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Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases

AIM: The aim of the study was to evaluate the impact of smoking cessation and its timing in the preoperative period on postoperative morbidity in patients undergoing surgery for non-small cell lung cancer (NSCLC). MATERIAL AND METHODS: Two hundred and eighty-six patients surgically treated for NSCLC...

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Autores principales: Kozub, Mateusz, Gachewicz, Bartosz, Kasprzyk, Mariusz, Roszak, Magdalena, Gasiorowski, Lukasz, Dyszkiewicz, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491375/
https://www.ncbi.nlm.nih.gov/pubmed/31043970
http://dx.doi.org/10.5114/kitp.2019.83940
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author Kozub, Mateusz
Gachewicz, Bartosz
Kasprzyk, Mariusz
Roszak, Magdalena
Gasiorowski, Lukasz
Dyszkiewicz, Wojciech
author_facet Kozub, Mateusz
Gachewicz, Bartosz
Kasprzyk, Mariusz
Roszak, Magdalena
Gasiorowski, Lukasz
Dyszkiewicz, Wojciech
author_sort Kozub, Mateusz
collection PubMed
description AIM: The aim of the study was to evaluate the impact of smoking cessation and its timing in the preoperative period on postoperative morbidity in patients undergoing surgery for non-small cell lung cancer (NSCLC). MATERIAL AND METHODS: Two hundred and eighty-six patients surgically treated for NSCLC were prospectively analyzed in terms of duration and intensity of smoking, time period from smoking cessation to surgery, and postoperative morbidity. The patients were divided into five groups: I – current smokers and past smokers who quit smoking less than 2 weeks before surgery (n = 67), II – past smokers who quit 2 weeks to 3 months (n = 106), III – past smokers who quit 3 months to 1 year (n = 30), IV – past smokers who quit more than 1 year (n = 71), V – never smokers (n = 12). RESULTS: In the analyzed group 95.8% were smokers or past smokers. Postoperative complications occurred in 40.2% of patients including pulmonary (21.3%) and cardiac morbidity (17.8%). The pulmonary and circulatory morbidity rates were the lowest in group V but the differences were not significant. Similarly, there were no significant differences between groups with and without pulmonary or circulatory complications regarding: number of daily smoked cigarettes, smoking duration and the moment of cessation. The analysis of segmental regression showed the smallest percentage of complications in patients who quit smoking between the 8(th) and the 10(th) week before the operation. CONCLUSIONS: Among patients surgically treated for NSCLC, duration of smoking and number of smoked cigarettes has no significant influence on frequency and type of postoperative complications. The best moment to quit smoking is the period between the 8(th) and the 10(th) week preceding surgery.
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spelling pubmed-64913752019-05-01 Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases Kozub, Mateusz Gachewicz, Bartosz Kasprzyk, Mariusz Roszak, Magdalena Gasiorowski, Lukasz Dyszkiewicz, Wojciech Kardiochir Torakochirurgia Pol Original Paper AIM: The aim of the study was to evaluate the impact of smoking cessation and its timing in the preoperative period on postoperative morbidity in patients undergoing surgery for non-small cell lung cancer (NSCLC). MATERIAL AND METHODS: Two hundred and eighty-six patients surgically treated for NSCLC were prospectively analyzed in terms of duration and intensity of smoking, time period from smoking cessation to surgery, and postoperative morbidity. The patients were divided into five groups: I – current smokers and past smokers who quit smoking less than 2 weeks before surgery (n = 67), II – past smokers who quit 2 weeks to 3 months (n = 106), III – past smokers who quit 3 months to 1 year (n = 30), IV – past smokers who quit more than 1 year (n = 71), V – never smokers (n = 12). RESULTS: In the analyzed group 95.8% were smokers or past smokers. Postoperative complications occurred in 40.2% of patients including pulmonary (21.3%) and cardiac morbidity (17.8%). The pulmonary and circulatory morbidity rates were the lowest in group V but the differences were not significant. Similarly, there were no significant differences between groups with and without pulmonary or circulatory complications regarding: number of daily smoked cigarettes, smoking duration and the moment of cessation. The analysis of segmental regression showed the smallest percentage of complications in patients who quit smoking between the 8(th) and the 10(th) week before the operation. CONCLUSIONS: Among patients surgically treated for NSCLC, duration of smoking and number of smoked cigarettes has no significant influence on frequency and type of postoperative complications. The best moment to quit smoking is the period between the 8(th) and the 10(th) week preceding surgery. Termedia Publishing House 2019-04-04 2019-03 /pmc/articles/PMC6491375/ /pubmed/31043970 http://dx.doi.org/10.5114/kitp.2019.83940 Text en Copyright: © 2019 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Kozub, Mateusz
Gachewicz, Bartosz
Kasprzyk, Mariusz
Roszak, Magdalena
Gasiorowski, Lukasz
Dyszkiewicz, Wojciech
Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
title Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
title_full Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
title_fullStr Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
title_full_unstemmed Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
title_short Impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
title_sort impact of smoking history on postoperative complications after lung cancer surgery – a study based on 286 cases
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491375/
https://www.ncbi.nlm.nih.gov/pubmed/31043970
http://dx.doi.org/10.5114/kitp.2019.83940
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