G M Agafonov, A S Petrov, O V Novikova, M A Atyukov, P K Yablonsky
{"title":"[自发性气胸手术治疗后的早期并发症：风险因素分析]。","authors":"G M Agafonov, A S Petrov, O V Novikova, M A Atyukov, P K Yablonsky","doi":"10.17116/hirurgia202503124","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To study the risk factors of complications after wedge resection with subsequent pleurectomy.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>The complication rate was 11.5% (<i>n</i>=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; <i>p</i>=0.030) and severe pleural adhesions (HR 4.258; 95% 1.134-15.991; <i>p</i>=0.032).</p><p><strong>Conclusion: </strong>Secondary pneumothorax and severe pleural adhesions are independent risk factors of postoperative complications.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 3","pages":"24-32"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis].\",\"authors\":\"G M Agafonov, A S Petrov, O V Novikova, M A Atyukov, P K Yablonsky\",\"doi\":\"10.17116/hirurgia202503124\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To study the risk factors of complications after wedge resection with subsequent pleurectomy.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>The complication rate was 11.5% (<i>n</i>=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; <i>p</i>=0.030) and severe pleural adhesions (HR 4.258; 95% 1.134-15.991; <i>p</i>=0.032).</p><p><strong>Conclusion: </strong>Secondary pneumothorax and severe pleural adhesions are independent risk factors of postoperative complications.</p>\",\"PeriodicalId\":35986,\"journal\":{\"name\":\"Khirurgiya\",\"volume\":\" 3\",\"pages\":\"24-32\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Khirurgiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/hirurgia202503124\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202503124","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis].
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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