Unplanned Perioperative Reoperation Following Pulmonary Resection in Lung Cancer Patients: A Report of a Single-Center Experience

IF 1.9 4区 医学 Q3 RESPIRATORY SYSTEM
Hongxiang Feng, Yue Zhao, Chaoyang Liang, Yuhui Shi, Deruo Liu, Jin Zhang, Zhenrong Zhang
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Abstract

Background

Pulmonary resection is an important part of comprehensive treatment of lung cancer. Despite the progress in recent thoracic surgery, reoperation is occasionally inevitable for managing severe perioperative complications. This study aimed to investigate the incidence and causes of perioperative reoperation in lung cancer patients.

Methods

We retrospectively collected patients who underwent reoperation following pulmonary resection from January 2010 to February 2021 in China-Japan Friendship Hospital.

Results

Among the 5032 lung cancer patients who received primary pulmonary resection in our institute, 37 patients underwent perioperative reoperation with the rate being 0.74%. Lobectomy was the most frequently executed procedure (56.8%). The mean duration of the primary surgery was 143.6 ± 65.1 min. About half of the cases received secondary surgery within 24 h of the primary surgery, whereas only one case underwent secondary surgery 30 days after the primary surgery (due to chylous leakage). The major causes of the reoperation were bleeding (73.0%), chylous leakage (13.5%), lobar torsion (5.4%), air leakage (2.7%), atelectasis (2.9%), and cardiac herniation (2.7%).

Conclusion

The most prevalent reasons for unplanned reoperation following pulmonary resection in lung cancer patients include bleeding, chylous leakage, and lobar torsion. The strict control of the surgical indications and standardization of surgical procedures are fundamental to reduce unplanned secondary operations after pulmonary resections. Timely identification of the need to secondary surgery is also important to ensure patients' safety.

Abstract Image

肺癌患者肺切除术后非计划围手术期再次手术:单中心经验报告
背景:肺切除术是肺癌综合治疗的重要组成部分。尽管近年来胸外科手术取得了很大进展,但为了处理严重的围手术期并发症,再次手术有时仍不可避免。本研究旨在调查肺癌患者围手术期再次手术的发生率和原因:我们回顾性收集了 2010 年 1 月至 2021 年 2 月期间在中日友好医院接受肺切除术后再次手术的患者:结果:在我院接受原发性肺切除术的5032例肺癌患者中,有37例患者进行了围手术期再手术,再手术率为0.74%。肺叶切除术是最常见的手术(56.8%)。初次手术的平均时间为(143.6 ± 65.1)分钟。约半数病例在初次手术后24小时内接受了二次手术,只有一例在初次手术后30天接受了二次手术(由于乳糜漏)。再次手术的主要原因是出血(73.0%)、乳糜漏(13.5%)、肺叶扭转(5.4%)、漏气(2.7%)、肺不张(2.9%)和心脏疝(2.7%):结论:肺癌患者肺切除术后最常见的非计划再手术原因包括出血、乳糜漏和肺叶扭转。严格控制手术适应症和规范手术流程是减少肺切除术后意外二次手术的根本。及时发现是否需要二次手术对于确保患者的安全也很重要。
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来源期刊
Clinical Respiratory Journal
Clinical Respiratory Journal 医学-呼吸系统
CiteScore
3.70
自引率
0.00%
发文量
104
审稿时长
>12 weeks
期刊介绍: Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)
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