Why the study?
Does female gender improve perioperative outcomes in patients undergoing robotic-assisted pulmonary lobectomy?
Does female gender improve perioperative outcomes in patients undergoing robotic-assisted pulmonary lobectomy?
Female gender is associated with better perioperative outcomes, including lower blood loss and fewer postoperative complications, after robotic-assisted pulmonary lobectomy compared to men.
Shorter stays for women after robotic lobectomy should not change practice; leaves open gender effects on complications and mortality.
BACKGROUND: Female gender has been associated with worse outcomes after cardiovascular surgery and critical illness. We investigated the effect of gender on perioperative outcomes following robotic-assisted pulmonary lobectomy. METHODS: -test, and Kruskal-Wallis or Mood's median test were used to compare variables, with significance at P≤0.05. RESULTS: 5±0.5 days) was also shorter for women (P=0.02). Despite the higher postoperative complication rate in men, in-hospital mortality did not differ between genders (P=0.23). Multivariable analyses did not identify female gender as an independent predictor of post-operative complications. CONCLUSIONS: Female gender was associated with rates of intraoperative complications and of conversion to open lobectomy as low as those for men, but with better perioperative outcomes, lower risk of intraoperative bleeding, and fewer postoperative complications. Thus, robotic-assisted pulmonary lobectomy is feasible and safe for women.
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Glover et al. (2016) studied this question.
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