Impact of previous upper gastrointestinal cancer surgery on complications after lobectomy for lung cancer
| Autor: | Takashi, Yamamichi, Junji, Ichinose, Satoru, Tamagawa, Kohei, Hashimoto, Yosuke, Matsuura, Masayuki, Nakao, Sakae, Okumura, Mingyon, Mun |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Thoracic Disease. 14:3811-3818 |
| ISSN: | 2077-6624 2072-1439 |
| DOI: | 10.21037/jtd-22-798 |
| Popis: | The number of lung cancer patients with a history of other malignancies is increasing. Previous upper gastrointestinal cancer (UGIC) surgery may increase the risk of complications after lung cancer surgery due to malnutrition and susceptibility in patients; therefore, we investigated its short-term outcomes.We retrospectively examined patients with lung cancer who underwent thoracoscopic lobectomy between 2011 and 2021 and collected data regarding postoperative complications and postoperative pulmonary complications ≥ grade II of the Clavien-Dindo classification that developed within 3 months post-surgery. The effect of UGIC surgery on the postoperative complications was evaluated by multivariable analysis using logistic regression.Among the 1,385 included patients, 377 patients had a history of cancer surgery and 65 (4.7%) of them had undergone UGIC surgery. Postoperative and pulmonary complications were observed in 155 (11.2%) and 39 (2.9%) patients, respectively. The frequency of pulmonary complications was significantly higher in patients with previous UGIC surgery (9.2%Previous UGIC surgery was an independent factor associated with postoperative pulmonary complications after lung cancer surgery. |
| Databáze: | OpenAIRE |
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