[Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis].

Q4 Medicine

Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia202503124

G M Agafonov, A S Petrov, O V Novikova, M A Atyukov, P K Yablonsky

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引用次数: 0

Abstract

Objective: To study the risk factors of complications after wedge resection with subsequent pleurectomy.

Material and methods: There were 454 patients diagnosed with spontaneous pneumothorax between 2018 and 2023. Surgical intervention was performed in 331 (72.9%) patients according to commonly accepted indications for prevention of recurrence. Risk factors were studied using regression analysis and directed acyclic graph (DAG) method to build predictive models.

Results: The complication rate was 11.5% (n=38). The most common complications were intrapleural bleeding and prolonged air leak (3.9% and 3.6%, respectively). One-third of cases were classified as major complications according to the Clavien-Dindo classification in thoracic surgery and required pleural cavity drainage or debridement. Significant risk factors of postoperative complications were secondary pneumothorax (HR 4.009; 95% 1.147-14.013; p=0.030) and severe pleural adhesions (HR 4.258; 95% 1.134-15.991; p=0.032).

Conclusion: Secondary pneumothorax and severe pleural adhesions are independent risk factors of postoperative complications.

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[自发性气胸手术治疗后的早期并发症：风险因素分析]。

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

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень