+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

The current status of postoperative complications and risk factors after a pulmonary resection for primary lung cancer. A multivariate analysis



The current status of postoperative complications and risk factors after a pulmonary resection for primary lung cancer. A multivariate analysis



European Journal of Cardio-Thoracic Surgery 11(3): 445-449



The purpose of the present study is to identify the current postoperative complications after a pulmonary resection for primary lung cancer and the associated risk factors. From 1988 to 1992, 291 patients with primary lung cancer, excluding T4 diseases, consecutively underwent a pulmonary resection at our institute. The observed postoperative complications were divided into non-life-threatening ones (simple arrhythmia, atelectasis, liver dysfunction, etc.) and life-threatening ones (respiratory failure, pyothorax, pneumonia, bronchopleural fistula, cardiac failure, cerebral infarction, myocardial infarction, etc.). Using logistic regression procedures, both univariate and multivariate analyses of the association between various perioperative factors and the incidence of postoperative complications were performed. Non-life-threatening complications occurred in 60 patients (20.6%) while life-threatening ones occurred in 36 (12.4%), and resulted in five in-hospital deaths (1.75%). Multivariate analyses showed that an age of 70 or older, a combined resection, an abnormality on preoperative ECG, and diffusing capacity of carbon monoxide (%DLco) below 70 were all independently associated with an increased non-life-threatening morbidity. On the other hand, an age of 70 or older, the need for a pneumonectomy, and a %DLco below 70 were also independently predominant risk factors for life-threatening morbidity. The risk factors for life-threatening morbidity therefore did not completely correspond to those for non-life-threatening morbidity. Since the mortality was quite low, even risk factors for life-threatening morbidity were not solely considered to be a contraindication for a major pulmonary resection.

(PDF emailed within 0-6 h: $19.90)

Accession: 047603874

Download citation: RISBibTeXText

PMID: 9105806

DOI: 10.1016/s1010-7940(96)01097-4


Related references

Prediction study of risk factors of postoperative complications following pulmonary resection--multivariate statistical analysis. Nihon Kyobu Geka Gakkai 34(6): 851-856, 1986

Prediction study of risk factors of the postoperative complications following pulmonary resection multivariate statistical analysis. Journal of the Japanese Association for Thoracic Surgery 34(6): 851-856, 1986

Risk factors of postoperative pulmonary complications after minimally invasive anatomic resection for lung cancer. Therapeutics and Clinical Risk Management 15: 223-231, 2019

Pulmonary resection in patients aged 80 years or over with clinical stage I non-small cell lung cancer: prognostic factors for overall survival and risk factors for postoperative complications. Journal of Thoracic Oncology 4(10): 1247-1253, 2010

Multivariate analysis of risk factors for postoperative complications after laparoscopic liver resection. Surgical Endoscopy 29(9): 2538-2544, 2016

Multivariate analysis of risk factors for pulmonary complications after hepatic resection. Annals of Surgery 255(3): 540-550, 2012

M1543 Risk Factors for Postoperative Complications After Pancreatic Head Resection: Multivariate Analysis of 608 Consecutive Operations. Gastroenterology 134(4): A-869, 2008

Risk factors for the development of postoperative complications after bronchial sleeve resection for malignancy: a univariate and multivariate analysis. Annals of Thoracic Surgery 75(3): 966-972, 2003

Analysis of risk factors in bronchopleural fistula after pulmonary resection for primary lung cancer. European Journal of Cardio-Thoracic Surgery 18(5): 519-523, 2000

Postoperative complications of pulmonary resection after platinum-based induction chemotherapy for primary lung cancer. Surgery Today 33(1): 1-6, 2003

Risk factors for postoperative complications after lung resection for non-small cell lung cancer in elderly patients at a single institution in China. Journal of Thoracic Disease 6(9): 1230-1238, 2014

Pulmonary complications following lung resection: a comprehensive analysis of incidence and possible risk factors. Chest 118(5): 1263-1270, 2000

Study of risk factors for postoperative pulmonary complication following esophageal cancer surgery multivariate statistical analysis. Journal of the Japanese Association for Thoracic Surgery 38(2): 215-221, 1990

A meta-analysis on risk factors of postoperative perineal wound complications after abdominoperineal resection for rectal cancer. Zhonghua Wei Chang Wai Ke Za Zhi 20(10): 1180-1187, 2018

Risk factors for post-surgical pulmonary complications in patients after esophagectomy for cancer: a multivariate logistic analysis. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 23(10): 625-628, 2012