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Corrigendum to "European experience on oncological outcomes of patients with early stage non-small cell lung cancer and any prior cancer following lobectomy or segmentectomy" [Lung Cancer J. 217 (2026) 109410].

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Unplanned Reoperation After Anatomical Pulmonary Resection for Lung Cancer: Rate, Risk Factors, Early Outcomes and

Maria Teresa Gómez-Hernández1, Cristina Rivas1, Gonzalo Varela2

  • 1Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, Spain; Salamanca Institute of Biomedical Research, Salamanca, Spain; University of Salamanca, Salamanca, Spain.

Archivos De Bronconeumologia
|January 24, 2025
PubMed
Summary

Unplanned reoperation after lung cancer surgery is linked to male gender, pneumonectomy, and pleural adhesions. While reoperation increases short-term mortality, it does not impact long-term survival for lung cancer patients.

Keywords:
Anatomical lung resectionDisease-free survivalMortalityOverall survivalPostoperative morbidityUnplanned reoperation

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Unplanned reoperation (UR) is a significant complication after anatomical pulmonary resection for lung cancer.
  • Identifying risk factors and understanding the impact of UR on patient outcomes is crucial for improving surgical care.

Purpose of the Study:

  • To identify perioperative variables associated with unplanned reoperation (UR) following anatomical pulmonary resection for lung cancer.
  • To investigate the impact of UR on short-term and long-term prognostic outcomes, including mortality and survival.

Main Methods:

  • Retrospective review of patients undergoing anatomical pulmonary resection for lung cancer from a nationwide prospective registry (December 2016 - March 2018).
  • Multivariable logistic regression to identify risk factors for UR.
  • Propensity score matching for long-term survival analysis (overall survival and disease-free survival) using Kaplan-Meier method and log-rank test.

Main Results:

  • The incidence of UR was 4.12% among 3085 patients.
  • Independent risk factors for UR included male gender, lower predicted postoperative diffusing capacity of the lungs for carbon monoxide (ppoDLCO%), pneumonectomy, strong pleural adhesions, and higher hospital surgical unit workload.
  • UR was associated with significantly increased in-hospital and 90-day mortality, but not with differences in long-term overall survival or disease-free survival after propensity score matching.

Conclusions:

  • Male gender, ppoDLCO%, pneumonectomy, strong pleural adhesions, and surgical unit workload are independently associated with unplanned reoperation after lung cancer resection.
  • Unplanned reoperation increases perioperative mortality but does not adversely affect long-term survival outcomes in lung cancer patients.