Publications by authors named "Halim Abou Hanna"
Article Synopsis
- The Lungsco01 study is the first to evaluate the effectiveness and economic impact of video-thoracoscopy compared to open thoracotomy for treating non-small cell lung cancer in France, involving 259 patients from 10 medical centers over a four-year period.
- Results indicated that the average costs for open thoracotomy were lower than for video-thoracoscopy at both 30 days and 3 months post-surgery, with video-thoracoscopy showing a higher incremental cost-utility ratio per additional quality-adjusted life-year (QALY) gained.
- The analysis revealed a 64% probability that video-thoracoscopy was cost-effective at the 30-day mark
Objective: The number of octogenarians who present with localized lung cancer eligible for surgical resection is increasing. Video-assisted thoracic surgery lobectomy has been widely accepted, but the potential benefit in octogenarians is not well established, especially for postoperative mortality. This study aimed to assess the impact of a video-assisted thoracic surgery approach on postoperative mortality after lobectomy for lung cancer in octogenarians.
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- Surgery is the primary treatment for localized lung cancer, but patients over 80 are often not offered surgery due to higher in-hospital mortality risks.
- A study analyzing data from over 97,000 lung cancer surgeries found that in-hospital mortality was significantly higher for patients aged 80 and older (7.77%) compared to younger patients (3.54%), but age alone was not the strongest predictor of mortality.
- Other factors like previous lung or liver disease and the type of surgical procedure had more influence on in-hospital mortality rates, suggesting that elderly patients without severe comorbidities could still benefit from surgery.
Introduction: In the last decade, video-assisted thoracoscopic surgery (VATS) lobectomy for non-small cell lung cancer (NSCLC) has had a major effect on thoracic surgery. Retrospective series have reported benefits of VATS when compared with open thoracotomy in terms of postoperative pain, postoperative complications and length of hospital stay. However, no large randomised control trial has been conducted to assess the reality of the potential benefits of VATS lobectomy or its medicoeconomic impact.
View Article and Find Full Text PDFObjectives: To investigate whether prophylactic postoperative NIV prevents respiratory complications following lung resection surgery in COPD patients.
Methods: In seven thoracic surgery departments, 360 COPD patients undergoing lung resection surgery were randomly assigned to two groups: conventional postoperative treatment without (n = 179) or with (n = 181) prophylactic NIV, applied intermittently during 6 h per day for 48 h following surgery. The primary endpoint was the rate of acute respiratory events (ARE) at 30 days postoperatively (ITT analysis).
Background: We performed a systematic and meta-analysis of randomized controlled trials comparing a surgical sealant with buttressed staple lines using standard methods. The aim of our meta-analysis was to determine the effectiveness and safety of different techniques to reduce the proportion of patients with prolonged air leakage after pulmonary resection.
Methods: We searched the Medline, Embase, Science Direct, Food and Drug Administration, Cochrane controlled trials register, and clinical trial databases for publications between January 1995 and May 2009 that included terms related to prolonged air leak after lung resection.