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Rui Haddad
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P02 - Diagnostics and Interventional Pulmonology (ID 110)
- Event: WCLC 2020
- Type: Posters
- Track: Diagnostics and Interventional Pulmonology
- Presentations: 1
- Moderators:
- Coordinates: 1/28/2021, 00:00 - 00:00, ePoster Hall
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P02.23 - Robotic Thoracic Surgery - A Comparison of Age-Groups Outcomes. (ID 3484)
00:00 - 00:00 | Presenting Author(s): Rui Haddad
- Abstract
Introduction
To compare the duration of the surgery, admission, ICU, and chest tube days and outcomes: morbidity, mortality, and readmissions of 457 robotic thoracic procedures according to age groups.
Methods
Retrospective analysis of a prospective database of two groups of surgeons (São Paulo and Rio de Janeiro - Brazil). operated on between Feb 2015 - Dec 2019. Patients were divided into five age-groups. Group 1 - less than 50 years old (YO), Group 2 - 50-59 YO, Group 3 - 60-69 YO, Group 4 - 70-79 YO, and Group 5 - 80 YO or more. The variables cited in Introduction were studied on each age group and statistical analysis was done among those variables according to such groups.
Results
457 consecutive patients were included in this study. 251 (55%) were females. The distribution of the patients in age groups were: Group 1 - 85 patients (pts), Group 2 - 83 pts, Group 3 - 143 pts, Group 4 - 115 pts, and Group 5 - 31 pts. We did lobectomies in 268 pts, anatomic segmentectomies in 77 cases (malignant cases we did the addition of lymphadenectomy), mediastinal diaphragmatic, and pleural surgeries in 88 cases and wedge resections in 24 patients. The general mean duration of the surgery was similar in groups 1 and 2 (mean of 148 and 164 minutes) and bigger in groups 3, 4, and 5 (196, 194, and 231 minutes) - p<0.001. Admission time was similar in groups 1, 2 and 3 (3.36, 4.13 and 4 days) and bigger in groups 4 and 5 (5.72 and 6.51 days) - p<0.001. The same was seen about ICU days, similar time in groups 1, 2 and 3 (0.46, 0.31 and 0.61 days - several patients did not go to ICU) and bigger time in Groups 4 and 5 (mean of 1.20 and 1.77 days) - p< 0.001. Time of chest tube was the same in groups 1, 2 and 3 (mean of 1.87, 2.30 and 2.60 days) and bigger in groups 4 and 5 (mean of 3.73 and 4.21 days) - p< 0.001. Minor complications occurred in 10.67% in group 1, 1.29% in group 2, 16.91% in group 3, 32.38% in group 4 and 46.43% in group 5 - p<0.001 among all the five groups. Perioperative mortality was 0 in groups 1, 2, and 3, 1 case in group 4 (0.87%), and 1 case in group 5 (3.23%) - p 0.1115. The readmission rate was 1.71% in group 1, 6.02% in group 2, 4.20% in group 3, 13.04% in group 4 and 6.65% in group 5 - p=0.2271. The late mortality was of 1, 1, 1, 2 and 0 in groups 1 to 5 - p= 0.6815.
Conclusion
Robotic thoracic surgery is safe in all age-groups, has an increased surgical time, admission time, ICU stay and chest tube duration only in groups 4 and 5, and an important increased rate of minor complications in the same groups, explaining the bigger admission and ICU time. However, it occurred without any repercussions on perioperative or late mortality.
