Autor: |
Christian Galata, Lorena Cascant Ortolano, Saeed Shafiei, Svetlana Hetjens, Lukas Müller, Roland H. Stauber, Davor Stamenovic, Eric D. Roessner, Ioannis Karampinis |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Cancers. 14:4361 |
ISSN: |
2072-6694 |
DOI: |
10.3390/cancers14184361 |
Popis: |
(1) Background: The number of chest X-rays that are performed in the perioperative window of thoracic surgery varies. Many clinics X-ray patients daily, while others only perform X-rays if there are clinical concerns. The purpose of this study was to assess the evidence of perioperative X-rays following thoracic surgery and estimate the clinical value with regard to changes in patient care. (2) Methods: A systematic literature research was conducted up until November 2021. Studies reporting X-ray outcomes in adult patients undergoing general thoracic surgery were included. (3) Results: In total, 11 studies (3841 patients/4784 X-rays) were included. The X-ray resulted in changes in patient care in 488 cases (10.74%). In patients undergoing mediastinoscopic lymphadenectomy or thoracoscopic sympathectomy, postoperative X-ray never led to changes in patient care. (4) Conclusions: There are no data to recommend an X-ray before surgery or to recommend daily X-rays. X-rays immediately after surgery seem to rarely have any consequences. It is probably reasonable to keep requesting X-rays after drain removal since they serve multiple purposes and alter patient care in 7.30% of the cases. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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