Original Article
Agreement Between Type of Lung Resection Planned and Resection Subsequently Performed on Lung Cancer Patients
G. Varela
, M.F. Jiménez, N. Novoa, J.L. Aranda
Corresponding author
gvs@usal.es
Correspondence: Dr. G. Varela. Sección de Cirugía Torácica. Hospital Universitario. P.° San Vicente, 58. 37007 Salamanca. España
Correspondence: Dr. G. Varela. Sección de Cirugía Torácica. Hospital Universitario. P.° San Vicente, 58. 37007 Salamanca. España
Sección de Cirugía Torácica, Hospital Universitario de Salamanca, Salamanca, Spain
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"apellidos" => "Callol Sáncheza" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906604011?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000002/v1_201305150204/S1579212906604011/v1_201305150204/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Agreement Between Type of Lung Resection Planned and Resection Subsequently Performed on Lung Cancer Patients" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "84" "paginaFinal" => "87" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "G. Varela, M.F. Jiménez, N. Novoa, J.L. Aranda" "autores" => array:4 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "G." "apellidos" => "Varela" "email" => array:1 [ 0 => "gvs@usal.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "M.F." "apellidos" => "Jiménez" ] 2 => array:2 [ "nombre" => "N." "apellidos" => "Novoa" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Aranda" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Cirugía Torácica, Hospital Universitario de Salamanca, Salamanca, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. G. Varela. Sección de Cirugía Torácica. Hospital Universitario. P.° San Vicente, 58. 37007 Salamanca. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-02-02" "fechaAceptado" => "2004-04-06" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153927" "palabras" => array:3 [ 0 => "Non-small cell lung cancer" 1 => "Lung resection" 2 => "Risk prediction" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153928" "palabras" => array:3 [ 0 => "Carcinoma bronquial no microcítico" 1 => "Resección pulmonar" 2 => "Predicción del riesgo quirúrgico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO assess agreement between planned lung resections and the type subsequently performed on a series of patients, to assess whether tumor location (central or peripheral) affected the degree of discrepancy, and, in the case of unscheduled pneumonectomies, to examine why the planned resection had to be extended.</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">Prospective, observational clinical study of 199 patients scheduled for lung cancer surgery. Tumors were preoperatively classified as central or peripheral, and the type of operation planned—lobectomy (or bilobectomy) or pneumonectomy—was compared with the operation finally performed. Rates of agreement and Wilks' lambda statistic were calculated.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Twenty unscheduled pneumonectomies were performed. Agreement between planned and performed operations was found in 86.9% of cases (76.9% in central tumors and 95.4% in peripheral tumors). Wilks' lambda statistic was 0.38 (0.42 for central tumors and 0.17 for peripheral tumors). Seven unscheduled pneumonectomies were performed due to hilar node involvement.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The resections performed differed from the resections initially planned in 13% of the bronchial carcinoma operations, in most cases because the planned lobectomy had to be converted to pneumonectomy, a situation which occurred more often with central tumors and was more often due to direct invasion of anatomic structures rather than hilar spread.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Cuantificar la concordancia entre la cirugía de resección planeada y la efectuada en una serie de pacientes, evaluar si la localización del tumor (central o periférico) in-fluye en el grado de discrepancia encontrado y valorar, en los casos de neumonectomías no programadas, la causa que obligó a ampliar la resección prevista.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio clínico prospectivo observacional en 199 pacientes programados para intervención quirúrgica por cáncer de pulmón. Se clasificaron los tumores preopera-toriamente como centrales o periféricos, y el tipo de intervención programada -lobectomía (o bilobectomía) o neumo-nectomía- se comparó con la efectuada. Se han calculado las tasas de concordancia y el estadístico lambda.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se practicaron 20 neumonectomías no programadas. Se encontró concordancia entre lo programado y lo efectuado en el 86,9% de los casos (un 76,9% en tumores centrales y un 95,4% en periféricos). El valor del estadístico lambda es de 0,38 (0,42 en tumores centrales y 0,17 en periféricos). En 7 ocasiones la neumonectomía no programada se debió a afectación ganglionar hiliar.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En el 13% de los pacientes sometidos a cirugía por carcinoma bronquial, la resección efectuada no coincide con la que se había programado inicialmente, la mayor parte de las veces debido a la necesidad de efectuar una neumonectomía cuando se había previsto una lobectomía. Este hecho es más frecuente en los tumores centrales y es debido con más frecuencia a invasión directa de las es-tructuras ana tó micas que a extensión ganglionar hiliar.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Applicability of logistic regression (LR) risk modelling to decision making in lung cancer resection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G Varela" 1 => "N Novoa" 2 => "MF Jiménez" 3 => "G Santos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Interactive Cardiovasc Thorac Surg." 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| 2024 April | 17 | 20 | 37 |
| 2024 March | 18 | 13 | 31 |
| 2024 February | 23 | 20 | 43 |
| 2023 October | 0 | 1 | 1 |
| 2023 March | 1 | 3 | 4 |
| 2023 February | 16 | 21 | 37 |
| 2023 January | 16 | 38 | 54 |
| 2022 December | 18 | 30 | 48 |
| 2022 November | 25 | 31 | 56 |
| 2022 October | 19 | 31 | 50 |
| 2022 September | 17 | 23 | 40 |
| 2022 August | 25 | 33 | 58 |
| 2022 July | 21 | 39 | 60 |
| 2022 June | 16 | 27 | 43 |
| 2022 May | 21 | 26 | 47 |
| 2022 April | 23 | 34 | 57 |
| 2022 March | 22 | 39 | 61 |
| 2022 February | 19 | 26 | 45 |
| 2022 January | 21 | 30 | 51 |
| 2021 December | 18 | 31 | 49 |
| 2021 November | 17 | 37 | 54 |
| 2021 October | 19 | 31 | 50 |
| 2021 September | 21 | 42 | 63 |
| 2021 August | 15 | 28 | 43 |
| 2021 July | 18 | 31 | 49 |
| 2021 June | 17 | 38 | 55 |
| 2021 May | 12 | 23 | 35 |
| 2021 April | 23 | 37 | 60 |
| 2021 March | 18 | 29 | 47 |
| 2021 February | 11 | 14 | 25 |
| 2021 January | 6 | 7 | 13 |
| 2020 December | 6 | 17 | 23 |
| 2020 November | 5 | 14 | 19 |
| 2020 October | 24 | 8 | 32 |
| 2020 September | 4 | 2 | 6 |
| 2020 August | 8 | 10 | 18 |
| 2020 July | 6 | 15 | 21 |
| 2020 June | 7 | 5 | 12 |
| 2020 May | 30 | 15 | 45 |
| 2020 April | 25 | 10 | 35 |
| 2020 March | 18 | 11 | 29 |
| 2020 February | 24 | 18 | 42 |
| 2020 January | 24 | 12 | 36 |
| 2019 December | 19 | 15 | 34 |
| 2019 November | 15 | 13 | 28 |
| 2019 October | 22 | 5 | 27 |
| 2019 September | 12 | 11 | 23 |
| 2019 August | 13 | 5 | 18 |
| 2019 July | 7 | 19 | 26 |
| 2019 June | 7 | 10 | 17 |
| 2019 May | 16 | 26 | 42 |
| 2019 April | 15 | 33 | 48 |
| 2019 March | 14 | 20 | 34 |
| 2019 February | 12 | 12 | 24 |
| 2019 January | 13 | 9 | 22 |
| 2018 December | 13 | 16 | 29 |
| 2018 November | 17 | 5 | 22 |
| 2018 October | 17 | 19 | 36 |
| 2018 September | 7 | 13 | 20 |
| 2018 May | 1 | 0 | 1 |
| 2018 April | 6 | 9 | 15 |
| 2018 March | 5 | 4 | 9 |
| 2018 February | 4 | 5 | 9 |
| 2018 January | 5 | 10 | 15 |
| 2017 December | 8 | 11 | 19 |
| 2017 November | 1 | 2 | 3 |
| 2017 October | 5 | 11 | 16 |
| 2017 September | 4 | 10 | 14 |
| 2017 August | 7 | 10 | 17 |
| 2017 July | 2 | 3 | 5 |
| 2017 June | 5 | 7 | 12 |
| 2017 May | 7 | 8 | 15 |
| 2017 April | 2 | 1 | 3 |
| 2017 March | 4 | 11 | 15 |
| 2017 January | 2 | 2 | 4 |
| 2016 December | 5 | 10 | 15 |
| 2016 November | 9 | 5 | 14 |
| 2016 October | 13 | 12 | 25 |
| 2016 September | 13 | 15 | 28 |
| 2016 August | 6 | 4 | 10 |
| 2016 July | 2 | 5 | 7 |
| 2016 March | 3 | 0 | 3 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 27 | 1 | 28 |
| 2015 September | 24 | 12 | 36 |
| 2015 August | 24 | 13 | 37 |
| 2015 July | 20 | 8 | 28 |
| 2015 June | 26 | 12 | 38 |
| 2015 May | 32 | 14 | 46 |
| 2015 April | 25 | 10 | 35 |
| 2015 March | 21 | 5 | 26 |
| 2015 February | 21 | 2 | 23 |
| 2015 January | 13 | 9 | 22 |
| 2014 December | 15 | 3 | 18 |
| 2014 November | 20 | 5 | 25 |
| 2014 October | 23 | 5 | 28 |
| 2014 September | 13 | 7 | 20 |
| 2014 August | 21 | 10 | 31 |
| 2014 July | 10 | 11 | 21 |
| 2014 June | 38 | 7 | 45 |
| 2014 May | 36 | 7 | 43 |
| 2014 April | 40 | 4 | 44 |
| 2014 March | 33 | 9 | 42 |
| 2014 February | 41 | 7 | 48 |
| 2014 January | 28 | 11 | 39 |
| 2013 December | 36 | 8 | 44 |
| 2013 November | 19 | 4 | 23 |
| 2013 October | 22 | 5 | 27 |
| 2013 September | 23 | 10 | 33 |
| 2013 August | 40 | 10 | 50 |
| 2013 July | 36 | 11 | 47 |
| 2013 June | 24 | 6 | 30 |
| 2013 May | 21 | 8 | 29 |
| 2013 April | 23 | 6 | 29 |
| 2013 March | 4 | 1 | 5 |
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