Assessment of Primary lung cancer survival rates in relation to the number of thoracoscopic lobectomies performed in hospitals

Abstract

Author(s): Padmapriya Gopalakrisnan, Yuvraj Parmar, Rajesh Kumar Samala, Jaspreet Sidhu, Vijay Upadhye, Anand Gudur

Background: This research assessed the functioning volume of Thoracoscopic Lobectomy (TL) surgery (video-assisted) as a predictor of immediate consequences after pulmonary lobectomy in primary Lung Cancer (LC). Inaccuracies in patient cohort identification have been a limitation in certain prior investigations comparing video assisted vs open lobectomy results.

Methods: A total of 6,292 lobectomies patients with primary lung cancer were performed. The patients were divided into two cohort based on the surgical approach used. The following results were determined to have independent predictors using both Multivariable (MV) and univariable analyses: hospital Length of Stay (LOS), survival rate and morbidity and death during 30 days.

Results: We found 6,292 patients with primary LC who were having pulmonary lobectomies, including 1,523 who were having TL (video assisted). TL patients had a shorter median LOS and fewer complications than open patients. TL is a self-determining analyst of less overall problems and shorter LOS in MV analysis. TL patients in high quantity hospitals had shorter median LOS than individuals at low quantity facilities. High hospital TL volume separately predicts a shorter LOS, according to a MV analysis.

Conclusions: Individuals with primary LC who had TL had fewer problems and a shorter LOS than those who underwent open lobectomy. High hospital quantity is linked to shorter LOS among patients receiving TL (video assisted).

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