2023 World Conference on Lung Cancer (Posters)-EP07.03. Meeting the Quality Metric for Minimum Lymph Node Harvest for Robotic Lobectomy for Lung Cancer

EP07.03. Meeting the Quality Metric for Minimum Lymph Node Harvest for Robotic Lobectomy for Lung Cancer - PDF(Abstract)

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This study focuses on the quality of surgical resection for lung cancer, specifically the minimum number of lymph nodes harvested during robotic lobectomy. The Commission on Cancer has set a quality metric for surgical resection, requiring the presence of lymph nodes from at least one hilar and three mediastinal lymph node stations. The researchers aimed to identify clinical factors that may influence lymph node harvest and examine the impact of meeting the quality metric on surgical outcomes and overall survival.<br /><br />A retrospective review of a lung cancer database was conducted, including patients who underwent robotic lobectomy for non-small cell lung cancer (NSCLC). The study period was from 2011 to 2022, and a total of 1257 patients were identified. Among these patients, 5.3% did not have lymph nodes harvested from the minimum number of stations required to meet the quality metric.<br /><br />The analysis showed that the variables influencing the ability to meet the quality metric were surgical technique (surgeon) and the laterality of the tumor. Other factors like age, gender, obesity, comorbidity index, pre-operative clinical stage, and neoadjuvant treatments did not affect lymph node harvest. Interestingly, meeting the quality metric did not have a negative impact on overall survival.<br /><br />The study concludes that adhering to surgical quality metrics is important, and improving surgical technique and awareness during left-sided lung resections may increase the ability to meet the quality metric for lymph node harvest. Additionally, increased lymph node harvest and meeting the quality metric did not negatively affect surgical outcomes.<br /><br />In summary, this study highlights the importance of meeting the quality metric for lymph node harvest during robotic lobectomy for lung cancer. Factors such as surgical technique and tumor laterality can influence the ability to meet this metric, and meeting it does not have a negative impact on overall survival.

Asset Subtitle

Jobelle Joyce Anne Baldonado

Meta Tag

Speaker Jobelle Joyce Anne Baldonado

Topic Early-Stage NSCLC: Limited Resections & Minimally Invasive Approaches

Keywords

surgical resection

lung cancer

lymph nodes

robotic lobectomy

Commission on Cancer

quality metric

clinical factors

surgical outcomes

overall survival

retrospective review