2020
Robotic Thoracic Surgery
Schwartz G, Sancheti M, Blasberg J. Robotic Thoracic Surgery. Surgical Clinics Of North America 2020, 100: 237-248. PMID: 32169178, DOI: 10.1016/j.suc.2019.12.001.Peer-Reviewed Original ResearchMeSH KeywordsEsophagectomyHumansMediastinal DiseasesMinimally Invasive Surgical ProceduresPneumonectomyRobotic Surgical ProceduresThoracic Surgery, Video-AssistedThoracic Surgical ProceduresConceptsThoracic surgical interventionRobotic thoracic surgeryLung resectionMediastinal tumorMajor anatomic structuresSurgical managementSurgical interventionThoracic incisionMeticulous dissectionThoracic surgeryImproved outcomesPathologic conditionsRobotic approachAnatomic regionsInvasive surgeryBenefits translateAnatomic structuresSurgeryDissectionOutcomesMorbidityResectionPatientsTumorsChest
2018
Robotic-Assisted Lobectomies in the National Cancer Database
Arnold BN, Thomas DC, Narayan R, Blasberg JD, Detterbeck FC, Boffa DJ, Kim AW. Robotic-Assisted Lobectomies in the National Cancer Database. Journal Of The American College Of Surgeons 2018, 226: 1052-1062.e15. PMID: 29574177, DOI: 10.1016/j.jamcollsurg.2018.03.023.Peer-Reviewed Original ResearchMeSH KeywordsAgedDatabases, FactualFemaleHumansLung NeoplasmsMaleMiddle AgedPneumonectomyPropensity ScoreRobotic Surgical ProceduresThoracic Surgery, Video-AssistedTreatment OutcomeUnited StatesConceptsNational Cancer DatabaseRobotic lobectomyLung cancerCancer DatabaseOutcomes of patientsPropensity-matched analysisThoracoscopic surgery lobectomyExperienced hospitalsOverall conversion ratePerioperative morbidityPrimary outcomePatient selectionAttendant sequelaeOpen procedureLobectomyAssisted LobectomyHigh mortalityHospitalPatientsMortalityIndividual hospitalsRate of conversionSignificant differencesYears of experienceOutcomes
2017
Validating the Thoracic Revised Cardiac Risk Index Following Lung Resection
Thomas DC, Blasberg JD, Arnold BN, Rosen JE, Salazar MC, Detterbeck FC, Boffa DJ, Kim AW. Validating the Thoracic Revised Cardiac Risk Index Following Lung Resection. The Annals Of Thoracic Surgery 2017, 104: 389-394. PMID: 28499655, DOI: 10.1016/j.athoracsur.2017.02.006.Peer-Reviewed Original ResearchConceptsAdditional cardiac evaluationIschemic heart diseaseLarger multi-institutional datasetsCardiac complicationsLung resectionRenal comorbiditiesCardiac evaluationCerebrovascular diseaseHeart diseaseRisk factorsMulti-institutional datasetSurgeons National Surgical Quality Improvement Program datasetNational Surgical Quality Improvement Program datasetCardiac complication ratesMajor cardiac complicationsPreoperative risk factorsUnderwent pneumonectomyCardiac indexComplication ratePrimary outcomeRisk classesMalignant diseaseOpen procedureAmerican CollegeHigh riskAnesthesia for nonintubated video-assisted thoracic surgery
Sunaga H, Blasberg JD, Heerdt PM. Anesthesia for nonintubated video-assisted thoracic surgery. Current Opinion In Anaesthesiology 2017, 30: 1-6. PMID: 27906718, DOI: 10.1097/aco.0000000000000413.Peer-Reviewed Original ResearchAnesthesiaHumansIntubation, IntratrachealPatient SelectionPostoperative Nausea and VomitingThoracic Surgery, Video-Assisted
2016
Hospital Volume and Outcomes of Robot-Assisted Lobectomies
Tchouta LN, Park HS, Boffa DJ, Blasberg JD, Detterbeck FC, Kim AW. Hospital Volume and Outcomes of Robot-Assisted Lobectomies. CHEST Journal 2016, 151: 329-339. PMID: 27687847, DOI: 10.1016/j.chest.2016.09.008.Peer-Reviewed Original ResearchMeSH KeywordsAgedCase-Control StudiesCohort StudiesDatabases, FactualFemaleHospital MortalityHospitals, High-VolumeHospitals, Low-VolumeHumansLength of StayLinear ModelsLogistic ModelsLungLung NeoplasmsMaleMiddle AgedMultivariate AnalysisPneumonectomyPostoperative ComplicationsRetrospective StudiesRobotic Surgical ProceduresThoracic Surgery, Video-AssistedTreatment OutcomeConceptsLength of stayLow-volume centersHospital volumeClinical impactHealth care system-related factorsShorter mean LOSUtilization Project National Inpatient Sample databaseVolume/outcome relationshipLong-term clinical impactMean LOSNational Inpatient Sample databaseShorter LOSVideo-assisted thoracoscopic surgeryHospital operative volumeHigh-volume hospitalsIncidence of complicationsHigher hospital volumeThoracoscopic surgery lobectomyAnnual case volumeSystem-related factorsOutcomes of interestLOS outcomesInfectious complicationsInpatient mortalityIndependent predictorsVideo-Assisted Thoracoscopic Lobectomy for Lung Cancer: Current Practice Patterns and Predictors of Adoption
Blasberg JD, Seder CW, Leverson G, Shan Y, Maloney JD, Macke RA. Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: Current Practice Patterns and Predictors of Adoption. The Annals Of Thoracic Surgery 2016, 102: 1854-1862. PMID: 27592603, DOI: 10.1016/j.athoracsur.2016.06.030.Peer-Reviewed Original ResearchMeSH KeywordsAgedDatabases, FactualFemaleHumansLung NeoplasmsMaleMiddle AgedMultivariate AnalysisPneumonectomyPractice Patterns, Physicians'Propensity ScoreThoracic Surgery, Video-AssistedUnited StatesConceptsPrimary lung cancerLung cancerIndependent predictorsSurgeon volumeVATS lobectomyPractice patternsThoracic surgeonsVideo-assisted thoracoscopic surgery lobectomyVideo-Assisted Thoracoscopic LobectomyPremier hospital dataVATS lobectomy proceduresCentralization of careCurrent practice patternsStrong independent predictorThoracoscopic surgery lobectomyHigh-volume surgeonsLobectomy ratePostoperative complicationsClinical characteristicsSecondary outcomesOncologic efficacySurgical managementThoracoscopic lobectomyOpen lobectomyHospital typeThe differential impact of preoperative comorbidity on perioperative outcomes following thoracoscopic and open lobectomies
Jawitz OK, Wang Z, Boffa DJ, Detterbeck FC, Blasberg JD, Kim AW. The differential impact of preoperative comorbidity on perioperative outcomes following thoracoscopic and open lobectomies. European Journal Of Cardio-Thoracic Surgery 2016, 51: 169-174. PMID: 27458143, DOI: 10.1093/ejcts/ezw239.Peer-Reviewed Original ResearchConceptsNationwide Inpatient SampleOpen lobectomyPostoperative lengthVATS lobectomyLobectomy patientsVideo-assisted thoracoscopic surgery lobectomyBenign lung conditionsOpen lobectomy patientsPerioperative pulmonary complicationsVATS lobectomy patientsNumber of comorbiditiesNon-elective admissionsCell lung cancerMultivariable logistic regressionThoracoscopic surgery lobectomyStandard of careUtilization Project databasePreoperative patient comorbiditiesCumulative incidence modelsLogistic regression modellingHospital mortalityPreoperative comorbiditiesPulmonary complicationsGreater comorbidityPerioperative outcomes