dc.contributor.author |
Asbjornsson, Viktor |
dc.contributor.author |
Johannsdottir, Gyda |
dc.contributor.author |
Myer, Daniel |
dc.contributor.author |
Runarsson, Thorri Geir |
dc.contributor.author |
Heitmann, Leon Arnar |
dc.contributor.author |
Óskarsdóttir, Guðrún Nína |
dc.contributor.author |
Silverborn, Per Martin |
dc.contributor.author |
Hansen, Henrik Jessen |
dc.contributor.author |
Guðbjartsson, Tómas |
dc.date.accessioned |
2024-02-21T01:05:02Z |
dc.date.available |
2024-02-21T01:05:02Z |
dc.date.issued |
2024-02-02 |
dc.identifier.citation |
Asbjornsson , V , Johannsdottir , G , Myer , D , Runarsson , T G , Heitmann , L A , Óskarsdóttir , G N , Silverborn , P M , Hansen , H J & Guðbjartsson , T 2024 , ' A successful shift from thoracotomy to video-assisted thoracoscopic lobectomy for non-small cell lung cancer in a low-volume center ' , Interdisciplinary cardiovascular and thoracic surgery , vol. 38 , no. 2 , ivae018 , pp. ivae018 . https://doi.org/10.1093/icvts/ivae018 |
dc.identifier.issn |
2753-670X |
dc.identifier.other |
217471450 |
dc.identifier.other |
68b684e7-3da2-4253-9785-81e5d2b5aa31 |
dc.identifier.other |
38290794 |
dc.identifier.other |
85185902289 |
dc.identifier.other |
unpaywall: 10.1093/icvts/ivae018 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/4733 |
dc.description |
Publisher Copyright: © The Author(s) 2024. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. |
dc.description.abstract |
OBJECTIVES: Although video-assisted thoracoscopic surgery (VATS) lobectomy has become the gold standard for pulmonary resections of non-small-cell lung cancer (NSCLC), lobectomy is still performed via thoracotomy in many European and North American centres. VATS lobectomy was implemented overnight from thoracotomy in our low-volume centre in early 2019, after 1 senior surgeon undertook observership VATS-training overseas, and immediately became the mainstay of surgical treatment for NSCLC in Iceland. We aimed to investigate our short-term outcomes of VATS lobectomy. METHODS: This was a retrospective study on all pulmonary resections for NSCLC in Iceland 2019-2022, especially focusing on VATS lobectomies, all at cTNM stage I or II. Data were retrieved from hospital charts, including information on perioperative complications, mortality, length of stay and operation time. RESULTS: Out of 204 pulmonary resections, mostly performed by a single senior cardiothoracic surgeon, 169 were lobectomies (82.9%) with 147 out of 169 (87.0%) being VATS lobectomies. Anterolateral thoracotomy was used in 34 cases (16.7%), including 22 lobectomies (64.7%), and 5 (3.4%) conversions from VATS lobectomy. The median postoperative stay for VATS lobectomy was 4 days and the average operating time decreased from 155 to 124 min between the first and last year of the study (P < 0.001). The rate of major and minor complications was 2.7% and 15.6% respectively. One year survival was 95.6% and all patients survived 30 days postoperatively. CONCLUSIONS: The implementation of VATS lobectomy has been successful in our small geographically isolated centre, serving a population of 390 000. Although technically challenging, VATS lobectomy was implemented fast for most NSCLC cases, with short-term outcomes that are comparable to larger high-volume centres. |
dc.format.extent |
6 |
dc.format.extent |
1953762 |
dc.format.extent |
815730 |
dc.format.extent |
ivae018 |
dc.language.iso |
en |
dc.relation.ispartofseries |
Interdisciplinary cardiovascular and thoracic surgery; 38(2) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Lungnalæknisfræði |
dc.subject |
Hjarta- og lungnaskurðlæknisfræði |
dc.subject |
30-Day mortality |
dc.subject |
Conversion |
dc.subject |
Learning curve |
dc.subject |
Lobectomy |
dc.subject |
Non-small-cell lung cancer |
dc.subject |
Video-assisted thoracoscopic surgery |
dc.subject |
Cardiology and Cardiovascular Medicine |
dc.subject |
Pulmonary and Respiratory Medicine |
dc.subject |
Surgery |
dc.title |
A successful shift from thoracotomy to video-assisted thoracoscopic lobectomy for non-small cell lung cancer in a low-volume center |
dc.type |
/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article |
dc.description.version |
Peer reviewed |
dc.identifier.doi |
10.1093/icvts/ivae018 |
dc.relation.url |
http://www.scopus.com/inward/record.url?scp=85185902289&partnerID=8YFLogxK |
dc.contributor.department |
Faculty of Medicine |
dc.contributor.department |
Other departments |