2022 World Conference on Lung Cancer (ePosters)-EP02.03-014. Pulmonary Segmentectomy via Minimally Invasive Open Surgery: An Analysis From a Japanese High-Volume Hospital

EP02.03-014. Pulmonary Segmentectomy via Minimally Invasive Open Surgery: An Analysis From a Japanese High-Volume Hospital

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In this study, the authors evaluated the perioperative outcomes of minimally invasive open surgery (MIOS) segmentectomy at a high-volume hospital in Japan. The study included 1244 patients who underwent segmentectomy through MIOS between 2014 and 2021. The authors assessed the perioperative findings and surgical outcomes of these patients.<br /><br />Segmentectomy is becoming increasingly important due to the rise in the detection of small-sized lung cancers. The authors aimed to establish a standard index of perioperative outcomes for segmentectomy in the era of minimally invasive surgery.<br /><br />The results showed favorable perioperative findings and surgical outcomes for pulmonary segmentectomy via MIOS at the high-volume hospital. The median operative time was 106 minutes, and the median blood loss was 14 ml. The median length of postoperative hospital stay was 3 days. The morbidity rate was 7.1%, and prolonged air leakage occurred in 2.6% of cases. There was a 0.08% 30-day mortality rate.<br /><br />The study also compared the outcomes of MIOS segmentectomy with robotic and VATS segmentectomy. MIOS showed comparable or even better results in terms of operative time, length of hospital stay, morbidity, prolonged air leakage, and 30-day mortality.<br /><br />In conclusion, the role of segmentectomy in lung cancer surgery is vital, especially with the increasing prevalence of small-sized lung cancers. The study suggests that MIOS segmentectomy can achieve favorable perioperative outcomes. These findings could serve as a standard reference for the outcomes of minimally invasive segmentectomy. Further research is needed to establish a standardized index for perioperative outcomes in the era of minimally invasive surgery.

Asset Subtitle

Kazuo Nakagawa

Meta Tag

Speaker Kazuo Nakagawa

Topic Early Stage Non-small Cell Lung Cancer - Surgery

Keywords

minimally invasive open surgery

segmentectomy

perioperative outcomes

high-volume hospital

Japan

small-sized lung cancers

standard index

operative time

length of hospital stay

morbidity rate