Cargando…

Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience

OBJECTIVE: To explore the factors affecting the intraoperative conversion of video-assisted thoracoscopic surgery (VATS) to thoracotomy in patients with lung cancer. METHODS: The clinical data of 80 patients with lung cancer in The Fourth Hospital of Hebei Medical University from May 2019 to Decembe...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Zhen, Zhang, Yuefeng, Zhang, Jian, Su, Peng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10480709/
https://www.ncbi.nlm.nih.gov/pubmed/37680827
http://dx.doi.org/10.12669/pjms.39.5.7422
_version_ 1785101850054230016
author Zhang, Zhen
Zhang, Yuefeng
Zhang, Jian
Su, Peng
author_facet Zhang, Zhen
Zhang, Yuefeng
Zhang, Jian
Su, Peng
author_sort Zhang, Zhen
collection PubMed
description OBJECTIVE: To explore the factors affecting the intraoperative conversion of video-assisted thoracoscopic surgery (VATS) to thoracotomy in patients with lung cancer. METHODS: The clinical data of 80 patients with lung cancer in The Fourth Hospital of Hebei Medical University from May 2019 to December 2021 were retrospectively analyzed. The patients who were treated with VATS alone were included into thoracoscopy group (n= 40), and those who were intraoperatively converted from VATS to thoracotomy were included into conversion group (n= 40). The medical record data were collected, the influencing factors of intraoperative conversion from VATS to thoracotomy were analyzed, and the surgical indexes and postoperative complications were compared between the two groups. RESULTS: Multivariate regression model showed that tumor in the upper lobe, central lung cancer, history of pulmonary tuberculosis, pleural adhesion ≥ Grade-4 and maximum tumor diameter ≥ 35 mm were risk factors for patients with lung cancer undergoing conversion from VATS to thoracotomy (p< 0.05). In the conversion group, the surgical duration and hospital stay were longer, the intraoperative bleeding volume and thoracic drainage volume were larger, and the total incidence of postoperative complications was higher than those in the thoracoscopy group (p< 0.05). CONCLUSION: Conversion from VATS to thoracotomy may increase the risk of complications in patients with lung cancer. Tumor in the upper lobe, central lung cancer, history of pulmonary tuberculosis, high degree of pleural adhesion and large tumor diameter are risk factors for conversion from VATS to thoracotomy.
format Online
Article
Text
id pubmed-10480709
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Professional Medical Publications
record_format MEDLINE/PubMed
spelling pubmed-104807092023-09-07 Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience Zhang, Zhen Zhang, Yuefeng Zhang, Jian Su, Peng Pak J Med Sci Original Article OBJECTIVE: To explore the factors affecting the intraoperative conversion of video-assisted thoracoscopic surgery (VATS) to thoracotomy in patients with lung cancer. METHODS: The clinical data of 80 patients with lung cancer in The Fourth Hospital of Hebei Medical University from May 2019 to December 2021 were retrospectively analyzed. The patients who were treated with VATS alone were included into thoracoscopy group (n= 40), and those who were intraoperatively converted from VATS to thoracotomy were included into conversion group (n= 40). The medical record data were collected, the influencing factors of intraoperative conversion from VATS to thoracotomy were analyzed, and the surgical indexes and postoperative complications were compared between the two groups. RESULTS: Multivariate regression model showed that tumor in the upper lobe, central lung cancer, history of pulmonary tuberculosis, pleural adhesion ≥ Grade-4 and maximum tumor diameter ≥ 35 mm were risk factors for patients with lung cancer undergoing conversion from VATS to thoracotomy (p< 0.05). In the conversion group, the surgical duration and hospital stay were longer, the intraoperative bleeding volume and thoracic drainage volume were larger, and the total incidence of postoperative complications was higher than those in the thoracoscopy group (p< 0.05). CONCLUSION: Conversion from VATS to thoracotomy may increase the risk of complications in patients with lung cancer. Tumor in the upper lobe, central lung cancer, history of pulmonary tuberculosis, high degree of pleural adhesion and large tumor diameter are risk factors for conversion from VATS to thoracotomy. Professional Medical Publications 2023 /pmc/articles/PMC10480709/ /pubmed/37680827 http://dx.doi.org/10.12669/pjms.39.5.7422 Text en Copyright: © Pakistan Journal of Medical Sciences https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Zhang, Zhen
Zhang, Yuefeng
Zhang, Jian
Su, Peng
Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
title Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
title_full Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
title_fullStr Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
title_full_unstemmed Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
title_short Analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
title_sort analysis of factors affecting intraoperative conversion from thoracoscopic radical resection of lung cancer to thoracotomy and intraoperative management experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10480709/
https://www.ncbi.nlm.nih.gov/pubmed/37680827
http://dx.doi.org/10.12669/pjms.39.5.7422
work_keys_str_mv AT zhangzhen analysisoffactorsaffectingintraoperativeconversionfromthoracoscopicradicalresectionoflungcancertothoracotomyandintraoperativemanagementexperience
AT zhangyuefeng analysisoffactorsaffectingintraoperativeconversionfromthoracoscopicradicalresectionoflungcancertothoracotomyandintraoperativemanagementexperience
AT zhangjian analysisoffactorsaffectingintraoperativeconversionfromthoracoscopicradicalresectionoflungcancertothoracotomyandintraoperativemanagementexperience
AT supeng analysisoffactorsaffectingintraoperativeconversionfromthoracoscopicradicalresectionoflungcancertothoracotomyandintraoperativemanagementexperience