دورية أكاديمية
Lymph Node Dissection Is a Risk Factor for Short-Term Cough after Pulmonary Resection
العنوان: | Lymph Node Dissection Is a Risk Factor for Short-Term Cough after Pulmonary Resection |
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المؤلفون: | Xiaoli Wu, Hanyang Xing, Ping Chen, Jihua Ma, Xintian Wang, Chengyi Mao, Xiaoying Zhao, Fuqiang Dai |
المصدر: | Current Oncology, Vol 29, Iss 1, Pp 294-307 (2022) |
بيانات النشر: | MDPI AG, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | postoperative cough, pulmonary resection, video-assisted thoracoscopic surgery (VATS), risk factor analysis, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Cough is a common complication after pulmonary resection. However, the factors associated with cough that develop after pulmonary resection are still controversial. In this study, we used the Simplified Cough Score (SCS) and the Leicester Cough Questionnaire (LCQ) score to investigate potential risk factors for postoperative cough. Between January 2017 and June 2021, we collected the clinical data of 517 patients, the SCS at three days after surgery and the LCQ at two weeks and six weeks after surgery. Then, univariate and multivariate analyses were used to identify the independent risk factors for postoperative cough. The clinical baseline data of the cough group and the non-cough group were similar. However, the cough group had longer operation time and more blood loss. The patients who underwent lobectomy were more likely to develop postoperative cough than the patients who underwent segmentectomy and wedge resection, while the patients who underwent systematic lymph node dissection were more likely to develop postoperative cough than the patients who underwent lymph node sampling and those who did not undergo lymph node resection. When the same lymph node management method was applied, there was no difference in the LCQ scores between the patients who underwent wedge resection, lobectomy and segmentectomy. The lymph node resection method was an independent risk factor for postoperative cough (p < 0.001). Conclusions: Lymph node resection is an independent risk factor for short-term cough after pulmonary resection with video-assisted thoracoscopic surgery, and damage to the vagus nerve and its branches (particularly the pulmonary branches) is a possible cause of short-term cough. The mechanism of postoperative cough remains to be further studied. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1718-7729 1198-0052 |
العلاقة: | https://www.mdpi.com/1718-7729/29/1/27Test; https://doaj.org/toc/1198-0052Test; https://doaj.org/toc/1718-7729Test |
DOI: | 10.3390/curroncol29010027 |
الوصول الحر: | https://doaj.org/article/7b2f5a92600b4d208626ccac90db3987Test |
رقم الانضمام: | edsdoj.7b2f5a92600b4d208626ccac90db3987 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 17187729 11980052 |
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DOI: | 10.3390/curroncol29010027 |