Video-assisted thoracoscopic surgery versus open thoracotomy for resection of lung metastasis-A meta-analysis of reconstructed time-to-event data.
lung metastasectomy
lung metastases
open thoracotomy
video‐assisted thoracoscopic surgery
Journal
Thoracic cancer
ISSN: 1759-7714
Titre abrégé: Thorac Cancer
Pays: Singapore
ID NLM: 101531441
Informations de publication
Date de publication:
17 Oct 2024
17 Oct 2024
Historique:
revised:
27
09
2024
received:
16
08
2024
accepted:
07
10
2024
medline:
18
10
2024
pubmed:
18
10
2024
entrez:
18
10
2024
Statut:
aheadofprint
Résumé
This study aimed to conduct a systematic review and meta-analysis comparing video-assisted thoracoscopic surgery (VATS) and open thoracotomy (OT) in the context of pulmonary metastasectomy. Three databases were assessed. The primary outcome was overall survival. The secondary outcomes were recurrence-free survival, ipsilateral recurrence, and hospital length of stay (LOS). Hazard ratios (HRs), odds ratios (ORs), and mean difference (MD) with 95% confidence intervals (CIs) were calculated. Reconstruction of time-to-event data and sensitivity analyses were performed for the primary endpoint. After screening, 11 studies were included encompassing 2159 patients undergoing lung metastasectomy (VATS: 827; OT: 1332). Compared to OT, patients who underwent VATS had higher overall survival rates (HR 0.75; 95% CI 0.67-0.85; p < 0.01), no significant difference in recurrence-free survival (HR 1.07; 95% CI 0.88-1.29; p = 0.48), shorter hospital LOS (MD -1.99 days; 95% CI -2.59 to -1.39; p < 0.01), and no significant difference in ipsilateral recurrence rates (OR 0.86; 95% CI 0.52-1.42; p = 0.56). For patients undergoing pulmonary metastasectomy, VATS strategy is associated with higher survival rates and reduced hospital LOS when compared with OT. Moreover, metastasis recurrence does not seem to be associated with long-term mortality in this population.
Identifiants
pubmed: 39420460
doi: 10.1111/1759-7714.15473
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Deutsche Forschungsgemeinschaft
ID : 413668513
Organisme : Deutsche Herzstiftung
ID : S/03/23
Informations de copyright
© 2024 The Author(s). Thoracic Cancer published by John Wiley & Sons Australia, Ltd.
Références
Gossot D, Radu C, Girard P, Le Cesne A, Bonvalot S, Boudaya MS, et al. Resection of pulmonary metastases from sarcoma: can some patients benefit from a less invasive approach? Ann Thorac Surg. 2009;87(1):238–243.
Hou Z, Zhang H, Gui L, Wang W, Zhao S. Video‐assisted thoracoscopic surgery versus open resection of lung metastases from colorectal cancer. Int J Clin Exp Med. 2015;8(8):13571–13577.
Su X, Ma G, Zhang X, Long H, Rong TH. Surgical approach and outcomes for treatment of pulmonary metastases. Ann Thorac Med. 2013;8(3):160–164.
Meng D, Fu L, Wang L, Dai Y, Lv W, Zhang J, et al. Video‐assisted thoracoscopic surgery versus open thoracotomy in pulmonary metastasectomy: a meta‐analysis of observational studies. Interact Cardiovasc Thorac Surg. 2016;22(2):200–206.
Liu YW, Chou A, Chou SH. Experience of simultaneous bilateral open surgery and VATS for pulmonary metastasectomy. Thorac Cardiovasc Surg. 2023;71(2):121–129.
Markowiak T, Dakkak B, Loch E, Großer C, Klinkhammer‐Schalke M, Hofmann HS, et al. Video‐assisted pulmonary metastectomy is equivalent to thoracotomy regarding resection status and survival. J Cardiothorac Surg. 2021;16(1):84.
Mutsaerts ELAR, Zoetmulder FAN, Meijer S, Baas P, Hart AAM, Rutgers EJT. Long term survival of thoracoscopic metastasectomy vs metastasectomy by thoracotomy in patients with a solitary pulmonary lesion. Eur J Surg Oncol. 2002;28(8):864–868.
Nakas A, Klimatsidas MN, Entwisle J, Martin‐Ucar AE, Waller DA. Video‐assisted versus open pulmonary metastasectomy: the surgeon's finger or the radiologist's eye? Eur J Cardiothorac Surg. 2009;36(3):469–474.
Dong S, Zhang L, Li W, Du J, Liu X, Chen X. Evaluation of video‐assisted thoracoscopic surgery for pulmonary metastases: a meta‐analysis. PLoS One. 2014;9(1):e85329.
Carballo M, Maish MS, Jaroszewski DE, Holmes CE. Video‐assisted thoracic surgery (VATS) as a safe alternative for the resection of pulmonary metastases: a retrospective cohort study. J Cardiothorac Surg. 2009;4:13.
Prenafeta Claramunt N, Hwang D, de Perrot M, Yasufuku K, Darling G, Pierre A, et al. Incidence of ipsilateral side recurrence after open or video‐assisted thoracic surgery resection of colorectal lung metastases. Ann Thorac Surg. 2020;109(5):1591–1597.
Chao YK, Chang HC, Wu YC, Liu Y‐H, Hsieh MJ, Chiang JM, et al. Management of lung metastases from colorectal cancer: video‐assisted thoracoscopic surgery versus thoracotomy—a case‐matched study. Thorac Cardiovasc Surg. 2012;60(6):398–404.
Han KN, Kang CH, Park IK, Kim YT. Thoracoscopic resection of solitary lung metastases evaluated by using thin‐section chest computed tomography: is thoracoscopic surgery still a valid option? Gen Thorac Cardiovasc Surg. 2013;61(10):565–570.
McKenna RJJ, Houck W, Fuller CB. Video‐assisted thoracic surgery lobectomy: experience with 1100 cases. Ann Thorac Surg. 2006;81(2):421–425. discussion 425‐426.
Murakawa T, Sato H, Okumura S, Nakajima J, Horio H, Ozeki Y, et al. Thoracoscopic surgery versus open surgery for lung metastases of colorectal cancer: a multi‐institutional retrospective analysis using propensity score adjustment†. Eur J Cardiothorac Surg. 2017;51(6):1157–1163.
Cerfolio RJ, Bryant AS, McCarty TP, Minnich DJ. A prospective study to determine the incidence of non‐imaged malignant pulmonary nodules in patients who undergo metastasectomy by thoracotomy with lung palpation. Ann Thorac Surg. 2011;91(6):1696–1700. discussion 1700‐1701.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10(1):89.
Wells G. The Newcastle‐Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta‐analysis. Available at: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp.2004
Higgins JPT. Measuring inconsistency in meta‐analyses. BMJ. 2003;327(7414):557–560.
DerSimonian R, Laird N. Meta‐analysis in clinical trials. Control Clin Trials. 1986;7(3):177–188.
Higgins JPT, Thomas J, Chandler J, et al. Cochrane handbook for systematic reviews of interventions version 6.3 (updated February 2022). Cochrane. 2022; Available from http://www.training.cochrane.org/handbook
Wei Y, Royston P. Reconstructing time‐to‐event data from published Kaplan‐Meier curves. Stata J. 2017;17(4):786–802.
Goel M, Khanna P, Kishore J. Understanding survival analysis: Kaplan‐Meier estimate. Int J Ayurveda Res. 2010;1(4):274.
Chen YR, Yeow KM, Lee JY, Su IH, Chu SY, Lee CH, et al. CT‐guided hook wire localization of subpleural lung lesions for video‐assisted thoracoscopic surgery (VATS). J Formos Med Assoc. 2007;106(11):911–918.
Eckardt J, Licht PB. Thoracoscopic or open surgery for pulmonary metastasectomy: an observer blinded study. Ann Thorac Surg. 2014;98(2):466–469. discussion 469‐470.
Lipińska J, Wawrzycki M, Jabłoński S. Comparison of costs of hospitalization of patients with primary lung cancer after lobectomy with access through classic thoracotomy and VATS in the conditions of financing based on diagnosis‐related groups. J Thorac Dis. 2019;11(8):3490–3495.