Publications by authors named "Leslie Madelaine"
Robotic-assisted thoracic surgery training in France: a nation-wide survey from young surgeons.
Interdiscip Cardiovasc Thorac Surg
July 2024
Article Synopsis
- A study was conducted to assess the training of thoracic surgeons-in-training in robotic-assisted thoracic surgery (RATS) across France, gathering responses from 101 participants.
- Over half of the trainees had access to robotic systems, with a significant number considering robotic training essential, though only a small percentage had performed a complete procedure independently.
- The findings suggest that training opportunities vary by institution, with higher exposure and performance among fellows at high-volume centers, highlighting the need for increased access and simulation training to improve skills in RATS.
Article Synopsis
- This study compared postoperative outcomes for lung cancer surgeries performed via open thoracotomy (OT), video-assisted (VATS), and robotic-assisted (RA) methods, using a large patient dataset from 2010 to 2020.
- VATS showed lower in-hospital mortality and major complications compared to OT, while both VATS and RA reduced occurrences of pneumonia and atelectasis compared to OT.
- Overall, both VATS and RA led to shorter hospital stays and improved outcomes compared to OT, with VATS showing the best results in reducing mortality.
Article Synopsis
- Anatomical segmentectomy offers a potential alternative to lobectomy for early-stage lung cancer, particularly for patients at higher risk.
- A study using data from the French National Epithor database compared the morbidity and mortality of both procedures, finding segmentectomies resulted in significantly fewer postoperative complications.
- While segmentectomies lowered the risk of issues like atelectasis and pneumonia, there was no significant difference in 30, 60, or 90-day mortality rates compared to lobectomies.
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.