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

Author

Listed:
  • 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)

  • Jacques Jougon
  • 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)

  • Epithor Grp
  • Alain Bernard

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

Suggested Citation

  • Pascal A. Thomas & Pierre-Emmanuel Falcoz & Françoise Le Pimpec-Barthes & Jacques Jougon & Laurent Brouchet & Gilbert Massard & Marcel Dahan & Anderson Loundou & Epithor Grp & Alain Bernard, 2016. "Bilobectomy for lung cancer: contemporary national early morbidity and ă mortality outcomes," Post-Print hal-01482518, HAL.
    • Handle: RePEc:hal:journl:hal-01482518
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