Grupo Español de Cirugía Torácica Video-Asistida

Author

Raúl Embún. GEVATS Director

Published

February 19, 2025

PROJECT

Introduction

The Spanish Group of Video-Assisted Thoracic Surgery(GEVATS) was established as a Working Group of the Spanish Society of Thoracic Surgery in May 2015.

GEVATS is composed of 33 Spanish Thoracic Surgery Services that during a period of 15 months (December 2016 - March 2018) prospectively recruited 3533 patients undergoing anatomical lung resection. The oncological follow-up period lasted until September 2022, when the group’s database was closed. GEVATS project had the favourable opinion of the Ethics Committee of each of the participating centres.

GEVATS was supported by Johnson & Johnson for the development and maintenance of its database, and was awarded the SECT grant for the best national research project in 2015.

Objetives

MAIN OBJETIVES

To analyse the impact of the surgical approach on postoperative morbidity and mortality (first 30 days or before hospital discharge) and surgery-related mortality (first 90 days or before hospital discharge) in patients undergoing anatomical lung resection.
To analyse the consequences of the surgical approach on overall and disease-specific survival in patients undergoing anatomical lung resection for lung carcinoma.

SECONDARY OBJECTIVES

To study the disease-free survival in patients who underwent surgery for lung carcinoma and to analyse the possible effect of the surgical approach on the rate and type of recurrence.
To study the role of video-assisted thoracic surgery as a surgical technique applied to anatomical lung resections.
To analyse the role of video-assisted thoracic surgery as the surgical technique of choice in patients with loco-regionally advanced lung carcinoma.
To analyse the benefits of video-assisted thoracic surgery in patients considered functionally limited based on their cardiorespiratory functional reserve.
To analyse the impact of the learning curve of video-assisted thoracic surgery on the causes of conversion and the rate and type of postoperative complications.

Method

Study Design
Multicentre prospective cohort study.

Población
Patients over 18 years of age who underwent anatomical lung resection during the inclusion period in the set of participating centres. Exclusion Criteria
Patients undergoing a bilateral thoracic procedure in the same surgical procedure.

Sample Size

The number of patients needed was estimated based on the main objective of the study, i.e. comparison of surgery-related mortality (first 90 days or during hospital admission) according to the surgical approach (VATS vs. open surgery).

Epidat 4.0 software was used for this estimation, using a calculation based on independent proportions. For this purpose, a mortality rate of 4% during the first 90 days or before hospital discharge was considered.

The sample size should detect differences of at least 2%, with a confidence level of 95% and a statistical power of 80%. The proportion of patients who would undergo VATS was estimated at 25% (Ratio: VATS/open surgery = 0.33). The sample size thus estimated amounted to 3220 patients (805 VATS and 2415 open surgery).

Audit

The GEVATS cohort underwent an internal audit process in collaboration with the heads of the Clinical Documentation Services of each participating centre.

The GEVATS members responsible for this process were: Nicolás Moreno, Sergio Bolufer, Sergi Call, Marcelo Jiménez, Miguel Congregado, David Gómez and Raúl Embún.

The phases of the audit included:

Exclusion of records with missing values in any of the three fields considered key: type of lung resection, type of surgical approach and patient status at discharge.
Validation of the recruitment rate of all centres based on the reports issued by the Clinical Documentation Services.
Reliability of the recruited data, by comparing data recorded on the platform and information contained in the hospital discharge reports, previously pseudonymised. This phase involved all participating centres, and up to a total of 15% of the final sample.

All details and results of the audit process can be found in the first GEVATS publication.

Participation

List of local managers on 19/02/2025

Nombre	Apellidos	Servicio
José Alberto	García Salcedo	12 de Octubre
Maria Dolores	Garcia Jimenez	Albacete
Julio	Sesma Romero	Alicante
Sergio	Bolufer Nadal	Alicante
Cipriano	López García	Badajoz
Santiago	Garcia Barajas	Badajoz
Ricard	Ramos Izquierdo	Bellvitge
Elena	Ramírez Gil	CH Navarra
Juan José	Guelbenzu Zazpe	CH Navarra
David	Sánchez Lorente	Clinic Bcn
Marc	Boada Collado	Clinic Bcn
Rafael	Rojo Marcos	Cruces
Unai	Jimenez Maestre	Cruces
Jennifer	Illana Wolf	Cádiz
Borja	Aguinagalde Valiente	Donostia
Iker	Lopez Sanz	Donostia
Carlos María	Simón Adiego	G. Marañón
Florencio	Quero Valenzuela	Granada
Alberto	Rodríguez Fuster	Hospital del Mar
Miguel	Arrarás Martínez	IVO
Isabel	Cal Vazquez	La Princesa
Ramón	Moreno Balsalobre	La Princesa
Néstor	Martínez Hernández	La Ribera
Mario	Montesinos Escalada	Lleida
Iñigo	Royo Crespo	Lozano Blesa
José Luis	Recuero Diaz	Lozano Blesa
Juan Diego	Avilés Parra	Miguel Servet
Raúl	Embún Flor	Miguel Servet
Carme	Obiols	Mutua Terrasa
Sergi	Call Caja	Mutua Terrasa
Carlos	Giraldo Ospina	Málaga
Roberto	Mongil Poce	Málaga
David	Gómez de Antonio	Puerta Hierro
Silvana	Crowley	Puerta Hierro
Francisco Javier	Morediellos Díez	Quirónsalud Sur
Sergio	Amor Alonso	Quirónsalud Sur
Alberto	Cabañero Sánchez	Ramón y Cajal
Nicolás	Moreno Mata	Ramón y Cajal
Jorge	Hernández Ferrández	Sagrat Cor
Juan José	Fibla Alfara	Sagrat Cor
Marcelo	Jiménez López	Salamanca
Maria Teresa	Gómez Hernández	Salamanca
Elena	Fernández Martín	San Carlos
Florentino	Hernándo Trancho	San Carlos
Elisabeth	Martínez Téllez	Sant Pau
Juan Carlos	Trujillo Reyes	Sant Pau
Laura	Sánchez Moreno	Santander
José Eduardo	Rivo Vázquez	Santiago C.
José María	García Prim	Santiago C.
Fernando	Ascanio Gosling	Vall d´Hebrón
Ángel	Cilleruelo Ramos	Valladolid
Álvaro	Fuentes	Valladolid
Ana Isabel	Triviño Ramírez	Virgen Macarena
Marta	López Porras	Virgen Macarena
Ana Isabel	Blanco Orozco	Virgen del Rocío
Miguel	Congregado Loscertales	Virgen del Rocío

Studies

List of active studies on 19/02/2025.

IP	Centro	Títulos	Fase
Ricard Ramos	Clinic Barcelona	Preoperative nutritional status as a prognostic factor.	Analysis
JM Garcia Prim	Santiago	Comparison of the uniportal versus multiportal approach in videothoracoscopic lung resections.	Review
JL Recuero	Miguel Servet	Impact of conversion on postoperative course and oncological prognosis.	Writing
Jorge Hernández	Sagrat Cor	Impact of surgical volume and professional experience on postop indicators and outcomes.	Writing
Alberto Rodriguez	Hospital del Mar	Long-term prognostic impact of post-operative complications	Analysis
Alberto Cabañero	Ramón y Cajal	Short and long-term results of sleeve surgery versus pneumonectomy.	Review
Carme Obiols	Mútua Terrassa	Radicality of lymphadenectomy depending on surgical access and survival analysis.	Writing
David Gómez	Puerta de Hierro	Short and long term survival analysis VATS vs. Thoracotomy	Writing
Néstor Martínez	La Ribera	Lung resection surgery in elderly patients	Writing

Conclusions

More than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre’s recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort.
Male sex, squamous carcinoma histology or histology other than adenocarcinoma, and induction therapy including radiotherapy or targeted therapy are positive predictors for obtaining pathological complete response. Induction chemo-radiotherapy is associated with an increased risk of postoperative respiratory complications.
The risk prediction model obtained from the GEVATS database is a simple, valid, and reliable model that is a useful tool for establishing the risk of a patient undergoing anatomic lung resection.
Major resection by VATS shows lower morbidity and mortality in patients with the same ppoDLCO. A steady rise in the risk of mortality begins to occur at higher ppoDLCO values in thoracotomy (∼60) than in VATS (∼45).
The variables age, BMI, male sex, FEV1%po, DLCO%po and thoracotomy affect prolonged postoperative length of stay (PPS). PPS is associated with an increased risk of readmission and 90-day mortality. 20% of PPS is not related to the occurrence of postoperative complications.
Thoracotomy was associated with a more thorough lymphadenectomy in GEVATS. Therefore, intraoperative lymph node evaluation performed at VATS should be improved to have better prognostic information and more solid grounds to indicate adjuvant therapy.
Video-assisted thoracic surgery segmentectomy showed results similar to lobectomy in terms of postoperative outcomes and midterm survival. In addition, a lower incidence of prolonged air leak was found in patients who underwent video-assisted thoracic surgery anatomic segmentectomy.
We identified preoperative, intraoperative and postoperative risk factors for readmission. This information can be a useful tool to help with the prioritization of early follow-ups, especially in centres with high workloads.
VATS can reduce the risk of 90-day mortality after anatomical lung resection. However, the implications of conversion to thoracotomy, comparing ITT versus treatment analysis, and the potential impact of hidden bias should deserve further attention in the future.
Thirty-day mortality score (Eurolung 2) seems to be transportable to other anatomic lung-resected patients. On the other hand, postoperative cardiopulmonary morbidity score (Eurolung 1) seems not to have sufficient generalizability for new patients.
Based on our series, neoadjuvant CT and CRT were associated with a higher rate of cardiovascular complications, arrhythmias and transfussions in patients with NSCLC subjected to anatomic lung resection.
CT and PET together have a high negative predictive value. The overall success of the staging is lower in the case of tumours >3 cm and high mediastinal SUVmax, and it is higher when VATS is performed. The risk of unexpected pN2 is higher if the disease is cN1, the tumour centrally located or the tumour diameter >3 cm but does not vary significantly as a function of whether patients have undergone invasive testing.
Prolonged operating time is associated with increased odds of postoperative complications. Modifiable factors contributing to prolonged operating time may serve as a target for quality improvement.
A significant percentage of patients who presented major complications after anatomical lung resection did not survive to discharge. Pneumonectomy and annual surgical volume are the risk factors most closely related to rescue failure. Complex thoracic surgical pathology should be concentrated in high-volume centers to obtain the best results in potentially high-risk patients.
The incidence of occult N1/N2 in patients with bronchogenic carcinoma with cN0 tumours no larger than 3 cm is no negligible. Data about the degree of differentiation, tumour size in CT scan, maximal uptake of the tumour in PET-CT, location (central or peripheral), number of lymph nodes resected and surgeon seniority is relevant in order to detect patients at risk.
In this multicenter population, VATS anatomical lung resections have been associated with lower morbidity than those performed by thoracotomy. However, when an intention-to-treat analysis was performed, the benefits of the VATS approach were less prominent.
Invasive staging recommended by guidelines could be reduced with an appropriate selection in mediastinal CT- and PET-negative patients with risk factors for unexpected pN2, because rates of pN2 and survival did not worsen without invasive staging.
Findings suggest that high-frequency surveillance only improves survival outcomes in lung cancer patients who received adjuvant treatment or had squamous cell carcinoma. Therefore, future guidelines for lung cancer follow-up should consider individualizing the frequency of radiological surveillance based on patients’ risk profiles.
Trisegmentectomy and left upper lobectomy show similar 5-year survival rates. In our database, recurrence after trisegmentectomy was lower than after left upper lobectomy, while the recurrence pattern differed among the 2 surgical approaches, with a greater tendency to distant metastasis after left upper lobectomy.
In our cohort, UR rate after anatomical lung resection for lung cancer is 4.12% and is associated with male gender, ppoDLCO%, pneumonectomy, strong adhesions and hospital volume. UR was found to be linked with prolonged hospital stay, readmission and higher perioperative mortality, yet it may not be directly corre lated with long-term survival. These findings could help identify patients at high risk for UR who might benefit from preoperative counselling, optimization, and tailored postoperative management strategies to reduce the need for reoperation.

COMUNICATIONS

SECT 2019 (Valladolid).

Radicalidad de la linfadenectomía en la cirugía del carcinoma broncogénico según el acceso quirúrgico (cirugía torácica video-asistida [vats] versus toracotomía).
Carme Obiols Fornell ¹ , Sergi Call Caja ¹, Ramón Rami Porta ¹, Ángeles Jaen Manzanera ², David Gómez De Antonio ³, Silvana Crowley Carrasco ³, Iñigo Royo Crespo ⁴, Raúl Embún Flor ⁴, Grupo Español De Cirugía Torácica Video-Asistida (GEVATS).
¹ Hospital Universitari MútuaTerrassa, Terrassa; ² Unidad de Investigación. Fundació Docència i Recerca Mútua Terrassa, Terrassa; ³ Hospital Universitario Puerta de Hierro Majadahonda, Madrid; ⁴ Hospital Universitario Miguel Servet, Zaragoza.
Primer Premio Mejor Comunicación
Riesgo quirúrgico en cirugía torácica. Modelo de riesgo a partir de una base de datos nacional multicéntrica.
Alejandra Romero ¹, David Gómez ¹, Silvana Crowley ¹, Álvaro Sánchez ¹, Sergi Call ², Carme Obiols ², Iñigo Royo ³, Raúl Embún ³, Jose Luis Recuero ³, Jose Luis Granizo ⁴.
¹ Hospital Universitario Puerta de Hierro, Majadahonda; ² Hospital Universitari Mútua Terrassa, Terrassa; ³ Hospital Universitario Miguel Servet, Zaragoza; ⁴ Hospital Infanta Cristina, Parla.
Validación del modelo de morbilidad cardiopulmonar Eurolung1 en la serie GEVATS.
Ana Patricia Ovejero Díaz ¹ , Alberto Cabañero Sánchez ¹ , Gemma María Muñoz Molina ¹ , Borja Fernández Félix ¹ , Alfonso Muriel García ¹, Percy Enrique Serrano Carvajal ¹, Sara Fra Fernández ¹, David Saldaña Garrido ¹, Sergio Bolufer Nadal ², Nicolás Moreno Mata ¹.
¹ Hospital Ramón y Cajal, Madrid; ² Hospital General Universitario, Alicante.
Grupo español de cirugía torácica video-asistida: diseño, método, auditoría y resultados iniciales.
Raúl Embún ¹, Iñigo Royo ¹, Jose Luis Recuero ¹, Sergio Bolufer ², Sergi Call ³, Miguel Congregado ⁴, David Gómez ⁵, Marcelo Jiménez ⁶, Nicolas Moreno ⁷, GEVATS Grupo Español De Cirugía Torácica Video-Asistida ⁸.
¹ Hospital Universitario Miguel Servet, Zaragoza; ² Hospital Universitario Alicante, Alicante; ³ Mutua Terrasa, Terrasa (Barcelona); ⁴ Hospital Universitario Virgen Macarena, Sevilla; ⁵ Hospital Universitario Puerta de Hierro, Majadahonda; ⁶ Hospital Universitario Salamanca, Salamanca; ⁷ Hospital Universitario Ramón y Cajal, Madrid; ⁸ Equipo Multicéntrico (33 Servicios), Zaragoza.
Ajuste del estadiaje clínico ganglionar mediastínico a las guías de la ESTS (Grupo Español de VATS,GEVATS).
Iker López Sanz ¹, Borja Aguinagalde Valiente ¹, Iratxe Urreta Barallobre ¹, Raúl Embún Flor ², Iñigo Royo Crespo ², Sergio Bolufer Nadal ³, Laura Sánchez Moreno ⁴ , Jon Zabaleta Jiménez ¹, Arantza Fernández-Monge Umaran ¹, José Miguel Izquierdo Elena ¹.
^1^Hospital Donostia, San Sebastián; ² Hospital Universitario Miguel Servet, Zaragoza; ³ Hospital General Universitario, Alicante; ⁴ Hospital Universitario Marqués de Valdecilla, Santander.
Efectos de la neoadyuvancia en el postoperatorio de pacientes intervenidos de carcinoma broncogénico incluídos en la base de datos GEVATS.
Percy Enrique Serrano ¹, Alberto Cabañero ¹, Ana Patricia Ovejero ¹, Gemma María Muñoz ¹, Sara Fra ¹, Alfonso Muriel ¹, Angel Cilleruelo ², Néstor Martínez ³, Nicolás Moreno ¹.
^1^ Hospital Universitario Ramón y Cajal, Madrid; ² Hospital Clínico Universitario, Valladolid; ³ Hospital Universitario de la Ribera, Alzira.
Morbilidad de las resecciones pulmonares regladas. Análisis descriptivo del registro GEVATS.
Ana Patricia Ovejero Díaz ¹, Alberto Cabañero Sánchez ¹, Gemma María Muñoz Molina ¹, Percy Enrique Serrano Carvajal ¹, Sara Fra Fernández ¹, David Saldaña Garrido ¹, Sergio Bolufer Nadal ², Pablo León Atance ³, Nicolás Moreno Mata ¹.
¹ Hospital Ramón y Cajal, Madrid; ² Hospital General Universitario, Alicante; ³ Hospital General Universitario de Albacete, Albacete.

World Lung Cancer 2019 (Barcelona)

Radicality of Lymphadenectomy in Lung Cancer According to Surgical Approach. Results from the Spanish Group of Video-Assisted Thoracic Surgery.
C. Obiols ¹, S. Call ¹, R. Rami-Porta ¹, A. Jaen ², D. Gomez De Antonio ³, S. Crowley ³, I.Royo ⁴, R. Embún ⁴.
¹ *Hospital Univeristari MútuaTerrassa, Terrassa/Spain, ² Hospital Universitari MútuaTerrassa, Terrassa/Spain, ³ Hospital Universitario Puerta de Hierro-Majadahonda, Madrid/Spain, ⁴ Hospital Universitario Miguel Servet, Zaragoza/Spain.

AIACT 2019 (Punta del Este)

Impacto del abordaje quirúrgico sobre la mortalidad relacionada con la cirugía. Resultados del Grupo Español de Cirugía Torácica Video-asistida.
Recuero JL ¹, Royo I ¹, Gómez MT ², López I ³, Gómez D ⁴, Embún R ¹, GEVATS ⁵.
¹ *Hospital Universitario Miguel Servet, ² Hospital Universitario de Salamanca, ³ Hospital de Donostia, ⁴ Hospital Puerta de Hierro, ⁵ Grupo Español GEVATS.
Grupo Español de Cirugía Torácica Video-asistida: Auditoría y resultados iniciales de una cohorte prospectiva nacional de resecciones pulmonares anatómicas.
Royo I ¹, Recuero JL ¹, Sánchez D ², Bolufer S ³, Moreno S ⁴, Embun R ¹, GEVATS5.
¹ *Hospital Miguel Servet, ² Hospital Clinic Barcelona, ³ Hospital de Alicante, ⁴ Hospital Virgen Macarena, ⁵ Grupo Español GEVATS.

ESTS 2020 (Virtual)

Validation of three prolonged air leak predictive models in a prospective multicentre spanish cohort of anatomical lung resections.
Raul Embun ¹, Jose L Recuero Díaz ¹, Mª Elena Ramírez-Gil ², Jorge Hernández ³, Laura Sanchez Moreno ⁴, Roberto Mongil Poce ⁵, Jose A García-Salcedo ⁶, María T Gómez Hernández ⁷, David Sanchez-Lorente ⁸, Sergio B Moreno Merino ⁹, Rafael Rojo Marcos ¹⁰, Iñigo Royo-Crespo ¹, GEVATS Members.
¹ Hospital Miguel Servet, Universidad Zaragoza, ² CH Navarra, ³ Hospital Sagrat Cor, ⁴ Hospital Marqués de Valdecilla, ⁵ Hospital Regional Málaga, ⁶ Hospital 12 Octubre, ⁷ Hospital Salamanca, ⁸ Hospital Clinic Barcelona, ⁹ Hospital Virgen Macarena, ¹⁰ Hospital de Cruces.
Impact of surgical approach on 90-day mortality after anatomic pulmonary resection. Results from the prospective multicenter Spanish Group of Video-assisted thoracic surgery (GEVATS).
Jose L Recuero Díaz ¹, Iñigo Royo-Crespo ¹, Ana Isabel Blanco Orozco ², María Dolores García-Jiménez ³, Isabel Cal Vázquez ⁴, Elena Fernández-Martín ⁵, Jose María García-Prim ⁶, Alberto Jauregui Abularach ⁷, Juan Carlos Trujillo Reyes ⁸, Raul Embun ¹, GEVATS members.
¹ *Hospital Miguel Servet, Hospital Clinico Universitario Lozano Blesa, IIS Aragón, ² Hospital Universitario Virgen del Rocío, ³ Hospital Universitario de Albacete, ⁴ Hospital Universitario La Princesa, ⁵ Hospital Clínico Universitario San Carlos, ⁶ Hospital Universitario Santiago de Compostela, ⁷ Hospital Universitario Vall d´Hebron, ⁸ Hospital Santa Creu y Sant Pau.
Uniportal versus multiportal anatomical lung resections: an approach through personalized medicine. Eduardo Rivo ¹, José María García-Prim ¹, Andrés Obeso1, Jorge Quiroga ¹, Francisco Gude ¹, Raul Embun ², GEVATS Members.
¹ Hospital de Santiago de Compostela, ² Hospital Miguel Servet.

SECT 2021 (Virtual)

Factores predictores de estancia posoperatoria prolongada tras resección pulmonar anatómica. Análisis de la base de datos del GEVATS.
Gómez Hernández, MT ¹, Fuentes Gago MG ¹, Novoa Valentín N ¹, Embún Flor R ², Jiménez López M ¹.
¹ Hospital Salamanca, ² Hospital Miguel Servet.
Tercer Premio Mejor Comunicación
Lobectomía VATS vs Segmentectomía Anatómica VATS. Resultados del estudio multicéntrico GEVATS.
Julio Sesma ¹, Antonio García ¹, Raúl Embún ², Nicolás Moreno ³, Iker López ⁴, Carlos Gálvez ¹, Jone del Campo ¹, Sergio Bolufer ¹.
¹ *Hospital Alicante,² Hospital Miguel Servet, ³ Hospital Ramón y Cajal, ⁴ Hospital Donostia.

ESTS 2021 (Virtual)

Thoracoscopic lobectomy vs segmentectomy: a propensity-scored matched analysis in 2250 patients.
Julio Sesma ¹, Sergio Bolufer ¹, Antonio Garcia-Valentín ¹, Raúl Embún ², Íker Javier López ³, Nicolás Moreno-Mata ⁴, Unai Jiménez jiménez ⁵, Antonio Eduardo Martín-Ucar ⁶, Juana Gallar ¹, Florentino Hernando Trancho ⁷.
¹ Hospital Alicante, ² Hospital Miguel Servet, ³ Hospital Donostia, ⁴ Hospital Ramón y Cajal, ⁵ Hospital Cruces, ⁶ Hospital Conventry, ⁷ Hospital Clínico San Carlos.
Nominación Young Investigation Award
National evaluation of risk factors for unplanned readmission after lung resection
Aina Pons ¹, Jorge Hernández ², Carlos Carvajal ², Angela Guirao ³, Juan J Fibla ², Laureano Molins ³.
¹ Hospital Royal Brompton Londrés, ² Hospital Sagrado Corazón, ³ Hospital Clinic Barcelona.
Premio Young Investigation Award
External valdation of Eurolung mobidity and mortality risk models.
D.Gómez ¹, S.Crowley ¹, A.Romero ¹, A.Royuela ¹. M.Gil ¹, C.Obiols ², S.Call ², I.Royo ³, JL Recuero ³, A.Cabañero ⁴, N.Moreno ⁴, R.Embún ³, GEVATS.
¹ Hospital Puerta de Hierro, ² Hospital Mutua Terrasa, ³ Hospital Miguel Servet, ⁴ Hospital Ramón y Cajal.

SECT 2022 (Bilbao)

Impacto de la conversión a toracotomía sobre la morbimortalidad postoperatoria en la cohorte del GEVATS. Análisis ponderado ajustado por regresión.
Avilés, J.D ¹; Díaz, B ¹; García, O ¹; Recuero, J.L. ¹; Gómez, M.T. ²; López, I. ³; Crowley, S.⁴; Boada, M. ⁵; Bolufer, S. ⁶; Congregado, M. ⁷; García-Salcedo, J. ⁸; Cabañero, A. ⁹; Rivo, E. ¹⁰; Sánchez, L. ¹¹; Blanco, A. ¹²; García Jiménez, M.D. ¹³; López, C. ¹⁴; Jiménez, U. ¹⁵; Ramírez, E. ¹⁶; Cilleruelo, Á. ¹⁷; Giraldo, C. ¹⁸; Fernández, E. ¹⁹; Obiols, C. ²⁰; Cal, I. ²¹; Simón, C. ²²; Rodríguez, A. ²³; Martínez, E. ²⁴; Hernández, J. ²⁵; Ascanio, F.²⁶; Milla, L.²⁷; Arrarás, M. ²⁸; Illana, J.²⁹; Martínez, N. ³⁰; Amor, S. ³¹; Ramos, R. ³²; Quero, F. ³³; Embún, R. ¹.
¹ Hospital Miguel Servet, ² Hospital de Salamanca, ³ Hospital d Donostia, ⁴ Hospital Puerta de Hierro, ⁵ Hospital Clinic Barcelona, ⁶ Hospital General de Alicante, ⁸ Hospital 12 de Octubre, ⁹ Hospital Ramón y Cajal, ¹⁰ Hospital de Santiago, ¹¹ Hospital Marqués de valdecilla, ¹² Hospital Virgen del Rocío, ¹³ Hospital General de Albacete, ¹⁴ Hospital Badajoz, ¹⁵ Hospital de Cruces, ¹⁶ CH Navarra, ¹⁷ Hospital de Valladolid, ¹⁸ HRU Málaga, ¹⁹ Clínico San Carlos, ²⁰ Mutúa Terrasa, ²¹ Hospital la Princesa, ²² Hospital Gregorio Marañón, ²³ Hospital del Mar, ²⁴ Hospital de Sant Pau, ²⁵ Hospital Sagrat Cor, ²⁶ Hospital Vall´d Hebrón, ²⁷Hospital Arnau Vilanova, ²⁸ IVO Valencia, ²⁹ Hospital Puerta del Mar, ³⁰ Hospital La Ribera, ³¹ Quirón Pozuelo, ³² Hospital Bellvitge, ³³ Hospital Virgen de las Nieves.
Fallo en el rescate tras resecciones pulmonares anatómicas: análisis de la base de datos del GEVATS
Gómez Hernández, M.T. ¹; Forcada Barreda, C. ¹; Novoa Valentín, N. ¹; Jiménez López, M.F. ¹; GEVATS.
¹ Hospital de Salamanca.

ESTS 2022 (La Haya)

Operative time: an independent and modifiable risk factor for short-term complications after videothoracoscopy pulmonary lobectomy.
M. Teresa Gomez-Hernandez ¹, Clara Forcada ¹, Gonzalo Varela ¹, Marcelo F. Jimenez ¹.
¹ Hospital Universitario Salamanca.
Pathological N1/N2 in early stage bronchogenic carcinoma. nalysis from a multicentre database.
Alejandra Romero Román ¹, Silvana Crowley Carrasco ¹, Mariana Gil Barturen ¹, Ana Royuela ¹, Sergi Call Caja ², Carme Obiols ², Jose Luis Recuero ³, Íñigo Royo ³, Raúl Embún ³, David Gómez de Antonio ¹ on behalf of the Spanish Group of Videotoracoscopic Surgery (GEVATS).
¹ Hospital Puerta de Hierro, ² Hospital Mutua Terrasa, ³ Hospital Miguel Servet.

SECT 2023 (Las Palmas)

Segmentectomía vs Lobectomía en Cáncer de Pulmón. Cohorte prospectiva del Grupo Español de Cirugía Videoasistida (GEVATS).
Iker López ¹, Borja Aguinagalde ¹, Juan A Ferrer-Bonsoms ², Laura Sánchez ³, Fernando Ascanio ⁴, Julio Sesma ⁵, JL Recuero ⁶, Arantza Fernández ¹, Jon Lizarbe ¹, Raúl Embún ⁶. GEVATS.
¹ Hospital Donostia, ² Tecnun Universidad Navarra, ³ Hospital Marqués de Valdecilla, ⁴ Hospital Vall d´Hebrón, ⁵ HGU Alicante, ⁶ HU Miguel Servet.
Supervivencia y recurrencia a 5 años de la trisegmentectomía versus LSI: análisis tras propensity score de la base de datos GeVATS.
Borja Aguinagalde ¹, Iker Lopez ¹, Juan Angel Ferrer-Bonsoms ², Iñigo Royo ³, Laura Sanchez ⁴, Jose Luis Recuero ³, Arantza Fernández-Monge ¹, Ion Ander Lizarbe ¹, Jon Zabaleta ¹, Raul Embún ¹. GEVATS. ¹ Hospital Donostia, San Sebastián, ² Tecnum, San Sebastián, ³ Hospital Miguel Servet, ⁴Hospital Universitario Marqués de Valdecilla.
Análisis de supervivencia a medio y largo plazo de los pacientes sometidos a resección pulmonar videotoracoscópica versus abierta.
Silvana Crowley Carrasco ¹, Alejandra Romero Román ¹, José Luis Campo-Cañaveral De la Cruz ¹, Mariana Gil Barturen ¹, Carme Obiols ², Sergi Call ², Raúl Embún ³, David Gómez De Antonio ¹. ¹ Hospital Puerta de Hierro. ² Mútua Terrassa. ³ Hospital Miguel Servet.
¿Un seguimiento estrecho mejora los resultados oncológicos del carcinoma de pulmón resecado?
Álvaro Fuentes Martín ¹, Ángel Cilleruelo Ramos ¹, Santiago Figueroa Almánzar ², Néstor Martínez Hernández ³, Alberto Cabañero Sánchez ⁴, Sergi Call Caja ⁵, David Gómez De Antonio ⁶, Raúl Embún Flor ⁷, María Fé Muñoz Moreno ¹, GEVATS. ¹ HU Valladolid, ² HC Valencia, ³ Hospital La Ribera, ⁴ Hospital Ramón y Cajal, ⁵ Mútua Terrassa, ⁶Hospital Puerta de Hierro, ⁷ Hospital Miguel Servet.
Análisis de complicaciones y supervivencia de pacientes con carcinoma broncogénico intervenidos mediante bronco-angioplastia versus neumonectomía incluidos en la base GEVATS.
Cristina Cavestany¹, Alberto Cabañero¹, Sara Fra¹, Alfonso Muriel¹, David Gómez², Miguel Congregado³, Sergio Bolufer⁴, Nicolás Moreno¹ y GEVATS‑Grupo Español de Cirugía Torácica Videoasistida. ¹Hospital Ramón y Cajal, Madrid; ²Hospital Puerta de Hierro, Majadahonda; ³Hospital Universitario Virgen del Rocío, Sevilla; ⁴Hospital General Universitario, Alicante.

ESTS 2023 (Milán)

Reduction of mediastinal invasive testsin lung cancer. Should we revise the ESTS guidelines?
Iker López¹, Borja Aguinagalde¹, Iratxe Urreta¹, Raul Embun², Iñigo Royo², Sergio Bolufer³, Laura Sanchez⁴, Jon Zabaleta¹, Arantxa Fernández-Monge¹. ¹Donostia University Hospital, ²Miguel Servet University Hospital, ^3University General Hospital of Alicante, ⁴Marqués de Valdecilla University Hospital.

ESTS 2024 (Barcelona)

Risk factors and prognostic impact of unplanned reoperation following anatomic pulmonary resection in a prospective multicentric Database.
María Teresa Gómez Hernández, Marta Fuentes, Gonzalo Varela, Marcelo Jiménez, GEVATS. Hospital Universitario de Salamanca.

6th International Joint Meeting.

Thoracotomy vs VATS for lung cancer resection: impact on survival. Results from Spanish Video-Assisted Thoracic Surgery Group David Gómez de Antonio. Hospital Puerta de Hierro.
Radicality of lymphadenectomy in lung cancer resection: impact on survival. Results from the Spanish Video-Assisted Thoracic Surgery Group (GEVATS) Carme Obiols. Hospital Mútua Terrassa.

PUBLICATIONS

2020

Spanish Video-Assisted Thoracic Surgery Group: Method, Auditing, and Initial Results From a National Prospective Cohort of Patients Receiving Anatomical Lung Resections. Arch Bronconeumol 2020; 56(11): 718-724. DOI: 10.1016/j.arbres.2020.01.005.
Embun Raul; Royo, Iñigo, Recuero, JL; Bolufer, S; Call, Sergi; Congregado, Miguel; Gómez de Antonio, David; Jiménez, Marcelo, Moreno, Nicolás Cabanero, Alberto; Moreno, Nicolas; Bolufer, Sergio; Congregado, Miguel; Jimenez, Marcelo F; Aguinagalde, Borja; Amor-Alonso, Sergio; Arraras, Miguel Jesus; Blanco Orozco, Ana Isabel; Boada, Marc; Cal, Isabel; Cilleruelo Ramos, Angel; Fernandez-Martin, Elena; Garcia-Barajas, Santiago; Garcia-Jimenez, Maria Dolores; Garcia-Prim, Jose Maria; Garcia-Salcedo, Jose Alberto ; Gelbenzu-Zazpe, Juan Jose; Giraldo-Ospina, Carlos Fernando; Gomez Hernandez, Maria Teresa; Hernandez, Jorge; Illana Wolf, Jennifer D; Jauregui Abularach, Alberto; Jimenez, Unai; Lopez Sanz, Iker; Martinez-Hernandez, Nestor J; Martinez-Tellez, Elisabeth; Milla Collado, Lucia; Mongil Poce, Roberto; Moradiellos-Diez, Francisco Javier; Moreno-Basalobre, Ramon; Moreno Merino, Sergio B; Quero-Valenzuela, Florencio; Ramirez-Gil, Maria Elena; Ramos-Izquierdo, Ricard; Rivo, Eduardo; Rodriguez-Fuster, Alberto; Rojo-Marcos, Rafael; Sanchez-Lorente, David; Sanchez Moreno, Laura; Simon, Carlos; Trujillo-Reyes, Juan Carlos; Lopez Garcia, Cipriano; Fibla Alfara, Juan Jose; Sesma Romero, Julio; Hernando Trancho, Florentino.

2021

Factores predictores de respuesta completa patológica tras inducción (ypT0N0M0) en cáncer de pulmón no microcítico y resultados a corto plazo: resultados del Grupo Español de Cirugía Torácica Video-asistida.
Cir Esp 2022; 100:345-51 DOI 10.1016/j.ciresp.2021.01.017. Gomez Hernandez, Maria Teresa; Novoa Valentín, Nuria Maria; Fuentes Gago, Marta; Embún , Raúl; Gomez de Antonio, David; Jimenez Lopez, Marcelo F; Grupo Español de Cirugía Torácica Videoaistida (GEVATS).
Surgical Risk Following Anatomic Lung Resection in Thoracic Surgery: A Prediction Model Derived from a Spanish Multicenter Database.
Arch Bronconeumol 2022; 58(5):398-405. DOI: 10.1016/j.arbres.2021.01.037.
David Gómez de Antonio, Silvana Crowley Carrasco, Alejandra Romero Román, Ana Royuela , Álvaro Sánchez Calle, Carme Obiols Fornell, Sergi Call, Raúl Embún, Íñigo Royo, José Luis Recuero, Alberto Cabañero, Nicolás Moreno , Sergio Bolufer , Miguel Congregado , Marcelo F Jimenez, Borja Aguinagalde, Sergio Amor-Alonso, Miguel Jesús Arrarás, Ana Isabel Blanco Orozco, Marc Boada , Isabel Cal, Ángel Cilleruelo Ramos , Elena Fernández-Martín , Santiago García-Barajas , María Dolores García-Jiménez , Jose María García-Prim , José Alberto Garcia-Salcedo , Juan José Gelbenzu-Zazpe , Carlos Fernando Giraldo-Ospina , María Teresa Gómez Hernández, Jorge Hernández , Jennifer D Illana Wolf , Alberto Jáuregui Abularach , Unai Jiménez , Iker López Sanz , Néstor J Martínez-Hernández , Elisabeth Martínez-Téllez , Lucía Milla Collado , Roberto Mongil Poce , Francisco Javier Moradiellos-Díez , Ramón Moreno-Basalobre, Sergio B Moreno Merino, Florencio Quero-Valenzuela, María Elena Ramírez-Gil, Ricard Ramos-Izquierdo , Eduardo Rivo , Alberto Rodríguez-Fuster , Rafael Rojo-Marcos, David Sanchez-Lorente , Laura Sánchez Moreno , Carlos Simón , Juan Carlos Trujillo-Reyes , Cipriano López García , Juan José Fibla Alfara , Julio Sesma Romero , Florentino Hernando Trancho.
Premio Mejor Publicación en Cirugía Torácica 2021
VATS Lobectomy Morbidity and Mortality is Lower in Patients with the Same ppoDLCO: Analysis of the Database of the Spanish Video-Assisted Thoracic Surgery Group. Arch Bronconeumol 2021; 57(12): 750-756. DOI 10.1016/j.arbres.2021.01.030.
Aguinagalde, Borja; Insausti, Asier; López, Iker; Sánchez, Laura; Bolufer, Sergio; Embún, Raúl; GEVATS.

2022

Radicality of lymphadenectomy in lung cancer resections by thoracotomy and video-assisted thoracoscopic approach: A prospective, multicentre and propensity-score adjusted study.
Lung Cancer 2022 Jan 7;165:63-70. DOI: 10.1016/j.lungcan.2022.01.004.
Carme Obiols, Sergi Call, Ramón Rami-Porta, Ángeles Jaén, David Gómez de Antonio, Silvana Crowley Carrasco, Íñigo Royo-Crespo, Raúl Embún, GEVATS.
Thoracoscopic segmentectomy versus lobectomy: A propensity score-matched analysis.
JTCVS Open 2022 Jan 22; 9:268-278. DOI: 10.1016/j.xjon.2022.01.009.
Julio Sesma, Sergio Bolufer, Antonio García-Valentín, Raúl Embún, Íker Javier López, Nicolás Moreno-Mata, Unai Jiménez, Florentino Hernando Trancho, Antonio Eduardo Martín-Ucar, Juana Gallar, Spanish Video-Assisted Thoracic Surgery Group.
National evaluation of risk factors for unplanned readmission after lung resection.
Eur J Cardiothorac Surg 2022 May 27;61(6):1251-1257. DOI: 10.1093/ejcts/ezac081.
Aina Pons, Ángela Guirao, Juan J Fibla, Carlos Carvajal, Raúl Embun, David Sánchez, Jorge Hernández. GEVATS.
Treatment and intention-to-treat propensity score analysis to evaluate the impact of video-assisted thoracic surgery on 90-day mortality after anatomical resection for lung cancer.
Eur J Cardiothorac Surg 2022 Aug 3;62(3):ezac122. DOI: 10.1093/ejcts/ezac122.
Jose Luis Recuero-Díaz, Iñigo Royo-Crespo, David Gómez de-Antonio, Sergi Call, Borja Aguinagalde, María Teresa Gómez-Hernández, Jorge Hernández-Ferrández, David Sánchez-Lorente, Julio Sesma-Romero, Eduardo Rivo, Nicolás Moreno-Mata, Raul Embun, 11 on behalf of the Spanish Group of Video-assisted thoracic surgery.
External validation of the European Society of Thoracic Surgeons morbidity and mortality risk models.
Eur J Cardiothorac Surg 2022 Aug 3;62(3):ezac170. DOI: 10.1093/ejcts/ezac170.
David Gómez de Antonio, Silvana Crowley Carrasco, Alejandra Romero Román, Ana Royuela, Mariana Gil Barturen, Carme Obiols, Sergi Call, Ínigo Royo, José Luis Recuero, Alberto Cabanero , Nicolás Moreno, Raúl Embún; Spanish Group of Video Assisted Thoracic Surgery (GEVATS).
Impact of neoadjuvant therapy on postoperative complications in non-small-cell lung cancer patients subjected to anatomic lung resection.
Eur J Surg Oncol 2022 Sep;48(9):1947-1953. DOI: 10.1016/j.ejso.2022.03.008.
Alberto Cabañero Sánchez, Gemma María Muñoz Molina, Sara Fra Fernández, Alfonso Muriel García, Angel Cilleruelo Ramos, Néstor Martínez Hernández, Florentino Hernando Trancho, Nicolás Moreno Mata; GE-VATS.
Results in mediastinal lymph node staging of surgical lung cancer: Data from the prospective cohort of the Spanish Video-Assisted Thoracic Surgery Group.
Cir Esp 2022 Jun 6;S2173-5077(22)00157-0. DOI: 10.1016/j.cireng.2022.06.006.
Iker Lopez, Borja Aguinagalde, Iratxe Urreta, Iñigo Royo, Sergio Bolufer, Laura Sanchez, Jon Zabaleta, Arantza Fernández-Monge, José Luis Recuero, Julio Sesma, Sergio Amor, Francisco Javier Moradiellos, Miguel Jesús Arrarás, Ana Isabel Blanco, Marc Boada, David Sanchez, Alberto Cabañero, Nicolás Moreno, Isabel Cal, Ramón Moreno, Ángel Cilleruelo, Silvana Crowley, David Gómez, Elena Fernández, Florentino Hernando, Santiago García, Cipriano López , María Dolores García, Jose María García, José Eduardo Rivo, Jose Alberto Garcia, Juan José Gelbenzu, María Elena Ramírez, Carlos Fernando Giraldo, Roberto Mongil, María Teresa Gómez, Marcelo Jiménez, Jorge Henández, Juan José Fibla, Jennifer D Illana, Alberto Jauregui, Unai Jiménez, Rafael Rojo, Néstor J Martínez, Elisabeth Martínez, Juan Carlos Trujillo, Lucía Milla, Sergio B Moreno, Miguel Congregado, Carme Obiols, Sergi Call, Florencio Quero, Ricard Ramos, Alberto Rodríguez, Carlos María Simón, Raul Embun.
Operating time: an independent and modifiable risk factor for short-term complications after video-thoracoscopic pulmonary lobectomy.
Eur J Cardiothorac Surg . 2022 Nov 3;62(6):ezac503. DOI: 10.1093/ejcts/ezac503.
María Teresa Gómez-Hernández, Clara Forcada, Gonzalo Varela, Marcelo F Jiménez, Spanish Group of Video-assisted Thoracic Surgery (GEVATS).

2023

Factores predictores de estancia hospitalaria prolongada tras resección pulmonar anatómica.
Cir Esp 2023; 101:43-50. DOI: 10.1016/j.ciresp.2021.09.010.
Gómez Hernández, María Teresa; Novia Valentín, Nuria M; Embún Flor, Raúl; Varela Simó, Gonzalo; Jiménez López, Marcelo; Grupo Español de Cirugía Torácica Videoasistida (GEVATS).
Failure to rescue following anatomical lung resection. Analysis of a prospective nationwide database.
Front Surg 2023(10); DOI: 10.3389/fsurg.2023.1077046 MT Gómez Hernández, C. Rivas Duarte, N Novoa, M Jiménez.
Pathological N1/N2 in Clinical Stage I Bronchogenic Carcinoma. Analysis From a Prospective Multicentre Database.
Arch Bronconeumol 2023: DOI.ORG/10.1016/J.ARBRES.2023.03.010. Romero A, Crowley S, Gil Barturen M, Royuela A, Obiols C, Call S, Recuero JL, Royo I, Embun R, Gómez D. on behalf of the Spanish Group of Video-assisted Thoracic Surgery.
Postoperative morbidity after anatomical lung resections by VATS vs thoracotomy: treatment and intention-to-treat analysis of the Spanish Video-Assisted Thoracic Surgery Group.
Cir Esp 2023 Jul 6;S2173-5077(23)00122-9 DOI: 10.1016/j.cireng.2023.05.012.
Sara Fra-Fernández, Gemma María Muñoz-Molina, Alberto Cabañero-Sánchez, Laura Del Campo-Albendea, Sergio Bolufer-Nadal, Raúl Embún-Flor, Néstor J Martínez-Hernández, Nicolás Moreno-Mata; on the behalf of GEVATS.

2024

Presurgical invasive mediastinal staging in lung cancer, unexpected n2 and long-term survival. A registry-based study with data from the spanish group for video-assisted thoracic surgery. Journal of Thoracic Disease 2024 May 31;16(5):2856-2865. DOI:10.21037/jtd-23-1900
Iker López, Iker López, Borja Aguinagaldea, Iratxe Urreta, Iñigo Royo, Sergio Bolufer, Laura Sánchez, Jon Zabaleta, Arantza Fernández-Mongea, Raúl Embún, On behalf of the Spanish Group for Video-Assisted Thoracic Surgery (GEVATS)*.
Impact of radiological follow-up frequency on resected Lung Cancer: A propensity score matching analysis
Journal of Thoracic Disease 2024 Jul 30;16(7):4275-4285. DOI:10.21037/jtd-23-1973
Fuentes-Martín Á, Martínez-Hernández NJ, Cabañero Sánchez A, Figueroa Almánzar S, Call S, Bolufer S, Gómez de Antonio D, Muñoz Moreno MF, Embun R, Cilleruelo Ramos Á; Spanish Video-Assisted Thoracic Surgery Group (GEVATS).
Comparison of 5-Year Survival and Disease Recurrence After Trisegmentectomy or Left Upper Lobectomy: A Propensity Score Analysis of the National GEVATS Database. Arch Bronconeumol Jun 4:S0300-2896(24)00214-X.DOI:10.1016/j.arbres.2024.05.032
Borja Aguinagalde, Juan A. Ferrer, Iker López, Ion Ander, Arantxa Fernandez-Monge, JL Recuero, Iñigo Royo, Raul Embun, GEVATS.
Unplanned Reoperation After Anatomical Pulmonary Resection for Lung Cancer: Rate, Risk Factors, Early Outcomes and Long-term Prognostic Influence Within a Prospective Multicentre Database. Arch Bronconeumol 2025 (in-press). DOI:10.1016/j.arbres.2025.01.003 Gómez Hernández MT, Rivas C, Varela G, Jiménez M. GEVTAS.