Surgical treatment for early stage non-small cell lung cancer

Raman, Vignesh; Yang, Chi‐Fu Jeffrey; Deng, Jie; D’Amico, Thomas A.

doi:10.21037/jtd.2018.01.172

Cited by 42 publications

(22 citation statements)

References 81 publications

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“…Thoracic surgery (THOR) is a standard modality for early non-small cell lung cancer and recurrent pneumothorax. Video-assisted thoracic surgery (VATS) has been widely used to treat lung cancer and pneumothorax in the past two decades because of its minimally invasive technique [ 1 ]. In Japan, in 2018, the number of lung cancer operations using VATS was 34,249 and accounted for 75.7% of the total operations ( n = 45,243), whereas that of pneumothorax-related operations using VATS was 14,379 and accounted for 97.6% of the total operations ( n = 14,731) [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Association between the frequency of surgeries for video-assisted thoracic surgery and the incidence of consequent surgical site infections: a retrospective observational study based on national surveillance data

et al. 2021

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Background The association between the frequency of surgeries and the incidence of surgical site infections (SSIs) has been reported for various surgeries. However, no previous study has explored this association among video-assisted thoracic surgeries (VATS). Hence, we aimed to investigate the association between the frequency of surgeries and SSI in video-assisted thoracic surgeries. Methods We analyzed the data of 26,878 thoracic surgeries, including 21,154 VATS, which were collected during a national surveillance in Japan between 2014 and 2018. The frequency of surgeries per hospital department was categorized into low (< 50/year), moderate (50–100/ year), and high (> 100/year). Chi-squared test or Fisher’s exact test was used for discrete explanatory variables, whereas Wilcoxon’s rank-sum test or Kruskal-Wallis test was used for continuous explanatory variables. Univariate analysis of the department groups was conducted to explore confounding factors associated with both SSIs and the department groups. We used a multiple logistic regression model focusing on VATS and stratified by the National Nosocomial Infections Surveillance System (NNIS) risk index. Results The rates of SSIs in the hospital groups with low, moderate, and high frequency of surgeries were 1.39, 1.05, and 1.28%, respectively. In the NNIS risk index 1 stratum, the incidence of SSIs was significantly lower in the moderate-frequency of surgeries group than that in the other groups (odds ratio [OR]: vs. low-frequency of surgeries: 2.48 [95% confidence interval [CI]: 1.20–5.13], P = 0.0143; vs. high-frequency of surgeries: 2.43 [95% CI: 1.44–4.11], P = 0.0009). In the stratum of NNIS risk indices 2 and 3, the incidence of SSI was significantly higher in the low-frequency of surgeries group (OR: 4.83, 95% CI: 1.47–15.93; P = 0.0095). Conclusion The result suggests that for departments with low-frequency of surgeries, an increase in the frequency of surgeries to > 50 per department annually potentially leads to a decrease in the incidence of SSIs. This occurs through an increase in the experience of the departmental surgeons and contributes to the improvement of VATS outcomes in thoracic surgeries.

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Section: Introductionmentioning

confidence: 99%

Association between the frequency of surgeries for video-assisted thoracic surgery and the incidence of consequent surgical site infections: a retrospective observational study based on national surveillance data

et al. 2021

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“…In a study comparing the efficacy of surgical treatment in lung cancer by Raman et al, it was seen that the robotassisted thoracoscopic surgery decreased the complications compared to open surgery. However there was no significant effect on survival 6 . In a retrospective analysis for types of all cancers in Norway were performed, it was found that the risk of death was 1.18 times higher in the male patients and 2.17 time lower in the patients undergoing radical surgery.…”

Section: Discussionmentioning

confidence: 80%

Türkiye’nin doğusunda bir kentte kanser vakalarının dağılımı ve yaşam analizi sonuçları: retrospektif bir çalışma

Mete

Pehlivan

Söyiler

2019

Cukurova Medical Journal

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The aim of present study was to determine the changes in the incidence of cancer in Bingöl which is in the Nomenclature of Territorial Units for Statistics-2 (NUTS-2) region, and to perform survival analysis on these patients. Materials and Methods: This is a retrospective cohort study and the data was obtained from the Ministry of Health's Cancer Registry System. We examined the data of 977 cancer cases diagnosed between year 2013 and 2015 Results: 28.7% of the patients died during the follow-up period. 30% of all cancers originated from the digestive system. The cancers of lung, stomach, colon, prostate and skin are the mostly seen in the male patients, the cancers of breast, thyroid and skin are the mostly seen in the female patients. The incidence of cancer is increasing over the years and the cancer incidence rate is higher in men. The mean follow-up period was 388 days in died patients and 1541 days in alive patients. The risk of death is increasing in the patients not undergoing surgery (RR = 2.779, HR = 3.048). In addition, the risk of death is decreasing in the patients not receiving chemotherapy (RR = 0.656, HR = 0.340). The risk of death is increasing in the patients with advanced age and the male patients. Conclusion:The incidence of cancer is increasing. Further indepth and wider research is needed to shed more light on these findings

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“…Video-assisted thoracoscopic surgery is a safe and less morbid alternative to open resection, but doubt remains about its oncological equivalence. When compared to thoracotomy, it is associated with a lower incidence of post-operative complications, a shorter hospital stay, shorter duration of chest tube drainage and comparable or lower rates of post-operative mortality [ 13 ].…”

Section: Role Of Minimally Invasive Resectionsmentioning

confidence: 99%

“…Improvements in immediate outcomes, such as length of stay, bleeding, duration of chest tube drainage and perioperative mortality were demonstrated when robot-assisted thoracoscopic surgery was compared to open resection. However, the increased associated costs represent a significant deterrent of this technique [ 13 ].…”

Section: Role Of Minimally Invasive Resectionsmentioning

confidence: 99%

Surgery for lung cancer: postoperative changes and complications—what the Radiologist needs to know

et al. 2021

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Imaging findings after thoracic surgery can be misleading. Knowledge of the normal post-operative anatomy helps the radiologist to recognise life-threatening complications and conversely not to wrongly evoke a complication in cases of trivial post-operative abnormalities. In this educational article, we reviewed the expected patterns after thoracic surgery including sublobar resection, lobectomy, pneumonectomy and related techniques. Imaging aspects of frequent and less common complications and their typical imaging features are then presented.

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Surgical treatment for early stage non-small cell lung cancer

Cited by 42 publications

References 81 publications

Association between the frequency of surgeries for video-assisted thoracic surgery and the incidence of consequent surgical site infections: a retrospective observational study based on national surveillance data

Association between the frequency of surgeries for video-assisted thoracic surgery and the incidence of consequent surgical site infections: a retrospective observational study based on national surveillance data

Türkiye’nin doğusunda bir kentte kanser vakalarının dağılımı ve yaşam analizi sonuçları: retrospektif bir çalışma

Surgery for lung cancer: postoperative changes and complications—what the Radiologist needs to know

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