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D. Pinto



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    P1.08 - Poster Session with Presenters Present (ID 460)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Surgery
    • Presentations: 1
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      P1.08-058 - VATS Lung Resection Analysis from Brazilian Society of Thoracic Surgery Database (ID 6252)

      14:30 - 14:30  |  Author(s): D. Pinto

      • Abstract

      Background:
      Lung cancer is the leading cause of cancer related death worldwide when considering both genders. The optimal treatment is complete surgical resection. The objective of this study was to analyze VATS anatomic lung resections in Brazil.

      Methods:
      The Brazilian Society of Thoracic Surgery (BSTS) uses a customized version of the ESTS platform as its national database (BSTS Database). From August to December 2015, 1367 patients were registered. In the current analysis, we included only patients who underwent lung cancer anatomic lung resections by VATS; wedge resections and unspecified cases were excluded.

      Results:
      Out of the 902 anatomical lung resections registered, 516 were lung cancer and VATS performed in 389. Patient’s mean age was 62.5 years, 57.7% were women. PFT were available in 239 with FEV1 81.7% and CFV 88%. ASA score (n=352) was 1 in 19.3%, 2 in 49.7%, 3 in 27.3%, 4 in 3.4% and 5 in 0.3%. The resections performed were lobectomy in 303 cases (77.9%), pneumonectomy in 9 (2.3%), bilobectomy in 5(1.3%) and segmentectomy in 72 (18.5%). Morbidity rate was 21.8% and it varied according to the procedure performed. Overall mortality rate was 1.6% (6). Pathological staging was In situ in 1.3%, IA 55.6%, IB 20.1%, IIA 11.7%, IIB 1.7%, IIIA 9.6% and no IV.

      Conclusion:
      Slightly female predominance and majority of early stage IA and IB lung cancer were found. Our BSTS Database has comparable complications and mortality rates to international series.