyTextbook outcome

Identifiers

PMID42249906

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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.