Annals of thoracic surgery short reports最新文献

{"title":"Segmentectomy vs Lobectomy for Peripheral Early-Stage Non-Small Cell Lung Cancer in Patients With Radiologically High Risk Tumors","authors":"Patrick Deniz Hurley MD,&nbsp;Nilanjan Chaudhuri MD,&nbsp;Joshil Lodhia MD,&nbsp;Richard Milton MD,&nbsp;Marco Nardini MD,&nbsp;Kostas Papagiannopoulos MD,&nbsp;Peter Tcherveniakov MD,&nbsp;Elaine Teh MD,&nbsp;Alessandro Brunelli MD","doi":"10.1016/j.atssr.2026.03.005","DOIUrl":"10.1016/j.atssr.2026.03.005","url":null,"abstract":"<div><h3>Background</h3><div>The increasing use of segmentectomy for early-stage peripheral non-small cell lung cancer (NSCLC) raises questions about its oncologic adequacy compared with lobectomy, particularly for tumors with high-risk features. This study aimed to compare oncologic outcomes between segmentectomy and lobectomy for clinical stage IA1-2 peripheral NSCLC, stratified by radiologic tumor risk.</div></div><div><h3>Methods</h3><div>This retrospective single-center study analyzed 527 patients with peripheral NSCLC ≤2 cm who underwent either lobectomy (n = 240), or segmentectomy (n = 287) from January 2017 to December 2024. High-risk tumors were defined as cT1b, solid dominant, and hypermetabolic (maximal standardized uptake value &gt;2.5). Primary end points included 4-year overall survival (OS) and event-free survival (EFS). Cox regression analysis was performed to identify independent predictors of EFS.</div></div><div><h3>Results</h3><div>High-risk tumors comprised 122 lobectomies (51%) and 73 segmentectomies (25%). For low-risk tumors, there was no significant difference in 4-year OS or EFS (OS: lobectomy 85% vs segmentectomy 84% [<em>P</em> = .74]; EFS: lobectomy 75% vs segmentectomy 72% [<em>P</em> = .74]). For high-risk tumors, 4-year OS and EFS were also not different after lobectomy or segmentectomy (OS: lobectomy 80% vs segmentectomy 68% [<em>P</em> = .18]; EFS: lobectomy 72% vs segmentectomy 60% [<em>P</em> = .33]). In the inverse probability weighting–adjusted Cox proportional hazards model, lobectomy was not independently associated with improved EFS (hazard ratio, 0.86; 95% CI, 0.59-1.25; <em>P</em> = .43).</div></div><div><h3>Conclusions</h3><div>Segmentectomy demonstrates oncologically equivalent outcomes compared with lobectomy for both low-risk and high-risk clinical stage IA1-2 peripheral NSCLC. These findings support the oncologic safety of segmentectomy as an alternative to lobectomy in appropriately selected patients with small peripheral NSCLC, even in the high-risk tumor subset.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 932-937"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Unruptured Isolated Sinus of Valsalva Aneurysm","authors":"Marjan Jahangiri FRCS (CTh)","doi":"10.1016/j.atssr.2026.05.002","DOIUrl":"10.1016/j.atssr.2026.05.002","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Page 770"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Hypoalbuminemia as an Independent Predictor of Postoperative Acute Kidney Dysfunction After Cardiac Surgery","authors":"Joshua G. Crane MD,&nbsp;Aman Sinha MPH,&nbsp;Toyokazu Endo MD,&nbsp;Michele Gallo MD,&nbsp;Siddharth Pahwa MD,&nbsp;Yash Vaidya MD,&nbsp;Mark S. Slaughter MD,&nbsp;Jaimin Trivedi MD, MPH","doi":"10.1016/j.atssr.2026.01.005","DOIUrl":"10.1016/j.atssr.2026.01.005","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative acute renal failure associated with mortality after cardiac surgery. Whereas many variables result in postoperative renal failure, current literature lacks commentary on preoperative serum albumin optimization.</div></div><div><h3>Methods</h3><div>We performed a retrospective review of a single adult cardiac surgery center database between 2021 and 2024. Patients were divided into 2 cohorts: preoperative hypoalbuminemia (&lt;3.5 g/dL) and normal albuminemia (3.5-5.4 g/dL). Demographic and clinical characteristics were compared. The primary outcome was kidney injury or kidney failure, defined by the RIFLE (risk, injury, failure, loss of kidney function, end-stage kidney disease) criteria. Multivariable logistic regression evaluated the association of preoperative albumin level and postoperative kidney dysfunction.</div></div><div><h3>Results</h3><div>There were 1673 patients who underwent cardiac surgery during 4 years, 444 (27%) with hypoalbuminemia and 1229 (63%) with normal albuminemia. The hypoalbuminemia group was younger (63 vs 65 years; <em>P</em> &lt; .01) and less likely to be male (66% vs 71%; <em>P</em> = .04), with lower body mass index (28 kg/m² vs 30 kg/m²; <em>P</em> &lt; .01). Preoperative creatinine concentration (1.0 vs 1.0; <em>P</em> = .85) was comparable between groups. Postoperative kidney dysfunction was significantly greater in the hypoalbuminemia group (12% vs 5%; <em>P</em> &lt; .01). Multivariable logistic regression found hypoalbuminemia to be an independent risk factor for acute kidney dysfunction after cardiac surgery (odds ratio, 1.8 [1.1-3.1]; <em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Hypoalbuminemia is significantly associated with postoperative acute kidney dysfunction in cardiac surgery patients. Preoperative optimization may decrease the risk of renal complications.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 1053-1057"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double Aortic Arch in a Patient with Neurofibromatosis Type 1: Expanding the Spectrum of Neurofibromatosis-Associated Vascular Anomalies","authors":"Mohammad Karam Chaaban MD,&nbsp;David Melville MD,&nbsp;Yaqqira Womack MS,&nbsp;Kristina Dandurand BS,&nbsp;Ileana Trujillo MS, CGC,&nbsp;Mark Pittelkow MD,&nbsp;Dusica Babovic-Vuksanovic MD,&nbsp;Fadi Shamoun MD,&nbsp;Linnea M. Baudhuin PhD,&nbsp;Mayowa A. Osundiji MBBS, PhD","doi":"10.1016/j.atssr.2026.02.033","DOIUrl":"10.1016/j.atssr.2026.02.033","url":null,"abstract":"<div><div>Neurofibromatosis type 1 (NF1) is a common genetic disorder with well-documented multisystem manifestations, including vasculopathies. A double aortic arch is a rare congenital vascular ring anomaly. We present a 59-year-old man with asymptomatic double aortic arch in the setting of a heterozygous pathogenic variant in the <em>NF1</em> gene (c.6820-1G&gt;A) that was detected on genome sequencing. Considering the burgeoning evidence for NF1’s link with vasculopathy, our findings invite consideration of whether NF1's role in vascular development could influence aortic arch patterning.</div></div><div>Neurofibromatosis type 1 (NF1) is a common genetic disorder with well-documented multisystem manifestations, including vasculopathies. A double aortic arch is a rare congenital vascular ring anomaly. We present a 59-year-old man with asymptomatic double aortic arch in the setting of a heterozygous pathogenic variant in the <em>NF1</em> gene (c.6820-1G&gt;A) that was detected on genome sequencing. Considering the burgeoning evidence for NF1’s link with vasculopathy, our findings invite consideration of whether NF1's role in vascular development could influence aortic arch patterning.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 771-773"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anaortic Off-Pump vs Conventional CABG: A Propensity-Matched Single-Center Experience","authors":"Mark R. Lutz BA,&nbsp;Shaelyn M. Cavanaugh MD,&nbsp;Samuel J. Martin MD,&nbsp;Karikehalli Dilip MD,&nbsp;Ahmad Nazem MD,&nbsp;Anton Cherney MD,&nbsp;Zhandong Zhou MD,&nbsp;Charles J. Lutz MD","doi":"10.1016/j.atssr.2026.02.026","DOIUrl":"10.1016/j.atssr.2026.02.026","url":null,"abstract":"<div><h3>Background</h3><div>Obesity is associated with increased perioperative risk in coronary artery bypass grafting (CABG), including higher rates of stroke, bleeding, and prolonged recovery. Anaortic, off-pump CABG, avoiding cardiopulmonary bypass and aortic manipulation, may mitigate these risks. We evaluated outcomes of anaortic off-pump CABG vs CABG with aortic manipulation in obese patients with 3-vessel disease.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, single-center study of obese patients (body mass index &gt;30 kg/m²) with 3-vessel coronary artery disease who were undergoing isolated CABG. Patients were stratified by surgical technique: anaortic off-pump CABG vs CABG with aortic manipulation. Propensity score matching (1:2) was performed to adjust for baseline differences. The primary outcome was 30-day death or stroke. Secondary outcomes included transfusion, operative time, and major postoperative complications.</div></div><div><h3>Results</h3><div>After propensity matching, 926 patients were included (320 with anaortic CABG; 606 with CABG with aortic manipulation). The anaortic group had significantly lower rates of 30-day death or stroke (0.9% vs 3.6%; <em>P</em> = .028), shorter operative times (293 minutes vs 352 minutes; <em>P</em> &lt; .001), and fewer intraoperative transfusions (8.2% vs 25.0%; <em>P</em> &lt; .001). When assessed relative to The Society of Thoracic Surgeons predicted risk, the anaortic strategy was associated with lower observed-to-expected mortality (0.31 vs 0.99; <em>P</em> = .032) and stroke (0.00 vs 0.74; <em>P</em> = .018). Other postoperative complications were similar between groups.</div></div><div><h3>Conclusions</h3><div>In obese patients with multivessel coronary artery disease, anaortic off-pump CABG was associated with reduced rates of early death or stroke, fewer transfusions, and shorter operative times. These findings support the use of the anaortic technique and highlight its potential role in optimizing outcomes in the growing population of obese CABG candidates.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 782-787"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chest Wall Reconstruction of an Infected Open Costal Arch Fracture","authors":"Mikenzie Sturdevant DO,&nbsp;Adam Weiner MD,&nbsp;Shervin Eskandari BS,&nbsp;Dev Shah BS,&nbsp;Nicole Ivan DO,&nbsp;Imad Radi MD,&nbsp;Erin Switzer DO,&nbsp;Daniel Miller MD","doi":"10.1016/j.atssr.2026.02.007","DOIUrl":"10.1016/j.atssr.2026.02.007","url":null,"abstract":"<div><div>A 55-year-old man presented with sepsis, 2 weeks after blunt chest trauma, with an open costal arch fracture. Imaging showed an extensive chest wall soft tissue infection. After resuscitation, soft tissue debridement was performed, and broad-spectrum antibiotics were started. Multiple debridements of the soft tissue were required in addition to allograft skin grafting. Once the soft tissue infection was under control, the costal arch fracture involving the costal cartilages was debrided. Chest wall reconstruction was performed successfully with bioabsorbable bars, an omental flap, and skin grafting. Long-term follow-up showed excellent viable tissue and no flail chest.</div></div><div>A 55-year-old man presented with sepsis, 2 weeks after blunt chest trauma, with an open costal arch fracture. Imaging showed an extensive chest wall soft tissue infection. After resuscitation, soft tissue debridement was performed, and broad-spectrum antibiotics were started. Multiple debridements of the soft tissue were required in addition to allograft skin grafting. Once the soft tissue infection was under control, the costal arch fracture involving the costal cartilages was debrided. Chest wall reconstruction was performed successfully with bioabsorbable bars, an omental flap, and skin grafting. Long-term follow-up showed excellent viable tissue and no flail chest.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 977-980"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148871037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atrioventricular Valve Replacement With Monovalvatation Technique for Single Ventricle With Two Atrioventricular Valve Orifices","authors":"Hisashi Yoshida MD, PhD,&nbsp;Takeshi Shinkawa MD, PhD,&nbsp;Akiko Yamagata MD,&nbsp;Hiroshi Niinami MD, PhD","doi":"10.1016/j.atssr.2026.02.012","DOIUrl":"10.1016/j.atssr.2026.02.012","url":null,"abstract":"<div><div>Atrioventricular valve (AVV) replacement for patients with single-ventricle physiology and 2 AVV orifices can be technically challenging when both annuli are too small to place adequately sized prosthesis. We report 2 adult Fontan patients who underwent AVV replacement with monovalvatation technique, in which 2 AVV orifices were integrated into a single annulus by incising an interventricular septum between 2 AVV orifices. They had prior AVV replacement with relatively small prosthesis or AVV repair with complete annuloplasty in childhood. Postoperative courses were uneventful, with good prosthetic function. This technique can be an effective surgical option in such anatomically challenging cases.</div></div><div>Atrioventricular valve (AVV) replacement for patients with single-ventricle physiology and 2 AVV orifices can be technically challenging when both annuli are too small to place adequately sized prosthesis. We report 2 adult Fontan patients who underwent AVV replacement with monovalvatation technique, in which 2 AVV orifices were integrated into a single annulus by incising an interventricular septum between 2 AVV orifices. They had prior AVV replacement with relatively small prosthesis or AVV repair with complete annuloplasty in childhood. Postoperative courses were uneventful, with good prosthetic function. This technique can be an effective surgical option in such anatomically challenging cases.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 876-879"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemodialysis Effect During Ex Vivo Lung Perfusion","authors":"Kentaro Nakata MD, PhD,&nbsp;Qimeng Gao MD,&nbsp;Isaac Alderete MD,&nbsp;Ahmed Hassan MD,&nbsp;Nihal Aykun MD,&nbsp;Riley H. Kahan BS,&nbsp;Benjamin A. Hughes PhD,&nbsp;Charles J. Arnold BS,&nbsp;John M. Carney MD,&nbsp;Andrew S. Barbas MD,&nbsp;Matthew G. Hartwig MD","doi":"10.1016/j.atssr.2026.02.034","DOIUrl":"10.1016/j.atssr.2026.02.034","url":null,"abstract":"<div><h3>Background</h3><div>Prolonged lung preservation by ex vivo lung perfusion (EVLP) is an important objective in lung transplantation. Maintaining stable perfusate composition is key, and integrated dialysis is a potential method. We examined the suitability of integrated hemodialysis with EVLP to maintain perfusate homeostasis and extend perfusion time.</div></div><div><h3>Methods</h3><div>Lungs were procured from 30- to 40-kg Yorkshire pigs. The clinical-grade TransMedics OCS Lung system was used with perfusate consisting of autologous washed red blood cells and TransMedics OCS solution. Hemodialysis was added to the venous return line of the device and begun 1 hour after the start of perfusion. Physiological variables and blood gas data were monitored during perfusion, and perfusate cytokine levels were evaluated at prespecified times.</div></div><div><h3>Results</h3><div>Hemodialysis moderately stabilized electrolyte levels and reduced lactate, but promoted the more rapid development of edema, resulting in shorter mean preservation time in (control [n = 8] vs hemodialysis [n = 6]: 24 hours vs 7.5 hours, <em>P</em> = .034). Using a high-sodium dialysate (n = 5) reduced edema formation but did not significantly extend lung preservation. Notably, significant upregulation of interferon-γ (<em>P</em> &lt; .001) and interleukin 8 (<em>P</em> = .005) was observed in this group, as well as upregulation of the anti-inflammatory cytokine interleukin 10 (<em>P</em> = .0037).</div></div><div><h3>Conclusions</h3><div>Integrating hemodialysis into an EVLP circuit was detrimental to graft preservation, leading to progressive edema and reduced graft survival. Despite stabilizing circulating electrolyte concentrations, adding dialysis resulted in proinflammatory cytokine upregulation, further reflecting declining graft viability. These findings demonstrate the standard hemodialysis protocol is inadequate for perfusate reconditioning during long-term EVLP, requiring modification for this application.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 1033-1038"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148871006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Simple Modification to Facilitate the H Anastomosis: Making the Mucosal Insertion Step Reproducible","authors":"Zhenzhong Zhang MD,&nbsp;Yang Hu MD,&nbsp;Jianqiang Zhao MD,&nbsp;Derong Tang MD,&nbsp;Zhiyun Xu MD","doi":"10.1016/j.atssr.2026.01.008","DOIUrl":"10.1016/j.atssr.2026.01.008","url":null,"abstract":"<div><div>H anastomosis is an emerging technique for esophagogastric reconstruction with promising perioperative outcomes thanks to its antileakage and antireflux design. However, inserting the sutured mucosal bridge into the gastric lumen remains technically challenging. Many surgeons attempting to reproduce the procedure find it difficult to understand the original intent and manipulation of the inventor. We propose a simple modification: a monofilament suture is passed beneath the mucosal bridge, then looped and fixed with a Rumel tourniquet, which assists in smoothly drawing the mucosa into the stomach. This modification improves procedural clarity, operability, and reproducibility, which may support broader clinical adoption.</div></div><div>H anastomosis is an emerging technique for esophagogastric reconstruction with promising perioperative outcomes thanks to its antileakage and antireflux design. However, inserting the sutured mucosal bridge into the gastric lumen remains technically challenging. Many surgeons attempting to reproduce the procedure find it difficult to understand the original intent and manipulation of the inventor. We propose a simple modification: a monofilament suture is passed beneath the mucosal bridge, then looped and fixed with a Rumel tourniquet, which assists in smoothly drawing the mucosa into the stomach. This modification improves procedural clarity, operability, and reproducibility, which may support broader clinical adoption.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 1011-1014"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148871007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age is Just a Number: Outcomes of Robotic Hiatal Hernia Repair in Octogenarians","authors":"Samar Semaan MD,&nbsp;Kendall Howard MD,&nbsp;Warren C. Naselsky MD,&nbsp;Ray Chihara MD, PhD,&nbsp;Edward A. Graviss PhD, MPH,&nbsp;Min P. Kim MD","doi":"10.1016/j.atssr.2026.02.008","DOIUrl":"10.1016/j.atssr.2026.02.008","url":null,"abstract":"<div><h3>Background</h3><div>Robot-assisted hiatal hernia repair has become increasingly popular in high-risk populations as a relatively low-risk, minimally invasive surgical option. As life expectancy rises, more octogenarians are being considered for surgery despite age-related comorbidities. However, data on the safety and efficacy of robotic repair in this population are limited. This single-center retrospective study evaluates postoperative outcomes and complications after robotic hiatal hernia repair in octogenarians.</div></div><div><h3>Methods</h3><div>Patients aged ≥80 years who underwent repair between 2017 and 2024 were propensity score–matched in a 1:3 ratio to those &lt;80 years based on sex, body mass index, hernia type, and surgery type. Multivariable regression analyses were used to assess differences in hospital stay and postoperative outcomes, with significance set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>A total of 302 patients underwent robotic hiatal hernia repair, including 78 patients aged ≥80 years and 224 aged &lt;80 years. The ≥80 group had a median age of 83 years compared with 69 years (<em>P</em> &lt; .001), with no differences in sex, body mass index, hernia, or surgery type. There were no significant differences in total hospital hours (30 vs 31, <em>P</em> = .11), postoperative events (5.4% vs 7.7%, <em>P</em> = .42), or 30-day readmissions (2.2% vs 5.1%, <em>P</em> = 24). No mortality was observed in either group. Age was not a significant factor for postoperative events on multivariable regression analysis.</div></div><div><h3>Conclusions</h3><div>Surgical outcomes did not differ significantly between patients aged ≥80 and &lt;80 years who underwent robot-assisted hiatal hernia repair. Elective robotic-assisted hiatal hernia repair is safe in carefully selected octogenarians.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 972-976"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}