Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry

Italian VATS Group; Luca Bertolaccini; Fabio Davoli; Alessandro Pardolesi; Jury Brandolini; Desideria Argnani; Alessandro Bertani; Andrea Droghetti; Alessandro Gonfiotti; Duilio Divisi; Roberto Crisci; Piergiorgio Solli; Mario Nosotti; Carlo Curcio; Dario Amore; Giuseppe Marulli; Samuele Nicotra; Andrea De Negri; Paola Maineri; Gaetano di Rienzo; Camillo Lopez; Angelo Morelli; Francesco Londero; Lorenzo Spaggiari; Roberto Gasparri; Guido Baietto; Caterina Casadio; Maurizio Infante; Cristiano Benato; Marco Alloisio; Edoardo Bottoni; Giuseppe Cardillo; Francesco Carleo; Franco Stella; Giampiero Dolci; Francesco Puma; Damiano Vinci; Giorgio Cavallesco; Pio Maniscalco; Luca Ampollini; Paolo Carbognani; Alberto Terzi; Andrea Viti; Giampiero Negri; Alessandro Bandiera; Reinhold Perkmann; Francesco Zaraca; Claudio Andretti; Camilla Poggi; Felice Mucilli; Alessandro Stefani

doi:10.1016/j.ejso.2018.12.023

Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry

Italian VATS Group, Luca Bertolaccini, Fabio Davoli, Alessandro Pardolesi, Jury Brandolini, Desideria Argnani, Alessandro Bertani, Andrea Droghetti, Alessandro Gonfiotti, Duilio Divisi, Roberto Crisci, Piergiorgio Solli, Mario Nosotti, Carlo Curcio, Dario Amore, Giuseppe Marulli, Samuele Nicotra, Andrea De Negri, Paola Maineri, Gaetano di RienzoCamillo Lopez, Angelo Morelli, Francesco Londero, Lorenzo Spaggiari, Roberto Gasparri, Guido Baietto, Caterina Casadio, Maurizio Infante, Cristiano Benato, Marco Alloisio, Edoardo Bottoni, Giuseppe Cardillo, Francesco Carleo, Franco Stella, Giampiero Dolci, Francesco Puma, Damiano Vinci, Giorgio Cavallesco, Pio Maniscalco, Luca Ampollini, Paolo Carbognani, Alberto Terzi, Andrea Viti, Giampiero Negri, Alessandro Bandiera, Reinhold Perkmann, Francesco Zaraca, Claudio Andretti, Camilla Poggi, Felice Mucilli, Alessandro Stefani

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: Vascular injuries are among the most severe causes of unplanned conversion during VATS lobectomies. The study aimed to analyse the incidence of vascular injuries and their risk factors during VATS lobectomy. Methods: The Italian VATS lobectomy Registry was used to collect data from 66 Thoracic Surgery Units. From 2013 to October 2016 (out of more than 3,700 patients enrolled) only information from Units with an enrollment >100 VATS lobectomies were retrospectively analysed. Logistic regression analysis was performed on selected variables of the univariate analysis. Results: Ten institutions contributed a total of 1,679 patients. Vascular injuries leading to conversion occurred in 44 (2.6%) patients. Years of experiences were inversely related to the risk of vascular injuries. Univariate analysis showed age, gender, surgical activity, Charlson Index Score and number of resected lymph nodes like significantly associated variables. Multivariate analysis revealed that number of resected lymph nodes, VATS experience ratio (number of VATS lobectomies/total lobectomies performed in the same year at same centre), and surgical activity of the centre were significantly associated with the risk of conversion. Unplanned thoracotomy was correlated with postoperative morbidity. Conclusion: Vascular injuries in VATS lobectomies represented a rare complication which could directly affect the postoperative outcomes. The predictive factors for conversion were multifactorial and depended on characteristics of centres and surgeons’ seniority. Minimally invasive VATS lobectomy approaches did not influence the risk of vascular damages.

Original language	English
Pages (from-to)	857-862
Number of pages	6
Journal	European Journal of Surgical Oncology
Volume	45
Issue number	5
DOIs	https://doi.org/10.1016/j.ejso.2018.12.023
Publication status	Published - May 1 2019

Keywords

Complications
Conversion
Lung cancer
Lymph nodes dissection
Vascular injury
Video-assisted thoracic surgery lobectomy

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10.1016/j.ejso.2018.12.023

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Group, I. VATS., Bertolaccini, L., Davoli, F., Pardolesi, A., Brandolini, J., Argnani, D., Bertani, A., Droghetti, A., Gonfiotti, A., Divisi, D., Crisci, R., Solli, P., Nosotti, M., Curcio, C., Amore, D., Marulli, G., Nicotra, S., De Negri, A., Maineri, P., ... Stefani, A. (2019). Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry. European Journal of Surgical Oncology, 45(5), 857-862. https://doi.org/10.1016/j.ejso.2018.12.023

Conversion due to vascular injury during video-assisted thoracic surgery lobectomy : A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry. / Group, Italian VATS; Bertolaccini, Luca; Davoli, Fabio et al.

In: European Journal of Surgical Oncology, Vol. 45, No. 5, 01.05.2019, p. 857-862.

Research output: Contribution to journal › Article › peer-review

Group, IVATS, Bertolaccini, L, Davoli, F, Pardolesi, A, Brandolini, J, Argnani, D, Bertani, A, Droghetti, A, Gonfiotti, A, Divisi, D, Crisci, R, Solli, P , Nosotti, M, Curcio, C, Amore, D, Marulli, G, Nicotra, S, De Negri, A, Maineri, P, di Rienzo, G, Lopez, C, Morelli, A, Londero, F, Spaggiari, L , Gasparri, R, Baietto, G, Casadio, C, Infante, M, Benato, C, Alloisio, M, Bottoni, E, Cardillo, G, Carleo, F, Stella, F, Dolci, G, Puma, F, Vinci, D, Cavallesco, G, Maniscalco, P, Ampollini, L, Carbognani, P, Terzi, A, Viti, A, Negri, G, Bandiera, A, Perkmann, R, Zaraca, F, Andretti, C, Poggi, C, Mucilli, F & Stefani, A 2019, 'Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry', European Journal of Surgical Oncology, vol. 45, no. 5, pp. 857-862. https://doi.org/10.1016/j.ejso.2018.12.023

Group IVATS, Bertolaccini L, Davoli F, Pardolesi A, Brandolini J, Argnani D et al. Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry. European Journal of Surgical Oncology. 2019 May 1;45(5):857-862. https://doi.org/10.1016/j.ejso.2018.12.023

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title = "Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry",

abstract = "Objectives: Vascular injuries are among the most severe causes of unplanned conversion during VATS lobectomies. The study aimed to analyse the incidence of vascular injuries and their risk factors during VATS lobectomy. Methods: The Italian VATS lobectomy Registry was used to collect data from 66 Thoracic Surgery Units. From 2013 to October 2016 (out of more than 3,700 patients enrolled) only information from Units with an enrollment >100 VATS lobectomies were retrospectively analysed. Logistic regression analysis was performed on selected variables of the univariate analysis. Results: Ten institutions contributed a total of 1,679 patients. Vascular injuries leading to conversion occurred in 44 (2.6%) patients. Years of experiences were inversely related to the risk of vascular injuries. Univariate analysis showed age, gender, surgical activity, Charlson Index Score and number of resected lymph nodes like significantly associated variables. Multivariate analysis revealed that number of resected lymph nodes, VATS experience ratio (number of VATS lobectomies/total lobectomies performed in the same year at same centre), and surgical activity of the centre were significantly associated with the risk of conversion. Unplanned thoracotomy was correlated with postoperative morbidity. Conclusion: Vascular injuries in VATS lobectomies represented a rare complication which could directly affect the postoperative outcomes. The predictive factors for conversion were multifactorial and depended on characteristics of centres and surgeons{\textquoteright} seniority. Minimally invasive VATS lobectomy approaches did not influence the risk of vascular damages.",

keywords = "Complications, Conversion, Lung cancer, Lymph nodes dissection, Vascular injury, Video-assisted thoracic surgery lobectomy",

author = "Group, {Italian VATS} and Luca Bertolaccini and Fabio Davoli and Alessandro Pardolesi and Jury Brandolini and Desideria Argnani and Alessandro Bertani and Andrea Droghetti and Alessandro Gonfiotti and Duilio Divisi and Roberto Crisci and Piergiorgio Solli and Mario Nosotti and Carlo Curcio and Dario Amore and Giuseppe Marulli and Samuele Nicotra and {De Negri}, Andrea and Paola Maineri and {di Rienzo}, Gaetano and Camillo Lopez and Angelo Morelli and Francesco Londero and Lorenzo Spaggiari and Roberto Gasparri and Guido Baietto and Caterina Casadio and Maurizio Infante and Cristiano Benato and Marco Alloisio and Edoardo Bottoni and Giuseppe Cardillo and Francesco Carleo and Franco Stella and Giampiero Dolci and Francesco Puma and Damiano Vinci and Giorgio Cavallesco and Pio Maniscalco and Luca Ampollini and Paolo Carbognani and Alberto Terzi and Andrea Viti and Giampiero Negri and Alessandro Bandiera and Reinhold Perkmann and Francesco Zaraca and Claudio Andretti and Camilla Poggi and Felice Mucilli and Alessandro Stefani",

year = "2019",

month = may,

day = "1",

doi = "10.1016/j.ejso.2018.12.023",

language = "English",

volume = "45",

pages = "857--862",

journal = "European Journal of Surgical Oncology",

issn = "0748-7983",

publisher = "W.B. Saunders Ltd",

number = "5",

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TY - JOUR

T1 - Conversion due to vascular injury during video-assisted thoracic surgery lobectomy

T2 - A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry

AU - Group, Italian VATS

AU - Bertolaccini, Luca

AU - Davoli, Fabio

AU - Pardolesi, Alessandro

AU - Brandolini, Jury

AU - Argnani, Desideria

AU - Bertani, Alessandro

AU - Droghetti, Andrea

AU - Gonfiotti, Alessandro

AU - Divisi, Duilio

AU - Crisci, Roberto

AU - Solli, Piergiorgio

AU - Nosotti, Mario

AU - Curcio, Carlo

AU - Amore, Dario

AU - Marulli, Giuseppe

AU - Nicotra, Samuele

AU - De Negri, Andrea

AU - Maineri, Paola

AU - di Rienzo, Gaetano

AU - Lopez, Camillo

AU - Morelli, Angelo

AU - Londero, Francesco

AU - Spaggiari, Lorenzo

AU - Gasparri, Roberto

AU - Baietto, Guido

AU - Casadio, Caterina

AU - Infante, Maurizio

AU - Benato, Cristiano

AU - Alloisio, Marco

AU - Bottoni, Edoardo

AU - Cardillo, Giuseppe

AU - Carleo, Francesco

AU - Stella, Franco

AU - Dolci, Giampiero

AU - Puma, Francesco

AU - Vinci, Damiano

AU - Cavallesco, Giorgio

AU - Maniscalco, Pio

AU - Ampollini, Luca

AU - Carbognani, Paolo

AU - Terzi, Alberto

AU - Viti, Andrea

AU - Negri, Giampiero

AU - Bandiera, Alessandro

AU - Perkmann, Reinhold

AU - Zaraca, Francesco

AU - Andretti, Claudio

AU - Poggi, Camilla

AU - Mucilli, Felice

AU - Stefani, Alessandro

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Objectives: Vascular injuries are among the most severe causes of unplanned conversion during VATS lobectomies. The study aimed to analyse the incidence of vascular injuries and their risk factors during VATS lobectomy. Methods: The Italian VATS lobectomy Registry was used to collect data from 66 Thoracic Surgery Units. From 2013 to October 2016 (out of more than 3,700 patients enrolled) only information from Units with an enrollment >100 VATS lobectomies were retrospectively analysed. Logistic regression analysis was performed on selected variables of the univariate analysis. Results: Ten institutions contributed a total of 1,679 patients. Vascular injuries leading to conversion occurred in 44 (2.6%) patients. Years of experiences were inversely related to the risk of vascular injuries. Univariate analysis showed age, gender, surgical activity, Charlson Index Score and number of resected lymph nodes like significantly associated variables. Multivariate analysis revealed that number of resected lymph nodes, VATS experience ratio (number of VATS lobectomies/total lobectomies performed in the same year at same centre), and surgical activity of the centre were significantly associated with the risk of conversion. Unplanned thoracotomy was correlated with postoperative morbidity. Conclusion: Vascular injuries in VATS lobectomies represented a rare complication which could directly affect the postoperative outcomes. The predictive factors for conversion were multifactorial and depended on characteristics of centres and surgeons’ seniority. Minimally invasive VATS lobectomy approaches did not influence the risk of vascular damages.

AB - Objectives: Vascular injuries are among the most severe causes of unplanned conversion during VATS lobectomies. The study aimed to analyse the incidence of vascular injuries and their risk factors during VATS lobectomy. Methods: The Italian VATS lobectomy Registry was used to collect data from 66 Thoracic Surgery Units. From 2013 to October 2016 (out of more than 3,700 patients enrolled) only information from Units with an enrollment >100 VATS lobectomies were retrospectively analysed. Logistic regression analysis was performed on selected variables of the univariate analysis. Results: Ten institutions contributed a total of 1,679 patients. Vascular injuries leading to conversion occurred in 44 (2.6%) patients. Years of experiences were inversely related to the risk of vascular injuries. Univariate analysis showed age, gender, surgical activity, Charlson Index Score and number of resected lymph nodes like significantly associated variables. Multivariate analysis revealed that number of resected lymph nodes, VATS experience ratio (number of VATS lobectomies/total lobectomies performed in the same year at same centre), and surgical activity of the centre were significantly associated with the risk of conversion. Unplanned thoracotomy was correlated with postoperative morbidity. Conclusion: Vascular injuries in VATS lobectomies represented a rare complication which could directly affect the postoperative outcomes. The predictive factors for conversion were multifactorial and depended on characteristics of centres and surgeons’ seniority. Minimally invasive VATS lobectomy approaches did not influence the risk of vascular damages.

KW - Complications

KW - Conversion

KW - Lung cancer

KW - Lymph nodes dissection

KW - Vascular injury

KW - Video-assisted thoracic surgery lobectomy

U2 - 10.1016/j.ejso.2018.12.023

DO - 10.1016/j.ejso.2018.12.023

M3 - Article

VL - 45

SP - 857

EP - 862

JO - European Journal of Surgical Oncology

JF - European Journal of Surgical Oncology

SN - 0748-7983

IS - 5

ER -

Conversion due to vascular injury during video-assisted thoracic surgery lobectomy: A multicentre retrospective analysis from the Italian video-assisted thoracic surgery group registry

Abstract

Keywords

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