An Evaluation of Lymph Node Harvest in Sublobar Resections in a Statewide Quality Collaborative.

IF 4.9 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-27 DOI:10.1016/j.jtcvs.2025.02.016

Jenny Bui, Stanley Kalata, Rishindra M Reddy, Melissa Clark, Mary Hollenbeck, Nathan Mollberg, Shelly Lall, Andrew M Popoff

{"title":"An Evaluation of Lymph Node Harvest in Sublobar Resections in a Statewide Quality Collaborative.","authors":"Jenny Bui, Stanley Kalata, Rishindra M Reddy, Melissa Clark, Mary Hollenbeck, Nathan Mollberg, Shelly Lall, Andrew M Popoff","doi":"10.1016/j.jtcvs.2025.02.016","DOIUrl":null,"url":null,"abstract":"Objective: Evaluate the effectiveness of nodal harvest in sublobar resections (SLR) for peripheral non-small cell lung cancer (NSCLC).Methods: Retrospective review of prospectively collected data for patients who underwent wedge resection (WR) and segmentectomy (SG) for NSCLC from January 2015 to March 2023 at 21 centers within a statewide quality collaborative. The primary end point was the extent of lymph node (LN) harvest defined as ≥ 10 LNs, ≥5 lymph node stations (LNS), or 3 mediastinal LNS and 1 hilar LNS (3/1 LNS). We also examined the LN harvest stratified by operative approach (open, video-assisted (VATS), robot-assisted (RATS)).Results: A total of 1398 patients receiving SLR were reviewed: 919 (65.7%) with WR and 479 (34.3%) with SG. Only 15.6% (152) WR and 54.6% (263) SG had an adequate number of LNS harvested. RATS was associated with higher rates of harvesting ≥10 LNs (p < .001) or harvesting ≥5 LNS or 3/1 LNS (p < .001) compared with VATS for WR. Compared with open procedures and VATS, RATS was associated with higher rates of harvesting ≥5 LNS or 3/1 LNS for SG (p = 0.002; p = 0.003, respectively).Conclusion: WR and SG have low rates of adequate LN harvesting. Robotic surgery was associated with improved LN harvesting rates. Given the increase interest in SLRs, continued focus on improving and increasing LN harvesting are needed.","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.9000,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jtcvs.2025.02.016","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Evaluate the effectiveness of nodal harvest in sublobar resections (SLR) for peripheral non-small cell lung cancer (NSCLC).

Methods: Retrospective review of prospectively collected data for patients who underwent wedge resection (WR) and segmentectomy (SG) for NSCLC from January 2015 to March 2023 at 21 centers within a statewide quality collaborative. The primary end point was the extent of lymph node (LN) harvest defined as ≥ 10 LNs, ≥5 lymph node stations (LNS), or 3 mediastinal LNS and 1 hilar LNS (3/1 LNS). We also examined the LN harvest stratified by operative approach (open, video-assisted (VATS), robot-assisted (RATS)).

Results: A total of 1398 patients receiving SLR were reviewed: 919 (65.7%) with WR and 479 (34.3%) with SG. Only 15.6% (152) WR and 54.6% (263) SG had an adequate number of LNS harvested. RATS was associated with higher rates of harvesting ≥10 LNs (p < .001) or harvesting ≥5 LNS or 3/1 LNS (p < .001) compared with VATS for WR. Compared with open procedures and VATS, RATS was associated with higher rates of harvesting ≥5 LNS or 3/1 LNS for SG (p = 0.002; p = 0.003, respectively).

Conclusion: WR and SG have low rates of adequate LN harvesting. Robotic surgery was associated with improved LN harvesting rates. Given the increase interest in SLRs, continued focus on improving and increasing LN harvesting are needed.

查看原文本刊更多论文

在全州质量合作组织中评估叶状体下切除术中的淋巴结采集。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Thoracic and Cardiovascular Surgery 医学-呼吸系统

CiteScore

11.20

自引率

10.00%

发文量

1079

审稿时长

68 days

期刊介绍： The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery, congenital cardiac repair, thoracic procedures, heart and lung transplantation, mechanical circulatory support and other procedures.