Airway complications have a greater impact on the outcomes of living-donor lobar lung transplantation recipients than cadaveric lung transplantation recipients
Purpose Airway complications (ACs) after living-donor lobar lung transplantation (LDLLT) could have different features from those after cadaveric lung transplantation (CLT). We conducted this study to compare the characteristics of ACs after LDLLT vs. those after CLT and investigate their impact on...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2018-09, Vol.48 (9), p.848-855 |
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| container_title | Surgery today (Tokyo, Japan) |
| container_volume | 48 |
| creator | Sugimoto, Seiichiro Yamane, Masaomi Otani, Shinji Kurosaki, Takeshi Okahara, Shuji Hikasa, Yukiko Toyooka, Shinichi Kobayashi, Motomu Oto, Takahiro |
| description | Purpose
Airway complications (ACs) after living-donor lobar lung transplantation (LDLLT) could have different features from those after cadaveric lung transplantation (CLT). We conducted this study to compare the characteristics of ACs after LDLLT vs. those after CLT and investigate their impact on outcomes.
Methods
We reviewed, retrospectively, data on 163 recipients of lung transplantation, including 83 recipients of LDLLT and 80 recipients of CLT.
Results
The incidence of ACs did not differ between LDLLT and CLT. The initial type of AC after LDLLT was limited to stenosis in all eight patients, whereas that after CLT consisted of stenosis in three patients and necrosis in ten patients (
p
= 0.0034). ACs after LDLLT necessitated significantly earlier initiation of treatment than those after CLT (
p
= 0.032). The overall survival rate of LDLLT recipients with an AC was significantly lower than that of those without an AC (
p
= 0.030), whereas the overall survival rate was comparable between CLT recipients with and those without ACs (
p
= 0.25).
Conclusion
ACs after LDLLT, limited to bronchial stenosis, require significantly earlier treatment and have a greater adverse impact on survival than ACs after CLT. |
| doi_str_mv | 10.1007/s00595-018-1663-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2029643699</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2029643699</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-875307b55181f05051642127684e2fddcc27d39836992de55c11a67b9204ab6f3</originalsourceid><addsrcrecordid>eNqFkcFuFSEUhomxsbetD-DGsHRDPYcZmGHZNFabNHGja8IwzC3NDIzA1PRpfFW53uqybmDB938c-Al5h3CJAN3HDCCUYIA9QykbJl-RHbaNZLzH5jXZgWqRIVd4Ss5yfgDgbQ_whpxyJXtQyHfk15VPP80TtXFZZ29N8TFkem8eHTV0n5wpLlG_rMYWGgMt947GrVTaZRonOvtHH_ZsjCEmOsfB1HULe1qSCXmdTSh_jDQ561fvQslVYQK1ZqxXJG__h1-Qk8nM2b193s_J95tP366_sLuvn2-vr-6YbZu2sL4TDXSDENjjBAIEypYj72TfOj6No7W8GxvVN1IpPjohLKKR3aA4tGaQU3NOPhy9a4o_NpeLXny2bq4zubhlzaH-WXuIVxSPqE0x5-QmvSa_mPSkEfShF33sRdde9KEXLWvm_bN-GxY3_kv8LaIC_AjkehT2LumHuKVQn_yC9TfMjJvi</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2029643699</pqid></control><display><type>article</type><title>Airway complications have a greater impact on the outcomes of living-donor lobar lung transplantation recipients than cadaveric lung transplantation recipients</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Sugimoto, Seiichiro ; Yamane, Masaomi ; Otani, Shinji ; Kurosaki, Takeshi ; Okahara, Shuji ; Hikasa, Yukiko ; Toyooka, Shinichi ; Kobayashi, Motomu ; Oto, Takahiro</creator><creatorcontrib>Sugimoto, Seiichiro ; Yamane, Masaomi ; Otani, Shinji ; Kurosaki, Takeshi ; Okahara, Shuji ; Hikasa, Yukiko ; Toyooka, Shinichi ; Kobayashi, Motomu ; Oto, Takahiro</creatorcontrib><description>Purpose
Airway complications (ACs) after living-donor lobar lung transplantation (LDLLT) could have different features from those after cadaveric lung transplantation (CLT). We conducted this study to compare the characteristics of ACs after LDLLT vs. those after CLT and investigate their impact on outcomes.
Methods
We reviewed, retrospectively, data on 163 recipients of lung transplantation, including 83 recipients of LDLLT and 80 recipients of CLT.
Results
The incidence of ACs did not differ between LDLLT and CLT. The initial type of AC after LDLLT was limited to stenosis in all eight patients, whereas that after CLT consisted of stenosis in three patients and necrosis in ten patients (
p
= 0.0034). ACs after LDLLT necessitated significantly earlier initiation of treatment than those after CLT (
p
= 0.032). The overall survival rate of LDLLT recipients with an AC was significantly lower than that of those without an AC (
p
= 0.030), whereas the overall survival rate was comparable between CLT recipients with and those without ACs (
p
= 0.25).
Conclusion
ACs after LDLLT, limited to bronchial stenosis, require significantly earlier treatment and have a greater adverse impact on survival than ACs after CLT.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-018-1663-6</identifier><identifier>PMID: 29680912</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Adult ; Bronchi - pathology ; Cadaver ; Constriction, Pathologic ; Female ; Humans ; Living Donors ; Lung Transplantation - mortality ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Necrosis ; Original Article ; Postoperative Complications ; Retrospective Studies ; Surgery ; Surgical Oncology ; Survival Rate ; Treatment Outcome ; Young Adult</subject><ispartof>Surgery today (Tokyo, Japan), 2018-09, Vol.48 (9), p.848-855</ispartof><rights>Springer Nature Singapore Pte Ltd. 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-875307b55181f05051642127684e2fddcc27d39836992de55c11a67b9204ab6f3</citedby><cites>FETCH-LOGICAL-c434t-875307b55181f05051642127684e2fddcc27d39836992de55c11a67b9204ab6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-018-1663-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-018-1663-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29680912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugimoto, Seiichiro</creatorcontrib><creatorcontrib>Yamane, Masaomi</creatorcontrib><creatorcontrib>Otani, Shinji</creatorcontrib><creatorcontrib>Kurosaki, Takeshi</creatorcontrib><creatorcontrib>Okahara, Shuji</creatorcontrib><creatorcontrib>Hikasa, Yukiko</creatorcontrib><creatorcontrib>Toyooka, Shinichi</creatorcontrib><creatorcontrib>Kobayashi, Motomu</creatorcontrib><creatorcontrib>Oto, Takahiro</creatorcontrib><title>Airway complications have a greater impact on the outcomes of living-donor lobar lung transplantation recipients than cadaveric lung transplantation recipients</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
Airway complications (ACs) after living-donor lobar lung transplantation (LDLLT) could have different features from those after cadaveric lung transplantation (CLT). We conducted this study to compare the characteristics of ACs after LDLLT vs. those after CLT and investigate their impact on outcomes.
Methods
We reviewed, retrospectively, data on 163 recipients of lung transplantation, including 83 recipients of LDLLT and 80 recipients of CLT.
Results
The incidence of ACs did not differ between LDLLT and CLT. The initial type of AC after LDLLT was limited to stenosis in all eight patients, whereas that after CLT consisted of stenosis in three patients and necrosis in ten patients (
p
= 0.0034). ACs after LDLLT necessitated significantly earlier initiation of treatment than those after CLT (
p
= 0.032). The overall survival rate of LDLLT recipients with an AC was significantly lower than that of those without an AC (
p
= 0.030), whereas the overall survival rate was comparable between CLT recipients with and those without ACs (
p
= 0.25).
Conclusion
ACs after LDLLT, limited to bronchial stenosis, require significantly earlier treatment and have a greater adverse impact on survival than ACs after CLT.</description><subject>Adult</subject><subject>Bronchi - pathology</subject><subject>Cadaver</subject><subject>Constriction, Pathologic</subject><subject>Female</subject><subject>Humans</subject><subject>Living Donors</subject><subject>Lung Transplantation - mortality</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>Original Article</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFuFSEUhomxsbetD-DGsHRDPYcZmGHZNFabNHGja8IwzC3NDIzA1PRpfFW53uqybmDB938c-Al5h3CJAN3HDCCUYIA9QykbJl-RHbaNZLzH5jXZgWqRIVd4Ss5yfgDgbQ_whpxyJXtQyHfk15VPP80TtXFZZ29N8TFkem8eHTV0n5wpLlG_rMYWGgMt947GrVTaZRonOvtHH_ZsjCEmOsfB1HULe1qSCXmdTSh_jDQ561fvQslVYQK1ZqxXJG__h1-Qk8nM2b193s_J95tP366_sLuvn2-vr-6YbZu2sL4TDXSDENjjBAIEypYj72TfOj6No7W8GxvVN1IpPjohLKKR3aA4tGaQU3NOPhy9a4o_NpeLXny2bq4zubhlzaH-WXuIVxSPqE0x5-QmvSa_mPSkEfShF33sRdde9KEXLWvm_bN-GxY3_kv8LaIC_AjkehT2LumHuKVQn_yC9TfMjJvi</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Sugimoto, Seiichiro</creator><creator>Yamane, Masaomi</creator><creator>Otani, Shinji</creator><creator>Kurosaki, Takeshi</creator><creator>Okahara, Shuji</creator><creator>Hikasa, Yukiko</creator><creator>Toyooka, Shinichi</creator><creator>Kobayashi, Motomu</creator><creator>Oto, Takahiro</creator><general>Springer Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180901</creationdate><title>Airway complications have a greater impact on the outcomes of living-donor lobar lung transplantation recipients than cadaveric lung transplantation recipients</title><author>Sugimoto, Seiichiro ; Yamane, Masaomi ; Otani, Shinji ; Kurosaki, Takeshi ; Okahara, Shuji ; Hikasa, Yukiko ; Toyooka, Shinichi ; Kobayashi, Motomu ; Oto, Takahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-875307b55181f05051642127684e2fddcc27d39836992de55c11a67b9204ab6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Bronchi - pathology</topic><topic>Cadaver</topic><topic>Constriction, Pathologic</topic><topic>Female</topic><topic>Humans</topic><topic>Living Donors</topic><topic>Lung Transplantation - mortality</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Necrosis</topic><topic>Original Article</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sugimoto, Seiichiro</creatorcontrib><creatorcontrib>Yamane, Masaomi</creatorcontrib><creatorcontrib>Otani, Shinji</creatorcontrib><creatorcontrib>Kurosaki, Takeshi</creatorcontrib><creatorcontrib>Okahara, Shuji</creatorcontrib><creatorcontrib>Hikasa, Yukiko</creatorcontrib><creatorcontrib>Toyooka, Shinichi</creatorcontrib><creatorcontrib>Kobayashi, Motomu</creatorcontrib><creatorcontrib>Oto, Takahiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugimoto, Seiichiro</au><au>Yamane, Masaomi</au><au>Otani, Shinji</au><au>Kurosaki, Takeshi</au><au>Okahara, Shuji</au><au>Hikasa, Yukiko</au><au>Toyooka, Shinichi</au><au>Kobayashi, Motomu</au><au>Oto, Takahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Airway complications have a greater impact on the outcomes of living-donor lobar lung transplantation recipients than cadaveric lung transplantation recipients</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>48</volume><issue>9</issue><spage>848</spage><epage>855</epage><pages>848-855</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
Airway complications (ACs) after living-donor lobar lung transplantation (LDLLT) could have different features from those after cadaveric lung transplantation (CLT). We conducted this study to compare the characteristics of ACs after LDLLT vs. those after CLT and investigate their impact on outcomes.
Methods
We reviewed, retrospectively, data on 163 recipients of lung transplantation, including 83 recipients of LDLLT and 80 recipients of CLT.
Results
The incidence of ACs did not differ between LDLLT and CLT. The initial type of AC after LDLLT was limited to stenosis in all eight patients, whereas that after CLT consisted of stenosis in three patients and necrosis in ten patients (
p
= 0.0034). ACs after LDLLT necessitated significantly earlier initiation of treatment than those after CLT (
p
= 0.032). The overall survival rate of LDLLT recipients with an AC was significantly lower than that of those without an AC (
p
= 0.030), whereas the overall survival rate was comparable between CLT recipients with and those without ACs (
p
= 0.25).
Conclusion
ACs after LDLLT, limited to bronchial stenosis, require significantly earlier treatment and have a greater adverse impact on survival than ACs after CLT.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>29680912</pmid><doi>10.1007/s00595-018-1663-6</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 2018-09, Vol.48 (9), p.848-855 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Bronchi - pathology Cadaver Constriction, Pathologic Female Humans Living Donors Lung Transplantation - mortality Male Medicine Medicine & Public Health Middle Aged Necrosis Original Article Postoperative Complications Retrospective Studies Surgery Surgical Oncology Survival Rate Treatment Outcome Young Adult |
| title | Airway complications have a greater impact on the outcomes of living-donor lobar lung transplantation recipients than cadaveric lung transplantation recipients |
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