Document Type
Article
Publication Date
3-20-2024
Abstract
Background: Within the field of robotic thoracic surgery, the association between facility surgical volume, conversion rates, and patient outcomes across multiple procedures has not been explored. This study aims to examine the potential association between robotic lung cancer resection surgical volume and conversion rates for robotic-assisted minimally invasive esophagectomy (RAMIE). Methods: A retrospective analysis of the National Cancer Database, between the years 2010–2018 was conducted. Facility-years were categorized into one of four groups based on a combination of robotic lung cancer resection surgical volume and RAMIE volumes. Cutoffs were based on previously identified surgical volume thresholds. Results: A total of 16,178 patients received robotic lung cancer resections within the included facility-years. The median age was 68 years [interquartile range (IQR): 62–74 years]. A total of 2,153 patients received RAMIEs within the included facility-years. The median age was 65 years (IQR, 58–71 years). RAMIE conversion rate was highest at facilities with high RAMIE and low robotic lung cancer resection volumes and lowest at facilities with high lung cancer resection and RAMIE volume [18 (9.0%) vs. 10 (1.8%); P<0.001]. Higher 30-& 90-day mortality rates were seen among patients who required conversion during robotic lung cancer resection (30-day: 5.8% vs. 1.1%, P<0.001; 90-day: 9.1% vs. 2.1%, P<0.001). Conclusions: Conversion from robotic to open esophagectomy occurs more frequently at centers performing a low volume of robotic lung resections. This finding may imply that robotic operative experience might be transferable between procedures.
Recommended Citation
Collins, Micaela L.; Whitehorn, Gregory L.; Mack, Shale J.; Till, Brian M.; Rshaidat, Hamza; Grenda, Tyler; Evans III, Nathaniel R.; Chojnacki, Karen A.; and Okusanya, Olugbenga T., "The Association Between Robotic Lung Cancer Resection and Esophagectomy Outcomes: A Facility-Level Analysis" (2024). Department of Neurosurgery Faculty Papers. Paper 233.
https://jdc.jefferson.edu/neurosurgeryfp/233
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Language
English
Included in
Health Services Research Commons, Surgery Commons, Surgical Procedures, Operative Commons
Comments
This article is the author's final published version in Video-Assisted Thoracic Surgery, Volume 9, March 2024, Article number 3.
The published version is available at https://doi.org/10.21037/vats-23-47.
Copyright © Video-Assisted Thoracic Surgery. All rights reserved.