Table 2.
Surgical complications for older patients treated with video-assisted thoracoscopic surgery versus open lobectomy
| Complication | Open Lobectomy |
VATS Lobectomy |
Adjusted for Propensity Scores* |
Adjusted for Propensity Scores and Surgeon Volume† |
Adjusted for Propensity Scores, Surgeon Volume‡ and Specialization§ |
|---|---|---|---|---|---|
| n (%) | n (%) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Respiratory | 2,675 (32) | 325 (27) | 0.91 (0.81–1.02) | 0.91 (0.81–1.02) | 0.90 (0.80–1.02) |
| Cardiovascular|| | 180 (2) | 31 (3) | 0.68 (0.51–0.90) | 0.67 (0.49–0.89) | 0.65 (0.47–0.90) |
| Thromboembolic|| | 349 (4) | 49 (4) | 0.60 (0.48–0.75) | 0.59 (0.47–0.73) | 0.47 (0.38–0.58) |
| Transfusion|| | 583 (7) | 63 (5) | 0.57 (0.47–0.70) | 0.59 (0.72–0.48) | 0.62 (0.49–0.77) |
| Extrapulmonary infection|| | 547 (7) | 52 (4) | 0.71 (0.59–0.85) | 0.71 (0.56–0.85) | 0.75 (0.61–0.94) |
| Extended length of stay|| | 1,307 (16) | 90 (8) | 0.49 (0.41–0.58) | 0.49 (0.41–0.58) | 0.47 (0.40–0.56) |
| 30-d readmission | 176 (2) | 26 (2) | 1.14 (0.88–1.47) | 1.14 (0.87–1.50) | 1.28 (0.94–1.76) |
| 30-d reoperation | 119 (2) | 13 (1) | 0.69 (0.40–1.21) | 0.70 (0.40–1.23) | 0.74 (0.40–1.37) |
| Perioperative mortality|| | 302 (4) | 20 (2) | 0.30 (0.22–0.40) | 0.31(0.23–0.41) | 0.33 (0.23–0.48) |
Definition of abbreviations: CI = confidence interval; OR = odds ratio for complications for patients treated with video-assisted thoracoscopic surgery versus open lobectomy; VATS = video-assisted thoracoscopic surgery.
*
OR for complications for patients treated with VATS versus open lobectomy.
†
Adjusted for patient propensity scores and clustering among surgeons.
‡
Adjusted for surgeon volume in the year of the patient’s surgery.
§
Adjusted for surgeon specialization, age, sex, and volume in the year of the patient’s surgery.
||
Statistically significant difference between patients treated with VATS and lobectomy.