2024 Latin America Conference on Lung Cancer (LALCA) - Posters-PP01.14: Thoracic Surgery Outcomes in Non-Small Cell Lung Cancer: Insights from a Colombian Thoracic Surgery Database

PP01.14: Thoracic Surgery Outcomes in Non-Small Cell Lung Cancer: Insights from a Colombian Thoracic Surgery Database

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The study detailed in the article aims to bridge a knowledge gap in thoracic surgical oncology within Latin America, focusing specifically on outcomes from lung cancer resections in patients with Non-Small Cell Lung Cancer (NSCLC). Conducted using data from the thoracic surgery service at a hospital in Cali, Colombia, the study provides insights covering the period from 2009 to 2023. A total of 185 lung resections were analyzed to assess operative mortality, defined as death during the hospital stay or within 30 days post-surgery, and major morbidity featuring complications like tracheostomy, acute respiratory distress syndrome, and myocardial infarction.<br /><br />The patient demographic primarily consisted of individuals with a median age of 67, slightly more females (56.2%) than males, with significant fractions having a history of smoking (52.4%) and hypertension (42.1%). The majority of procedures (86.5%) were performed using video-assisted thoracoscopy.<br /><br />The study found that adenocarcinoma was the most prevalent form of NSCLC, with most cases being early-stage (69.2%). The median hospital stay post-surgery was 6 days, with total morbidity and mortality rates reported at 11.4% and 4.9%, respectively. Major morbidity was noted in 8.6% of the cases.<br /><br />Outcomes varied by surgical procedure, with wedge resections showing higher rates (mortality 5.9%, major morbidity 7.1%) compared to lobectomies (mortality 3.3%, major morbidity 10.9%). Neumonectomy, while rare, had a significantly higher procedure mortality at 20%.<br /><br />The collected data enhances understanding of lung cancer surgery outcomes in the region and aids in improving surgical protocols and identifying key risk factors associated with these outcomes.

Asset Subtitle

Nicolas Felipe Torres-España

Keywords

thoracic surgical oncology

Latin America

lung cancer resections

Non-Small Cell Lung Cancer

operative mortality

major morbidity

video-assisted thoracoscopy

adenocarcinoma

surgical outcomes

risk factors