Work

How the surgical treatment of lung cancer in the UK has evolved over the last two decades- An illustrative surgeon's experience

Year: 2015

Type: article

Abstract: We have retrospectively reviewed a single-surgeon practice from consultant appointment to present (1997-2015). We studied 1717 consecutive lung cancer operations: 962 lobectomy, 250 extended lobectomy, 57 pneumonectomy 296 sublobar, 43 open/close. Additionally, 710 surgical staging procedures were performed. We analysed trends with time in type of procedure; approach used (VATS/Open); open/close rates and in-hospital mortality. 1566 anatomic resections were performed (87 cases/year, 67-130). The following trends were observed: 1) Related to the disease itself – A significant decrease in pneumonectomy rates (p < 0.001) – An inversely proportional, increasing use of sleeve-resections (p = 0.088). 2) Related to surgical technique – An increasing number of anatomical segmentectomies (p < 0.001) – Stable rates of non-anatomical wedge resections (mean 6.3%, p = 0.908) – An increasing proportion of VATS resection, both for lobectomies (p < 0.001) and segmentectomies (34.1 vs.14.6%, p < 0.001). 3) Related to healthcare system – A significant decrease in use of surgical mediastinal staging, particularly after 2010 (p < 0.001) – A significant decrease in-hospital mortality (mean 5.8%, p = 0.004) – A significant reduction of open/close rates, particularly after 2004 (4.8 vs.0.65%, p < 0.001).

Source: Journal of Cardiothoracic Surgery

DOI: 10.1186/1749-8090-10-s1-a18

Authors: Rocco Bilancia, Amit Paik, Annabel Sharkey, David Waller

Institution: Glenfield Hospital

Language: English

Topic: Lung Cancer Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890