Comparison of 5-Year Survival and Disease Recurrence After Trisegmentectomy or Left Upper Lobectomy: A Propensity Score Analysis of the National GEVATS Database
Aguinagalde, Borja ; Ferrer-Bonsoms, Juan A. ; López, Iker ; Lizarbe, Ion Ander ; Fernández-Monge, Arantza ; Recuero, José Luis ; Royo, Iñigo ; Embún, Raúl (Universidad de Zaragoza)
Resumen: Introduction: Trisegmentectomy, or resection of the upper subdivision of the left upper lobe with preservation of the lingula, is considered by some authors to be equivalent to right upper lobectomy with middle lobe preservation.
Our objective was to compare survival and recurrence after trisegmentectomy versus left upper lobectomy procedures registered in the Spanish Video-Assisted Thoracic Surgery group (GEVATS) database.
Methods: We compared mortality, survival and recurrence in patients with left upper lobectomy or trisegmentectomy after propensity score matching for the following variables: age, smoking habit, tumor size, histologic type, radiological density of tumor, surgical access, forced expiratory volume in one second, diffusing capacity of the lungs for carbon monoxide, hypertension, chronic heart failure, ischemic heart disease, arrhythmia, stroke, peripheral vascular disease, diabetes and pre-surgery nodal status by positron emission tomography/computed tomography.
Results: A total of 540 left upper lobectomies and 83 trisegmentectomies were registered in the GEVATS database. After propensity score matching, 134 left upper lobectomies and 67 trisegmentectomies were selected. Survival outcomes were similar, but differences were found for recurrence (21.5% for trisegmentectomies vs. 35.4% for left upper lobectomies, p = 0.05). Moreover, the recurrence patterns differed, with the lobectomy group showing a greater tendency to distant dissemination.
Conclusions: Trisegmentectomy and left upper lobectomy show similar 5-year survival rates. In our database, recurrence after trisegmentectomy was lower than after left upper lobectomy, while the recurrence pattern differed among the 2 surgical approaches, with a greater tendency to distant metastasis after left upper lobectomy.
Idioma: Inglés
DOI: 10.1016/j.arbres.2024.05.032
Año: 2024
Publicado en: Archivos de Bronconeumologia 60, 11 (2024), 705-713
ISSN: 0300-2896
Factor impacto JCR: 9.2 (2024)
Categ. JCR: RESPIRATORY SYSTEM rank: 6 / 108 = 0.056 (2024) - Q1 - T1
Factor impacto SCIMAGO: 0.466 - Pulmonary and Respiratory Medicine (Q3)
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Área Cirugía (Dpto. Cirugía)
Derechos reservados por el editor de la revista
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Exportado de SIDERAL (2025-10-17-14:33:35)
Our objective was to compare survival and recurrence after trisegmentectomy versus left upper lobectomy procedures registered in the Spanish Video-Assisted Thoracic Surgery group (GEVATS) database.
Methods: We compared mortality, survival and recurrence in patients with left upper lobectomy or trisegmentectomy after propensity score matching for the following variables: age, smoking habit, tumor size, histologic type, radiological density of tumor, surgical access, forced expiratory volume in one second, diffusing capacity of the lungs for carbon monoxide, hypertension, chronic heart failure, ischemic heart disease, arrhythmia, stroke, peripheral vascular disease, diabetes and pre-surgery nodal status by positron emission tomography/computed tomography.
Results: A total of 540 left upper lobectomies and 83 trisegmentectomies were registered in the GEVATS database. After propensity score matching, 134 left upper lobectomies and 67 trisegmentectomies were selected. Survival outcomes were similar, but differences were found for recurrence (21.5% for trisegmentectomies vs. 35.4% for left upper lobectomies, p = 0.05). Moreover, the recurrence patterns differed, with the lobectomy group showing a greater tendency to distant dissemination.
Conclusions: Trisegmentectomy and left upper lobectomy show similar 5-year survival rates. In our database, recurrence after trisegmentectomy was lower than after left upper lobectomy, while the recurrence pattern differed among the 2 surgical approaches, with a greater tendency to distant metastasis after left upper lobectomy.
Idioma: Inglés
DOI: 10.1016/j.arbres.2024.05.032
Año: 2024
Publicado en: Archivos de Bronconeumologia 60, 11 (2024), 705-713
ISSN: 0300-2896
Factor impacto JCR: 9.2 (2024)
Categ. JCR: RESPIRATORY SYSTEM rank: 6 / 108 = 0.056 (2024) - Q1 - T1
Factor impacto SCIMAGO: 0.466 - Pulmonary and Respiratory Medicine (Q3)
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Área Cirugía (Dpto. Cirugía)
Derechos reservados por el editor de la revista0
Exportado de SIDERAL (2025-10-17-14:33:35)
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Artículos > Artículos por área > Cirugía
Registro creado el 2025-09-08, última modificación el 2025-10-17