Unexpected conversion to thoracotomy during thoracoscopic lobectomy: a single-center analysis

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dc.authoridCelalettin İbrahim Kocatürk / 0000-0001-9368-1009
dc.authorscopusidCelalettin İbrahim Kocatürk / 8535429200
dc.authorwosidCelalettin İbrahim Kocatürk / GDC-5922-2022
dc.contributor.authorSezen, Celal Buğra
dc.contributor.authorBilen, Salih
dc.contributor.authorKalafat, Cem Emrah
dc.contributor.authorCansever, Levent
dc.contributor.authorSönmezoğlu, Yaşar
dc.contributor.authorKilimci, Umut
dc.contributor.authorDoğru, Mustafa Vedat
dc.contributor.authorSeyrek, Yunus
dc.contributor.authorKocatürk, Celalettin İbrahim
dc.date.accessioned2020-08-30T20:06:29Z
dc.date.available2020-08-30T20:06:29Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground The aim of this study was to discuss indications and outcomes for conversion to thoracotomy during thoracoscopic lobectomy. Materials and methods Patients who underwent lobectomy for non-small cell lung cancer between January 2012 and December 2016 were evaluated retrospectively. The study included 129 patients who underwent video-assisted thoracoscopic lobectomy (group-V) and 18 patients converted from thoracoscopic lobectomy to thoracotomy due to unexpected intraoperative complications (group-T). Results The two patient groups showed no statistical differences in terms of demographic characteristics. Causes of unexpected conversions to thoracotomy were hemorrhage in six patients, dense pleural adhesions in seven patients, fused fissure in one patient, and fibrocalcified lymph nodes around the vascular structures in four patients. Operative time was 180.37 +/- 68.6 min in group-V and 235 +/- 72.6 min in group-T (p = 0.003). Intraoperative blood loss was 263.9 +/- 180.6 mL in group-V, compared to 562.7 +/- 296.2 mL in group-T (p < 0.001). Patient age >= 70 years was a significant risk factor for conversion to thoracotomy (p = 0.015, odds ratio 4.73). The 5-year survival rate in group-V was 71.4% {mean: 65.2 months [95% confidence interval (CI) 59.6-70.8]}, while that in group-T was 80% [mean 54.9 months (95% CI 45.9-63.8)] (p = 0.548). Conclusion Advanced age was identified as the main risk factor for conversion to thoracotomy. However, early- and long-term outcomes were similar in the two groups, indicating that video-assisted thoracoscopic surgery is a safe and applicable method.en_US
dc.identifier.citationSezen, C. B., Bilen, S., Kalafat, C. E., Cansever, L., Sonmezoglu, Y., Kilimci, U., … Kocaturk, C. I. (2019). Unexpected conversion to thoracotomy during thoracoscopic lobectomy: a single-center analysis. General Thoracic and Cardiovascular Surgery. https://doi.org/10.1007/s11748-019-01127-1en_US
dc.identifier.doi10.1007/s11748-019-01127-1en_US
dc.identifier.endpage975en_US
dc.identifier.issn1863-6705en_US
dc.identifier.issn1863-6713en_US
dc.identifier.issue11en_US
dc.identifier.pmid31004316en_US
dc.identifier.scopus2-s2.0-85064702126en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage969en_US
dc.identifier.urihttps://doi.org/10.1007/s11748-019-01127-1
dc.identifier.urihttps://hdl.handle.net/20.500.12713/531
dc.identifier.volume67en_US
dc.identifier.wosWOS:000491087000009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKocatürk, Celalettin İbrahimen_US
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofGeneral Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVatsen_US
dc.subjectThoracic Surgeryen_US
dc.subjectConversion To Thoracotomyen_US
dc.subjectThoracotomyen_US
dc.titleUnexpected conversion to thoracotomy during thoracoscopic lobectomy: a single-center analysisen_US
dc.typeArticleen_US

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