POSTOPERATIVE ATRIAL FIBRILLATION - VIDEO-ASSISTED THORACOSCOPIC SURGERY VERSUS OPEN SURGERY

Authors

  • Paulo Veiga Oliveira Department of Cardiothoracic Surgery, Santa Cruz Hospital, Lisbon, Portugal
  • Daniel Cabral Department of Thoracic Surgery, Pulido Valente Hospital, Lisbon, Portugal
  • Mariana Antunes Department of Thoracic Surgery, Pulido Valente Hospital, Lisbon, Portugal
  • Carolina Torres Department of Thoracic Surgery, Pulido Valente Hospital, Lisbon, Portugal
  • Magda Alvoeiro Department of Thoracic Surgery, Pulido Valente Hospital, Lisbon, Portugal
  • Cristina Rodrigues Department of Thoracic Surgery, Pulido Valente Hospital, Lisbon, Portugal
  • Miguel Sousa-Uva Department of Cardiothoracic Surgery, Santa Cruz Hospital, Lisbon, Portugal
  • Francisco Félix Department of Thoracic Surgery, Pulido Valente Hospital, Lisbon, Portugal

DOI:

https://doi.org/10.48729/pjctvs.192

Keywords:

diffusing capacity for carbon monoxide, non-small-cell lung cancer, postoperative atrial fibrillation, standard deviation, video-assisted thoracoscopic surgery

Abstract

Objectives: Compare the incidence of Postoperative atrial fibrillation (PAF) after anatomical lung resection for Non- Small-Cell Lung Cancer (NSCLC) following open surgery versus VATS.

Methods: Single center retrospective study of all consecutive patients diagnosed with NSCLC submitted to anatomical lung resection from 2015 to 2019 (N=564). Exclusion criteria: prior atrial fibrillation, previous lung surgery, concomitant procedures, pneumectomy, non-pulmonary resections, urgency surgery. Study population of 439 patients. Primary end-point: incidence of PAF. Univariable analysis was used to compare the baseline characteristics of the 2 groups. Inverse probability of treatment weighting (IPTW) multivariable logistic regression was used including 23 clinical variables to analyze the effect of the approach. The balance was assessed by standardized mean differences.

Results: Thoracotomy was performed in 280 patients (63.8%) and 159 (36.2%) were submitted to VATS. Patients submitted to VATS were more likely to be females, had a lower prevalence of non-adenocarcinoma cancer, stage TNM IIIIV, Diabetes Mellitus, respiratory disease, and chronic heart failure. They were submitted less often to neoadjuvant therapy, bilobectomy and they presented higher levels of diffusing capacity for carbon monoxide. After IPTW adjustment, all clinical covariates were well balanced. PAF occurred in 8.6% of the patients undergoing thoracotomy and 3,8% of the patients after VATS. After IPTW adjustment, VATS was not associated with a lower incidence of PAF (OR 0.40; CI95%:0.140-1.171; p=0.095).

Conclusion: In this study, minimally invasive non–rib spreading VATS did not decrease the incidence of PAF when compared with standard thoracotomy regarding anatomical lung resection for NSCLC.

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References

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Published

07-11-2021

How to Cite

1.
Veiga Oliveira P, Cabral D, Antunes M, Torres C, Alvoeiro M, Rodrigues C, Sousa-Uva M, Félix F. POSTOPERATIVE ATRIAL FIBRILLATION - VIDEO-ASSISTED THORACOSCOPIC SURGERY VERSUS OPEN SURGERY. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 Nov. 7 [cited 2024 May 21];28(3):33-7. Available from: https://pjctvs.com/index.php/journal/article/view/192

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