The Relationship between the Duration of Surgery for Thoracoscopic Lobectomy and Postoperative Complications in Patients with Stage I Non-small Cell Lung Cancer.

IF 0.9 4区 医学 Q3 SURGERY
Annali italiani di chirurgia Pub Date : 2024-01-01
Hao Jiang, Guanwen Wu, Biao Lu, Xiaobing Li
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引用次数: 0

Abstract

Objective: To investigate the relationship between the duration of surgery for thoracoscopic lobectomy and postoperative complications in patients with stage I non-small cell lung cancer (NSCLC).

Methods: The clinical data of patients who underwent thoracoscopic lobectomy in the Department of Cardiothoracic Surgery, Shaoxing Central Hospital from September 2018 to September 2023 were retrospectively analyzed.

Results: A total of 263 patients with thoracoscopic lobectomy were enrolled in this study. The duration of surgery was longer for patients with postoperative hospital stay >7 days, atrial fibrillation, postoperative pulmonary air leakage (>5 days), pleural effusion, or pneumonia compared to patients without corresponding complications, and the differences were statistically significant. Further regression analysis showed that prolonged duration of surgery was a risk factor for pneumonia, pleural effusion, atrial fibrillation, and postoperative hospital stay >7 days, and the predictive value of prolonged duration of surgery for the above complications was moderate. The results of chi-square tests showed that pneumonia, atelectasis, urinary tract infection, liver dysfunction, postoperative pulmonary air leakage (>5 days), pleural effusion, and atrial fibrillation were associated with postoperative hospital stay >7 days.

Conclusion: Prolonged duration of surgery is a risk factor for complications such as pneumonia, pleural effusion, atrial fibrillation, and postoperative hospital stay >7 days.

胸腔镜肺叶切除术手术时间与 I 期非小细胞肺癌患者术后并发症的关系。
目的方法:研究I期非小细胞肺癌(NSCLC)患者胸腔镜肺叶切除术的手术时间与术后并发症的关系:回顾性分析2018年9月至2023年9月在绍兴市中心医院心胸外科接受胸腔镜肺叶切除术患者的临床资料:本研究共纳入263例胸腔镜肺叶切除术患者。与无相应并发症的患者相比,术后住院时间>7天、心房颤动、术后肺漏气(>5天)、胸腔积液或肺炎的患者手术时间更长,差异有统计学意义。进一步的回归分析表明,手术时间过长是肺炎、胸腔积液、心房颤动和术后住院时间超过 7 天的危险因素,手术时间过长对上述并发症的预测价值为中等。卡方检验结果显示,肺炎、肺不张、尿路感染、肝功能异常、术后肺漏气(>5 天)、胸腔积液和心房颤动与术后住院时间>7 天有关:结论:手术时间过长是导致肺炎、胸腔积液、心房颤动等并发症以及术后住院时间超过 7 天的风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
12.50%
发文量
116
审稿时长
>12 weeks
期刊介绍: Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.
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