Bilobectomy for lung cancer: contemporary national early morbidity and ă mortality outcomes

Pascal A. Thomas, Pierre-Emmanuel Falcoz, Françoise Le Pimpec-Barthes, Jacques Jougon, Laurent Brouchet, Gilbert Massard, Marcel Dahan, Anderson Loundou, Epithor Grp and Alain Bernard ()
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Pascal A. Thomas: URMITE - Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale - IFR48 - INSB-CNRS - Institut des sciences biologiques - CNRS Biologie - CNRS - Centre National de la Recherche Scientifique
Pierre-Emmanuel Falcoz: CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg] - HUS - Les Hôpitaux Universitaires de Strasbourg
Françoise Le Pimpec-Barthes: Service de chirurgie thoracique [AP-HP HEGP, Paris] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HEGP - Hôpital Européen Georges Pompidou [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HUPO - Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest - UPD5 - Université Paris Descartes - Paris 5
Laurent Brouchet: I2MC - Institut des Maladies Métaboliques et Cardiovasculaires - UT3 - Université Toulouse III - Paul Sabatier - UT - Université de Toulouse - INSERM - Institut National de la Santé et de la Recherche Médicale
Gilbert Massard: CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg] - HUS - Les Hôpitaux Universitaires de Strasbourg
Marcel Dahan: CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
Anderson Loundou: Unité d'Aide Méthodologique - APHM - Assistance Publique - Hôpitaux de Marseille - CHU Marseille

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Abstract: To determine contemporary early outcomes associated with bilobectomy for ă lung cancer and to identify their predictors using a nationally ă representative general thoracic surgery database. ă A total of 1831 patients, who underwent elective bilobectomy for primary ă lung cancer between 1 January 2004 and 31 December 2013, were selected. ă Logistic regression analysis was performed on variables for major ă adverse events. ă There were 670 upper and 1161 lower bilobectomies. Video-assisted ă thoracic surgery was seldom performed (2%). Induction therapy and ă extended resection were performed in 293 (16%) and 279 patients ă (15.2%), respectively. Operative mortality was 4.8% (upper: ă 4.5%/lower: 5%; P = 0.62), and significantly higher following extended ă procedures when compared with standard bilobectomy (4.3 vs 7.5%; P = ă 0.013). Pulmonary complication rate was 21.1%. Bronchial fistula ă occurred in 46 patients (2.5%) and pleural space complications in 296 ă (16.2%). Their respective incidence rates were significantly higher ă following lower than upper bilobectomy (3.5 vs 0.7%; P

Keywords: Quality (search for similar items in EconPapers)
Date: 2016-02
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Published in European Journal of Cardio-Thoracic Surgery, 2016, 49 (2), pp.e38-e43

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482518

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