Differences in selected postoperative outcomes between simple and complex segmentectomies for lung cancer: A systematic review and meta-analysis
A partir d'une revue systématique de la littérature publiée entre 1990 et 2023, cette méta-analyse examine les résultats opératoires et les complications postopératoires après une segmentectomie, qu'elle soit simple ou complexe
Background: This systematic review and meta-analysis aimed to synthesize the evidence on the preoperative characteristics, operative outcomes, and postoperative complications of simple and complex segmentectomy for lung cancer. Methods: A systematic review of EMBASE (through Ovid), MEDLINE (via PubMed), and Cochrane CENTRAL (January 1990–January 2023) was done. We included studies to compare simple versus complex segmentectomies for lung cancer in terms of characteristics and operative and postoperative outcomes. Results: There was a statistically significant difference regarding higher operative time in favor of simple segmentectomies (MD = 15.76, 95% CI: 2.46–29.07, p = 0.02). The incidence of postoperative complications did not change between the two groups (RR = 0.86, 95% CI: 0.66–1.13, p = 0.27). There were no significant differences regarding postoperative length of hospital stay between simple or complex segmentectomies (MD = −0.02, 95% CI: 0.56 – 0.51, p = 0.93). Conclusions: Simple and complex segmentectomies have comparable postoperative outcomes; in particular, postoperative complication rates and length of hospital stay were similar. Complex segmentectomies were associated with a longer operative time.