Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer
| Autor: | Yongkui Yu, Qiyun Zou, Xiaofei Chu, Haibo Sun, Zongfei Wang, Qi Liu, Wenqun Xing, Aiying Sun, Chenfang Gong, Ruixiang Zhang, Shilei Liu, Pei-Nan Chen, Haibo Ma, Funa Yang, Yan Zheng, Wei Wang, Lei Xu |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Esophageal Neoplasms medicine.medical_treatment Postoperative Complications medicine Humans Pulmonary rehabilitation Thoracotomy Lung Aged Retrospective Studies Advanced and Specialized Nursing Aged 80 and over business.industry Thoracic Surgery Video-Assisted Sputum Esophageal cancer Middle Aged medicine.disease Comorbidity Surgery Anesthesiology and Pain Medicine Cardiothoracic surgery Esophagectomy Propensity score matching Female medicine.symptom business |
| Zdroj: | Annals of palliative medicine. 9(6) |
| ISSN: | 2224-5839 |
| Popis: | Background This study explores whether postoperative hand-assisted expectoration can reduce postoperative pulmonary complications (PPCs) in patients with esophageal cancer. Methods A retrospective analysis was performed on 543 patients undergoing radical esophageal cancer (EC) surgery in our hospital from October 2018 to August 2019, 156 of whom received postoperative handassisted sputum excretion (pulmonary rehabilitation, PR) and 387 of whom who did not receive postoperative hand-assisted sputum excretion (no pulmonary rehabilitation, NPR). Because the clinical characteristics of the two groups were not balanced, we used propensity score matching (PSM) to account for the variable factors of age, gender, body mass index (BMI), chronic respiratory comorbidity, smoking index, operation time, operation method, pathological stage. The main observation index used was PPCs. Results Among these 543 patients, 365 were male (67.2%), while 178 were female (32.8%). The age ranged from 30 to 82 years, with an average of 63.6±7.5 years old. In all, 342 patients (63%) underwent video-assisted thoracic surgery (VATS) surgery, while 201 patients (37%) underwent thoracotomy. Furthermore, 72 patients in the PR group received preoperative rehabilitation training and postoperative hand-assisted sputum excretion (combination pulmonary rehabilitation, CPR), while 87 patients only received postoperative hand-assisted sputum excretion (postoperative pulmonary rehabilitation, PPR). The patients in the PR group and the NPR group were uneven in terms of clinical characteristics, and we performed PSM as a result. After matching, PPC incidence in patients in the PR group was lower than that in the NPR group (P Conclusions Our results show that hand-assisted sputum excretion after EC surgery can reduce PPCs. |
| Databáze: | OpenAIRE |
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