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Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience

The purpose of this study was to identify the risk factors for adverse events during single-port video-assisted thoracoscopic (SPVATS) anatomical resections. We retrospectively reviewed patients who had undergone SPVATS anatomic resections between January 2014 and February 2017 in Coruña University...

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Autores principales: Gonzalez-Rivas, Diego, Kuo, Yung Chia, Wu, Ching Yang, Delgado, Maria, Mercedes, de la Torre, Fernandez, Ricardo, Fieira, Eva, Hsieh, Ming Ju, Paradela, Marina, Chao, Yin Kai, Wu, Ching Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200447/
https://www.ncbi.nlm.nih.gov/pubmed/30290649
http://dx.doi.org/10.1097/MD.0000000000012664
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author Gonzalez-Rivas, Diego
Kuo, Yung Chia
Wu, Ching Yang
Delgado, Maria
Mercedes, de la Torre
Fernandez, Ricardo
Fieira, Eva
Hsieh, Ming Ju
Paradela, Marina
Chao, Yin Kai
Wu, Ching Feng
author_facet Gonzalez-Rivas, Diego
Kuo, Yung Chia
Wu, Ching Yang
Delgado, Maria
Mercedes, de la Torre
Fernandez, Ricardo
Fieira, Eva
Hsieh, Ming Ju
Paradela, Marina
Chao, Yin Kai
Wu, Ching Feng
author_sort Gonzalez-Rivas, Diego
collection PubMed
description The purpose of this study was to identify the risk factors for adverse events during single-port video-assisted thoracoscopic (SPVATS) anatomical resections. We retrospectively reviewed patients who had undergone SPVATS anatomic resections between January 2014 and February 2017 in Coruña University Hospital's Minimally Invasive Thoracic Surgery Unit (CHUAC, Spain) and Chang Gung Memorial Hospital (CGMH, Taiwan). Four hundred forty-two patients (male: 306, female: 136) were enrolled in this study. Logistic regression analysis was performed on variables for postoperative complications. Postoperative complications with a 30-day mortality occurred in 94 patients (21.3%) and with a 90-day mortality in 3 patients (0.7%) while the major complication rate was 3.9%. Prolonged air leak (PAL > 5 days) was the most common complication and came by postoperative arrhythmia. Logistic regression indicated that pleural symphysis (odds ratio (OR), 1.91; 95% confidence interval (CI), 1.14–3.18; P = .014), computed tomography (CT) pulmonary emphysema (OR, 2.63; 95% CI, 1.41–4.76; P = .002), well-developed pulmonary CT fissure line (OR, 0.49; 95% CI, 0.29–0.84; P = .009), and tumor size (≥3 cm) (OR, 2.15; 95% CI, 1.30–3.57; P = .003) were predictors of postoperative complications. Our preliminary results revealed that SPVATS anatomic resection achieves acceptable 30- and 90-day surgery related mortality (0.7%) and major complications rate (3.9%). Prolonged Air leak (PAL > 5 days) was the most common postoperative complication. Pleural symphysis, pulmonary emphysema, well-developed pulmonary CT fissure line and tumor size (≥3 cm) were predictors of adverse events during SPVATS anatomic resection.
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spelling pubmed-62004472018-11-07 Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience Gonzalez-Rivas, Diego Kuo, Yung Chia Wu, Ching Yang Delgado, Maria Mercedes, de la Torre Fernandez, Ricardo Fieira, Eva Hsieh, Ming Ju Paradela, Marina Chao, Yin Kai Wu, Ching Feng Medicine (Baltimore) Research Article The purpose of this study was to identify the risk factors for adverse events during single-port video-assisted thoracoscopic (SPVATS) anatomical resections. We retrospectively reviewed patients who had undergone SPVATS anatomic resections between January 2014 and February 2017 in Coruña University Hospital's Minimally Invasive Thoracic Surgery Unit (CHUAC, Spain) and Chang Gung Memorial Hospital (CGMH, Taiwan). Four hundred forty-two patients (male: 306, female: 136) were enrolled in this study. Logistic regression analysis was performed on variables for postoperative complications. Postoperative complications with a 30-day mortality occurred in 94 patients (21.3%) and with a 90-day mortality in 3 patients (0.7%) while the major complication rate was 3.9%. Prolonged air leak (PAL > 5 days) was the most common complication and came by postoperative arrhythmia. Logistic regression indicated that pleural symphysis (odds ratio (OR), 1.91; 95% confidence interval (CI), 1.14–3.18; P = .014), computed tomography (CT) pulmonary emphysema (OR, 2.63; 95% CI, 1.41–4.76; P = .002), well-developed pulmonary CT fissure line (OR, 0.49; 95% CI, 0.29–0.84; P = .009), and tumor size (≥3 cm) (OR, 2.15; 95% CI, 1.30–3.57; P = .003) were predictors of postoperative complications. Our preliminary results revealed that SPVATS anatomic resection achieves acceptable 30- and 90-day surgery related mortality (0.7%) and major complications rate (3.9%). Prolonged Air leak (PAL > 5 days) was the most common postoperative complication. Pleural symphysis, pulmonary emphysema, well-developed pulmonary CT fissure line and tumor size (≥3 cm) were predictors of adverse events during SPVATS anatomic resection. Wolters Kluwer Health 2018-10-05 /pmc/articles/PMC6200447/ /pubmed/30290649 http://dx.doi.org/10.1097/MD.0000000000012664 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle Research Article
Gonzalez-Rivas, Diego
Kuo, Yung Chia
Wu, Ching Yang
Delgado, Maria
Mercedes, de la Torre
Fernandez, Ricardo
Fieira, Eva
Hsieh, Ming Ju
Paradela, Marina
Chao, Yin Kai
Wu, Ching Feng
Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience
title Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience
title_full Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience
title_fullStr Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience
title_full_unstemmed Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience
title_short Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: Two center experience
title_sort predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection: two center experience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200447/
https://www.ncbi.nlm.nih.gov/pubmed/30290649
http://dx.doi.org/10.1097/MD.0000000000012664
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