What counts more: 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
| Title: | What counts more: 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 |
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| Authors: | Infante; M. V. Benato; C. Silva; R. Rocco; G. Bertani; A. Bertolaccini; L. Gonfiotti; A. Giovannetti; R. Bonadiman; C. Lonardoni; A. Canneto; B. Falezza; G. Gandini; P. Curcio; C. Crisci; R. Zaraca; F. Alloisio; M. Amore; D. Ampollini; L. Andreetti; C. Argnani; D. Baietto; G. Bandiera; A. Benvenuti; M. Bortolotti; L. Bottoni; E. Breda; C. Camplese; P. Carbognani; P. Cardillo; G. Casadio; C. Cavallesco; G. Cherchi; R. Dell'Amore; A. Beffa; V. Dolci; G. Droghetti; A. Ferrari; P. A. Fontana; D. Gargiulo; G. Gasparri; R. Gavezzoli; D. Ghisalberti; M. Giovanardi; M. Guerrera; F. Imperatori; A. Iurilli; L. Lausi; Lo Giudice; F. Londero; F. Lopez; C. Luzzi; L. Mancuso; M. Maniscalco; P. Margaritora; S. Meacci; E. Melloni; G. Morelli; Mucilli F.; Natali P.; Negri G.; Nicotra S.; Nosotti M.; Pariscenti G.; Perkmann R.; Pernazza F.; Pirondini E.; Poggi C.; Puma F.; Refai M.; Rinaldo A.; Rizzardi G. t; Rosso L; Rotolo N.; Russo E.; Sabbatini A.; Scarci M.; Spaggiari L.; Stefani A.; Solli P.; Surrente C.; Terzi A.; Torre M.; Vinci D.; Viti A.; Voltolini L.; Zaccagna G. |
| Contributors: | Infante; Benato, M. V.; Silva, C.; Rocco, R.; Bertani, G.; Bertolaccini, A.; Gonfiotti, L.; Giovannetti, A.; Bonadiman, R.; Lonardoni, C.; Canneto, A.; Falezza, B.; Gandini, G.; Curcio, P.; Crisci, C.; Zaraca, R.; Alloisio, F.; Amore, M.; Ampollini, D.; Andreetti, L.; Argnani, C.; Baietto, D.; Bandiera, G.; Benvenuti, A.; Bortolotti, M.; Bottoni, L.; Breda, E.; Camplese, C.; Carbognani, P.; Cardillo, P.; Casadio, G.; Cavallesco, C.; Cherchi, G.; Dell'Amore, R.; Beffa, A.; Dolci, V.; Droghetti, G.; Ferrari, A.; Fontana, P. A.; Gargiulo, D.; Gasparri, G.; Gavezzoli, R.; Ghisalberti, D.; Giovanardi, M.; Guerrera, M.; Imperatori, F.; Iurilli, A.; Lausi, L.; Giudice, Lo; Londero, F.; Lopez, F.; Luzzi, C.; Mancuso, L.; Maniscalco, M.; Margaritora, P.; Meacci, S.; Melloni, E.; Morelli, G.; Mucilli, F.; Natali, P.; Negri, G.; Nicotra, S.; Nosotti, M.; Pariscenti, G.; Perkmann, R.; Pernazza, F.; Pirondini, E.; Poggi, C.; Puma, F.; Refai, M.; Rinaldo, A.; Rizzardi, G. t.; Rosso, L; Rotolo, N.; Russo, E.; Sabbatini, A.; Scarci, M.; Spaggiari, L.; Stefani, A.; Solli, P.; Surrente, C.; Terzi, A.; Torre, M.; Vinci, D.; Viti, A.; Voltolini, L.; Zaccagna, G. |
| Publication Year: | 2019 |
| Collection: | ARUd'A - Archivio Istituzionale della ricerca dell'università Chieti-Pescara (IRIS) |
| Subject Terms: | Video-assisted thoracoscopic surgery lobectomy; Morbidity; Conversion; Postoperative complications |
| Description: | 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 ( |
| Document Type: | article in journal/newspaper |
| File Description: | STAMPA |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/31408146; info:eu-repo/semantics/altIdentifier/wos/WOS:000501730300010; volume:56; issue:6; firstpage:1097; lastpage:1103; numberofpages:7; journal:EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY; https://hdl.handle.net/11564/715622; https://academic.oup.com/ejcts/article/56/6/1097/5525329?login=true |
| DOI: | 10.1093/ejcts/ezz187 |
| Availability: | https://hdl.handle.net/11564/715622; https://doi.org/10.1093/ejcts/ezz187; https://academic.oup.com/ejcts/article/56/6/1097/5525329?login=true |
| Rights: | info:eu-repo/semantics/openAccess |
| Accession Number: | edsbas.944AF279 |
| Database: | BASE |