دورية أكاديمية

Impact of surgical approach on 90-day mortality after lung resection for nonsmall cell lung cancer in high-risk operable patients

التفاصيل البيبلوغرافية
العنوان: Impact of surgical approach on 90-day mortality after lung resection for nonsmall cell lung cancer in high-risk operable patients
المؤلفون: Harry Etienne, Pierre-Benoît Pagès, Jules Iquille, Pierre Emmanuel Falcoz, Laurent Brouchet, Jean-Philippe Berthet, Françoise Le Pimpec Barthes, Jacques Jougon, Marc Filaire, Jean-Marc Baste, Valentine Anne, Stéphane Renaud, Thomas D'Annoville, Jean Pierre Meunier, Christophe Jayle, Christian Dromer, Agathe Seguin-Givelet, Antoine Legras, Philippe Rinieri, Sophie Jaillard-Thery, Vincent Margot, Pascal-Alexandre Thomas, Marcel Dahan, Pierre Mordant
المصدر: ERJ Open Research, Vol 10, Iss 1 (2024)
بيانات النشر: European Respiratory Society, 2024.
سنة النشر: 2024
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Introduction Non-small cell lung cancer (NSCLC) is often associated with compromised lung function. Real-world data on the impact of surgical approach in NSCLC patients with compromised lung function are still lacking. The objective of this study is to assess the potential impact of minimally invasive surgery (MIS) on 90-day post-operative mortality after anatomic lung resection in high-risk operable NSCLC patients. Methods We conducted a retrospective multicentre study including all patients who underwent anatomic lung resection between January 2010 and October 2021 and registered in the Epithor database. High-risk patients were defined as those with a forced expiratory volume in 1 s (FEV1) or diffusing capacity of the lung for carbon monoxide (DLCO) value below 50%. Co-primary end-points were the impact of risk status on 90-day mortality and the impact of MIS on 90-day mortality in high-risk patients. Results Of the 46 909 patients who met the inclusion criteria, 42 214 patients (90%) with both preoperative FEV1 and DLCO above 50% were included in the low-risk group, and 4695 patients (10%) with preoperative FEV1 and/or preoperative DLCO below 50% were included in the high-risk group. The 90-day mortality rate was significantly higher in the high-risk group compared to the low-risk group (280 (5.96%) versus 1301 (3.18%); p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2312-0541
23120541
Relation: http://openres.ersjournals.com/content/10/1/00653-2023.full; https://doaj.org/toc/2312-0541
DOI: 10.1183/23120541.00653-2023
URL الوصول: https://doaj.org/article/09fbb8a9ab6e4785a088d1be5b101ff6
رقم الأكسشن: edsdoj.09fbb8a9ab6e4785a088d1be5b101ff6
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23120541
DOI:10.1183/23120541.00653-2023