دورية أكاديمية
Predictors of reoperation after lung volume reduction surgery
| العنوان: | Predictors of reoperation after lung volume reduction surgery |
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| المؤلفون: | Lund, Alberte, Soldath, Patrick, Nodin, Erika, Hansen, Henrik Jessen, Perch, Michael, Jensen, Kristine, Hornbech, Kåre, Kalhauge, Anna, Mortensen, Jann, Petersen, René Horsleben |
| المصدر: | Lund , A , Soldath , P , Nodin , E , Hansen , H J , Perch , M , Jensen , K , Hornbech , K , Kalhauge , A , Mortensen , J & Petersen , R H 2024 , ' Predictors of reoperation after lung volume reduction surgery ' , Surgical Endoscopy , vol. 38 , no. 2 , pp. 679-687 . https://doi.org/10.1007/s00464-023-10559-zTest |
| سنة النشر: | 2024 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| مصطلحات موضوعية: | COPD, Lung volume reduction surgery, Prolonged air leak, Reoperation, Risk factors |
| الوصف: | Objectives Lung volume reduction surgery (LVRS) has proven an effective treatment for emphysema, by decreasing hyperinflation and improving lung function, activity level and reducing dyspnoea. However, postoperative air leak is an important complication, often leading to reoperation. Our aim was to analyse reoperations after LVRS and identify potential predictors. Methods Consecutive single-centre unilateral VATS LVRS performed from 2017 to 2022 were included. Typically, 3–5 minor resections were made using vascular magazines without buttressing. Data were obtained from an institutional database and analysed. Multivariable logistic regression was used to identify predictors of reoperation. Number and location of injuries were registered. Results In total, 191 patients were included, 25 were reoperated (13%). In 21 patients, the indication for reoperation was substantial air leak, 3 patients bleeding and 1 patient empyema. Length of stay (LOS) was 21 (11–33) vs. 5 days (3–11), respectively. Only 3 injuries were in the stapler line, 13 within < 2cm and 15 injuries were in another site. Multivariable logistic regression analysis showed that decreasing DLCO increased risk of reoperation, OR 1.1 (1.03, 1.18, P = 0.005). Resections in only one lobe, compared to resections in multiple lobes, were also a risk factor OR 3.10 (1.17, 9.32, P = 0.03). Patients undergoing reoperation had significantly increased 30-day mortality, OR 5.52 (1.03, 26.69, P = 0.02). Conclusions Our incidence of reoperation after LVRS was 13% leading to prolonged LOS and increased 30-day mortality. Low DLCO and resections in a single lobe were significant predictors of reoperation. The air leak was usually not localized in the stapler line. ; Objectives: Lung volume reduction surgery (LVRS) has proven an effective treatment for emphysema, by decreasing hyperinflation and improving lung function, activity level and reducing dyspnoea. However, postoperative air leak is an important complication, often leading to reoperation. Our aim was to ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1007/s00464-023-10559-z |
| الإتاحة: | https://doi.org/10.1007/s00464-023-10559-zTest https://curis.ku.dk/portal/da/publications/predictors-of-reoperation-after-lung-volume-reduction-surgeryTest(7b3f025d-a333-4216-9fbe-dbaa8c7842e4).html https://curis.ku.dk/ws/files/382982469/s00464_023_10559_z.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.21C6A851 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00464-023-10559-z |
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