The outcomes of concomitant off-pump coronary artery bypass grafting and pulmonary operations.

IF 0.5 4区 医学 Q4 SURGERY
Mehmet Şanser Ateş, Zümrüt Tuba Demirözü, Suat Erus, Eray Aksoy, Kadir Burak Özer, Sami Gürkahraman, Ekin Ezgi Cesur, Serhan Tanju
{"title":"The outcomes of concomitant off-pump coronary artery bypass grafting and pulmonary operations.","authors":"Mehmet Şanser Ateş, Zümrüt Tuba Demirözü, Suat Erus, Eray Aksoy, Kadir Burak Özer, Sami Gürkahraman, Ekin Ezgi Cesur, Serhan Tanju","doi":"10.5606/tgkdc.dergisi.2025.26778","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aims to analyze the early- and long-term outcomes of concomitant off-pump coronary artery bypass grafting and pulmonary resection for lung cancer or a thoracic mass.</p><p><strong>Methods: </strong>Twenty-three patients (17 females, 6 males; mean age: 69.7±6.5 years; range, 59 to 83 years) who underwent concomitant off-pump coronary artery bypass grafting and thoracic surgery procedures for lung cancer or a thoracic mass between March 2018 and February 2024 were included in the retrospective study. The surgical approach was median sternotomy for off-pump coronary artery bypass grafting, and video-assisted thoracoscopic surgery was preferred for lung tumor resections. Mortality, major adverse cardiac events, cerebrovascular events, and duration of hospital stay were evaluated.</p><p><strong>Results: </strong>There were no postoperative deaths or perioperative myocardial infarctions. None of the patients experienced pneumothorax or atelectasis. None of the patients sustained excessive blood loss requiring reoperation. Arterial grafts were the first choice during coronary artery bypass grafting. Wedge resections, lobectomies, segmentectomies were performed in the subsequent video-assisted thoracic surgery. All patients were followed for six to 86 months. Four patients died during the postoperative one-year period, and one patient died at postoperative 29 months due to cancer relapse. The overall one-year survival rate was 86.5%, and three- and five-year survival rates were 74% and 74%, respectively.</p><p><strong>Conclusion: </strong>The video-assisted thoracoscopic surgery approach provides a more favorable perspective for pulmonary resection and mediastinal lymph node dissection, which has importance in patients' final diagnosis, than the sternal view due to more ample, wider workspace. Combined off-pump coronary artery bypass grafting and pulmonary resection in patients with lung cancer is safe and effective and reduces possible complications of a second major surgery.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"33 1","pages":"46-56"},"PeriodicalIF":0.5000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931360/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5606/tgkdc.dergisi.2025.26778","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: This study aims to analyze the early- and long-term outcomes of concomitant off-pump coronary artery bypass grafting and pulmonary resection for lung cancer or a thoracic mass.

Methods: Twenty-three patients (17 females, 6 males; mean age: 69.7±6.5 years; range, 59 to 83 years) who underwent concomitant off-pump coronary artery bypass grafting and thoracic surgery procedures for lung cancer or a thoracic mass between March 2018 and February 2024 were included in the retrospective study. The surgical approach was median sternotomy for off-pump coronary artery bypass grafting, and video-assisted thoracoscopic surgery was preferred for lung tumor resections. Mortality, major adverse cardiac events, cerebrovascular events, and duration of hospital stay were evaluated.

Results: There were no postoperative deaths or perioperative myocardial infarctions. None of the patients experienced pneumothorax or atelectasis. None of the patients sustained excessive blood loss requiring reoperation. Arterial grafts were the first choice during coronary artery bypass grafting. Wedge resections, lobectomies, segmentectomies were performed in the subsequent video-assisted thoracic surgery. All patients were followed for six to 86 months. Four patients died during the postoperative one-year period, and one patient died at postoperative 29 months due to cancer relapse. The overall one-year survival rate was 86.5%, and three- and five-year survival rates were 74% and 74%, respectively.

Conclusion: The video-assisted thoracoscopic surgery approach provides a more favorable perspective for pulmonary resection and mediastinal lymph node dissection, which has importance in patients' final diagnosis, than the sternal view due to more ample, wider workspace. Combined off-pump coronary artery bypass grafting and pulmonary resection in patients with lung cancer is safe and effective and reduces possible complications of a second major surgery.

非体外循环冠状动脉旁路移植术合并肺部手术的疗效。
背景:本研究旨在分析肺癌或胸部肿块合并非体外循环冠状动脉旁路移植术和肺切除术的早期和长期预后。方法:23例患者(女性17例,男性6例;平均年龄:69.7±6.5岁;在2018年3月至2024年2月期间,59岁至83岁的患者接受了非体外循环冠状动脉搭桥术和胸部手术治疗肺癌或胸部肿块,纳入了回顾性研究。非体外循环冠状动脉旁路移植术的手术入路为胸骨正中切口,肺肿瘤切除术首选电视胸腔镜手术。评估死亡率、主要心脏不良事件、脑血管事件和住院时间。结果:无术后死亡及围手术期心肌梗死。没有患者出现气胸或肺不张。没有患者因失血过多而需要再次手术。动脉移植是冠状动脉搭桥术的首选。在随后的电视辅助胸外科手术中进行了楔形切除术、肺叶切除术、节段切除术。所有患者随访6至86个月。4例患者术后1年内死亡,1例患者术后29个月因癌症复发死亡。总1年生存率为86.5%,3年和5年生存率分别为74%和74%。结论:视频胸腔镜手术入路比胸骨视野更充足、更宽阔,为肺切除和纵隔淋巴结清扫提供了更有利的视角,对患者的最终诊断具有重要意义。联合非体外循环冠状动脉旁路移植术和肺切除术对肺癌患者是安全有效的,并减少了第二次大手术的可能并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.00
自引率
0.00%
发文量
98
审稿时长
3-8 weeks
期刊介绍: The Turkish Journal of Thoracic and Cardiovascular Surgery is an international open access journal which publishes original articles on topics in generality of Cardiac, Thoracic, Arterial, Venous, Lymphatic Disorders and their managements. These encompass all relevant clinical, surgical and experimental studies, editorials, current and collective reviews, technical know-how papers, case reports, interesting images, How to Do It papers, correspondences, and commentaries.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信