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Related Concept Videos

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Related Experiment Video

Updated: Aug 31, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

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Published on: April 19, 2024

368

Thoracoscopic segmentectomy versus lobectomy: A propensity score-matched analysis.

Julio Sesma1,2, Sergio Bolufer1,2, Antonio García-Valentín1,2

  • 1Thoracic Surgery Department, Hospital General Universitario de Alicante, Alicante, Spain.

JTCVS Open
|August 25, 2022
PubMed
Summary
This summary is machine-generated.

Video-assisted thoracic surgery anatomic segmentectomy offers comparable midterm survival to lobectomy, with fewer respiratory complications and prolonged air leaks. This minimally invasive approach demonstrates favorable postoperative outcomes for lung cancer patients.

Keywords:
CI, confidence intervalIQR, interquartile rangeRR, relative riskVASG, VATS anatomic segmentectomy groupVATSVATS, video-assisted thoracic surgeryVLG, VATS lobectomy groupanatomic segmentectomylobectomylung cancersublobar resectionthoracoscopy

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Video-assisted thoracic surgery (VATS) has become a standard for lung cancer resection.
  • Lobectomy and anatomic segmentectomy are common VATS procedures.
  • Comparing their outcomes is crucial for optimizing patient care.

Purpose of the Study:

  • To compare postoperative complications, perioperative course, and survival between VATS lobectomy and VATS anatomic segmentectomy.
  • To evaluate the safety and efficacy of VATS anatomic segmentectomy versus VATS lobectomy.

Main Methods:

  • Retrospective analysis of 2250 patients from the Spanish VATS Group database (Dec 2016-Mar 2018).
  • Overall and propensity score-matched analyses were performed.
  • Kaplan-Meier and competing risks methods assessed survival.

Main Results:

  • VATS anatomic segmentectomy showed lower respiratory complications (RR 0.56, P=.002) and prolonged air leak (RR 0.42, P=.003) in overall analysis.
  • Propensity-matched analysis confirmed lower prolonged air leak for VATS anatomic segmentectomy (RR 0.33, P=.02).
  • No significant differences in 3-year overall survival, tumor progression mortality, or disease-free survival were observed between groups.

Conclusions:

  • VATS anatomic segmentectomy is associated with favorable postoperative outcomes, including reduced complications.
  • Midterm survival rates are similar between VATS anatomic segmentectomy and VATS lobectomy.
  • VATS anatomic segmentectomy represents a safe and effective alternative to lobectomy.