TY - JOUR
T1 - What counts more
T2 - The patient, the surgical technique, or the hospital? A multivariable analysis of factors affecting perioperative complications of pulmonary lobectomy by video-assisted thoracoscopic surgery from a large nationwide registry
AU - members, the Italian VATS group
AU - Infante, Maurizio V.
AU - Benato, Cristiano
AU - Silva, Ronaldo
AU - Rocco, Gaetano
AU - Bertani, Alessandro
AU - Bertolaccini, Luca
AU - Gonfiotti, Alessandro
AU - Giovannetti, Riccardo
AU - Bonadiman, Cinzia
AU - Lonardoni, Alessandro
AU - Canneto, Barbara
AU - Falezza, Giovanni
AU - Gandini, Paola
AU - Curcio, Carlo
AU - Crisci, Roberto
AU - Zaraca, Francesco
AU - Alloisio, Marco
AU - Amore, Dario
AU - Ampollini, Luca
AU - Andreetti, Claudio
AU - Argnani, Desideria
AU - Baietto, Guido
AU - Bandiera, Alessandro
AU - Benvenuti, Mauro Roberto
AU - Bortolotti, Luigi
AU - Bottoni, Edoardo
AU - Breda, Cristiano
AU - Camplese, Pierpaolo
AU - Carbognani, Paolo
AU - Cardillo, Giuseppe
AU - Casadio, Caterina
AU - Cavallesco, Giorgio
AU - Cherchi, Roberto
AU - Dell'Amore, Andrea
AU - Beffa, Vittorio Della
AU - Dolci, Giampiero
AU - Droghetti, Andrea
AU - Ferrari, Paolo A.
AU - Fontana, Diego
AU - Gargiulo, Gaetano
AU - Gasparri, Roberto
AU - Margaritora, Stefano
AU - Meacci, Elisa
AU - Negri, Giampiero
AU - Nosotti, Mario
AU - Rosso, Lorenzo
AU - Russo, Emanuele
AU - Spaggiari, Lorenzo
AU - Stefani, Alessandro
AU - Solli, Piergiorgio
PY - 2019/12/1
Y1 - 2019/12/1
N2 - OBJECTIVES: Inherent technical aspects of pulmonary lobectomy by video-assisted thoracoscopic surgery (VATS) may limit surgeons' ability to deal with factors predisposing to complications. We analysed complication rates after VATS lobectomy in a prospectively maintained nationwide registry. METHODS: The registry was queried for all consecutive VATS lobectomy procedures from 49 Italian Thoracic Units. Baseline condition, tumour features, surgical techniques, devices, postoperative care, complications, conversions and the reasons thereof were detailed. Univariable and multivariable regressions were used to assess factors potentially linked to complications. RESULTS: Four thousand one hundred and ninety-one VATS lobectomies in 4156 patients (2480 men, 1676 women) were analysed. The median age-adjusted Charlson index of the patients was 4 (interquartile range 3-6). Grade 1 and 2 and Grade 3-5 complications were observed in 20.1% and in 5.8%, respectively. Ninety-day mortality was 0.55%. The overall conversion rate was 9.2% and significantly higher in low-volume centres (
AB - OBJECTIVES: Inherent technical aspects of pulmonary lobectomy by video-assisted thoracoscopic surgery (VATS) may limit surgeons' ability to deal with factors predisposing to complications. We analysed complication rates after VATS lobectomy in a prospectively maintained nationwide registry. METHODS: The registry was queried for all consecutive VATS lobectomy procedures from 49 Italian Thoracic Units. Baseline condition, tumour features, surgical techniques, devices, postoperative care, complications, conversions and the reasons thereof were detailed. Univariable and multivariable regressions were used to assess factors potentially linked to complications. RESULTS: Four thousand one hundred and ninety-one VATS lobectomies in 4156 patients (2480 men, 1676 women) were analysed. The median age-adjusted Charlson index of the patients was 4 (interquartile range 3-6). Grade 1 and 2 and Grade 3-5 complications were observed in 20.1% and in 5.8%, respectively. Ninety-day mortality was 0.55%. The overall conversion rate was 9.2% and significantly higher in low-volume centres (
KW - Conversion
KW - Morbidity
KW - Postoperative complications
KW - Video-assisted thoracoscopic surgery lobectomy
U2 - 10.1093/ejcts/ezz187
DO - 10.1093/ejcts/ezz187
M3 - Article
SN - 1010-7940
VL - 56
SP - 1097
EP - 1103
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
IS - 6
ER -