Authors
Rachel L Medbery, Theresa W Gillespie, Yuan Liu, Dana C Nickleach, Joseph Lipscomb, Manu S Sancheti, Allan Pickens, Seth D Force, Felix G Fernandez
Publication date
2016/2/1
Journal
Journal of Thoracic Oncology
Volume
11
Issue
2
Pages
222-233
Publisher
Elsevier
Description
Introduction
Questions remain regarding differences in nodal evaluation and upstaging between thoracotomy (open) and video-assisted thoracic surgery (VATS) approaches to lobectomy for early-stage lung cancer. Potential differences in nodal staging based on operative approach remain the final significant barrier to widespread adoption of VATS lobectomy. The current study examines differences in nodal staging between open and VATS lobectomy.
Methods
The National Cancer Data Base was queried for patients with clinical stage T2N0M0 or lower lung cancer who underwent lobectomy in 2010–2011. Propensity score matching was performed to compare the rate of nodal upstaging in VATS with that in open approaches. Additional subgroup analysis was performed to assess whether rates of upstaging differed by specific clinical setting.
Results
A total of 16,983 lobectomies were analyzed; 4935 (29.1%) were …
Scholar articles
RL Medbery, TW Gillespie, Y Liu, DC Nickleach… - Journal of Thoracic Oncology, 2016