Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer
Purpose: We analyzed the risk factors predisposing patients to develop postoperative respiratory complications (PRCs) in VATS lobectomy and segmentectomy for lung cancer, retrospectively. Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had under...
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| Veröffentlicht in: | Journal of Nippon Medical School 2004, Vol.71(1), pp.30-34 |
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| creator | Haraguchi, Shuji Koizumi, Kiyoshi Hatori, Nobuo Hioki, Masafumi Yamashita, Koji Akiyama, Hirohiko Hirata, Tomomi Hirai, Kyoji Mikami, Iwao Kubokura, Hirotoshi Tanaka, Shigeo |
| description | Purpose: We analyzed the risk factors predisposing patients to develop postoperative respiratory complications (PRCs) in VATS lobectomy and segmentectomy for lung cancer, retrospectively. Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had undergone VATS lobectomy and segmentectomy for lung cancer from November 1994 to December 2000. Results: Univariate analysis of the development of PRCs revealed that the significant risk factors were age, ppo%VC, ppo%FEV, ppoFEV, poor pulmonary function, and duration of surgery. Multivariate logistic regression test in regard to the development of PRCs revealed that duration of surgery was the most significant risk factor. On the basis of the receiver operator characteristic analysis, duration of surgery more than 297 min had a sensitivity of 70% and a specificity of 66% for the development of PRCs. Conclusions: The duration of surgery should be less than five hours not to lose advantages of VATS lobectomy and segmentectomy. Therefore, if the duration of surgery is more than five hours for any reasons, conversion to limited thoracotomy or muscle-sparing methods is recommended. |
| doi_str_mv | 10.1272/jnms.71.30 |
| format | Article |
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Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had undergone VATS lobectomy and segmentectomy for lung cancer from November 1994 to December 2000. Results: Univariate analysis of the development of PRCs revealed that the significant risk factors were age, ppo%VC, ppo%FEV, ppoFEV, poor pulmonary function, and duration of surgery. Multivariate logistic regression test in regard to the development of PRCs revealed that duration of surgery was the most significant risk factor. On the basis of the receiver operator characteristic analysis, duration of surgery more than 297 min had a sensitivity of 70% and a specificity of 66% for the development of PRCs. Conclusions: The duration of surgery should be less than five hours not to lose advantages of VATS lobectomy and segmentectomy. Therefore, if the duration of surgery is more than five hours for any reasons, conversion to limited thoracotomy or muscle-sparing methods is recommended.</description><identifier>ISSN: 1345-4676</identifier><identifier>EISSN: 1347-3409</identifier><identifier>DOI: 10.1272/jnms.71.30</identifier><identifier>PMID: 15129593</identifier><language>eng</language><publisher>Japan: The Medical Association of Nippon Medical School</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Causality ; Female ; Humans ; Logistic Models ; Lung Neoplasms - surgery ; Male ; Multivariate Analysis ; Pneumonectomy - methods ; Postoperative Complications - epidemiology ; postoperative respiratory complications ; primary lung cancer ; Respiratory Function Tests ; Respiratory Tract Diseases - epidemiology ; Retrospective Studies ; Risk Factors ; Thoracic Surgery, Video-Assisted ; Time Factors ; video-assisted thoracic surgery</subject><ispartof>Journal of Nippon Medical School, 2004, Vol.71(1), pp.30-34</ispartof><rights>2004 by the Medical Association of Nippon Medical School</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5230-4210786f938831f5661f6fbfb2f736bc39004963f0b99eda5b7562f6e6eb6d933</citedby><cites>FETCH-LOGICAL-c5230-4210786f938831f5661f6fbfb2f736bc39004963f0b99eda5b7562f6e6eb6d933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15129593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haraguchi, Shuji</creatorcontrib><creatorcontrib>Koizumi, Kiyoshi</creatorcontrib><creatorcontrib>Hatori, Nobuo</creatorcontrib><creatorcontrib>Hioki, Masafumi</creatorcontrib><creatorcontrib>Yamashita, Koji</creatorcontrib><creatorcontrib>Akiyama, Hirohiko</creatorcontrib><creatorcontrib>Hirata, Tomomi</creatorcontrib><creatorcontrib>Hirai, Kyoji</creatorcontrib><creatorcontrib>Mikami, Iwao</creatorcontrib><creatorcontrib>Kubokura, Hirotoshi</creatorcontrib><creatorcontrib>Tanaka, Shigeo</creatorcontrib><creatorcontrib>Nippon Medical School</creatorcontrib><creatorcontrib>Department of Thoracic Surgery</creatorcontrib><creatorcontrib>Department of Surgery</creatorcontrib><creatorcontrib>Department of Surgery II</creatorcontrib><creatorcontrib>Nippon Medical School Second Hospital</creatorcontrib><creatorcontrib>Saitama Cancer Center</creatorcontrib><title>Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer</title><title>Journal of Nippon Medical School</title><addtitle>J Nippon Med Sch</addtitle><description>Purpose: We analyzed the risk factors predisposing patients to develop postoperative respiratory complications (PRCs) in VATS lobectomy and segmentectomy for lung cancer, retrospectively. Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had undergone VATS lobectomy and segmentectomy for lung cancer from November 1994 to December 2000. Results: Univariate analysis of the development of PRCs revealed that the significant risk factors were age, ppo%VC, ppo%FEV, ppoFEV, poor pulmonary function, and duration of surgery. Multivariate logistic regression test in regard to the development of PRCs revealed that duration of surgery was the most significant risk factor. On the basis of the receiver operator characteristic analysis, duration of surgery more than 297 min had a sensitivity of 70% and a specificity of 66% for the development of PRCs. Conclusions: The duration of surgery should be less than five hours not to lose advantages of VATS lobectomy and segmentectomy. Therefore, if the duration of surgery is more than five hours for any reasons, conversion to limited thoracotomy or muscle-sparing methods is recommended.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Causality</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Pneumonectomy - methods</subject><subject>Postoperative Complications - epidemiology</subject><subject>postoperative respiratory complications</subject><subject>primary lung cancer</subject><subject>Respiratory Function Tests</subject><subject>Respiratory Tract Diseases - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Thoracic Surgery, Video-Assisted</subject><subject>Time Factors</subject><subject>video-assisted thoracic surgery</subject><issn>1345-4676</issn><issn>1347-3409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMFu1DAQhi0Eou3ChQdAOXFAymLHsb0-IbSCFmklEBQOXCzHGW8dJXawk1Z9exyybQ-eGWn--Wb8I_SG4C2pRPWh80PaCrKl-Bk6J7QWJa2xfP6_ZmXNBT9DFyl1GFPKGH-JzggjlWSSnqM_30OawghRT-4Wih-QRpfrEO-LfRjG3pncCD4VwRa_XQuh1Cm5NEFbXN-EqI0zxc85HiEP2BCLw-yPxV57A_EVemF1n-D1KW_Qry-fr_dX5eHb5df9p0NpWEVxWVcEix23ku52lFjGObHcNraprKC8MVRiXEtOLW6khFazRjBeWQ4cGt5KSjfo3codY_g7Q5rU4JKBvtcewpyUIJLgBb5B71ehiSGlCFaN0Q063iuC1eKkWpzMekVxFr89UedmgPZJerIuCy5XQe5ml_rge-dBdWGOPn9XmTvShYVX5fsVxoJgsqT8KF5CTciOCyoy6eNK6tKkj_C4SsfJmR4eryJryNMPHXOjowJP_wH28Z0S</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Haraguchi, Shuji</creator><creator>Koizumi, Kiyoshi</creator><creator>Hatori, Nobuo</creator><creator>Hioki, Masafumi</creator><creator>Yamashita, Koji</creator><creator>Akiyama, Hirohiko</creator><creator>Hirata, Tomomi</creator><creator>Hirai, Kyoji</creator><creator>Mikami, Iwao</creator><creator>Kubokura, Hirotoshi</creator><creator>Tanaka, Shigeo</creator><general>The Medical Association of Nippon Medical School</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>2004</creationdate><title>Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer</title><author>Haraguchi, Shuji ; Koizumi, Kiyoshi ; Hatori, Nobuo ; Hioki, Masafumi ; Yamashita, Koji ; Akiyama, Hirohiko ; Hirata, Tomomi ; Hirai, Kyoji ; Mikami, Iwao ; Kubokura, Hirotoshi ; Tanaka, Shigeo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5230-4210786f938831f5661f6fbfb2f736bc39004963f0b99eda5b7562f6e6eb6d933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Causality</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Pneumonectomy - methods</topic><topic>Postoperative Complications - epidemiology</topic><topic>postoperative respiratory complications</topic><topic>primary lung cancer</topic><topic>Respiratory Function Tests</topic><topic>Respiratory Tract Diseases - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Thoracic Surgery, Video-Assisted</topic><topic>Time Factors</topic><topic>video-assisted thoracic surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haraguchi, Shuji</creatorcontrib><creatorcontrib>Koizumi, Kiyoshi</creatorcontrib><creatorcontrib>Hatori, Nobuo</creatorcontrib><creatorcontrib>Hioki, Masafumi</creatorcontrib><creatorcontrib>Yamashita, Koji</creatorcontrib><creatorcontrib>Akiyama, Hirohiko</creatorcontrib><creatorcontrib>Hirata, Tomomi</creatorcontrib><creatorcontrib>Hirai, Kyoji</creatorcontrib><creatorcontrib>Mikami, Iwao</creatorcontrib><creatorcontrib>Kubokura, Hirotoshi</creatorcontrib><creatorcontrib>Tanaka, Shigeo</creatorcontrib><creatorcontrib>Nippon Medical School</creatorcontrib><creatorcontrib>Department of Thoracic Surgery</creatorcontrib><creatorcontrib>Department of Surgery</creatorcontrib><creatorcontrib>Department of Surgery II</creatorcontrib><creatorcontrib>Nippon Medical School Second Hospital</creatorcontrib><creatorcontrib>Saitama Cancer Center</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>Journal of Nippon Medical School</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haraguchi, Shuji</au><au>Koizumi, Kiyoshi</au><au>Hatori, Nobuo</au><au>Hioki, Masafumi</au><au>Yamashita, Koji</au><au>Akiyama, Hirohiko</au><au>Hirata, Tomomi</au><au>Hirai, Kyoji</au><au>Mikami, Iwao</au><au>Kubokura, Hirotoshi</au><au>Tanaka, Shigeo</au><aucorp>Nippon Medical School</aucorp><aucorp>Department of Thoracic Surgery</aucorp><aucorp>Department of Surgery</aucorp><aucorp>Department of Surgery II</aucorp><aucorp>Nippon Medical School Second Hospital</aucorp><aucorp>Saitama Cancer Center</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer</atitle><jtitle>Journal of Nippon Medical School</jtitle><addtitle>J Nippon Med Sch</addtitle><date>2004</date><risdate>2004</risdate><volume>71</volume><issue>1</issue><spage>30</spage><epage>34</epage><pages>30-34</pages><issn>1345-4676</issn><eissn>1347-3409</eissn><abstract>Purpose: We analyzed the risk factors predisposing patients to develop postoperative respiratory complications (PRCs) in VATS lobectomy and segmentectomy for lung cancer, retrospectively. Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had undergone VATS lobectomy and segmentectomy for lung cancer from November 1994 to December 2000. Results: Univariate analysis of the development of PRCs revealed that the significant risk factors were age, ppo%VC, ppo%FEV, ppoFEV, poor pulmonary function, and duration of surgery. Multivariate logistic regression test in regard to the development of PRCs revealed that duration of surgery was the most significant risk factor. On the basis of the receiver operator characteristic analysis, duration of surgery more than 297 min had a sensitivity of 70% and a specificity of 66% for the development of PRCs. Conclusions: The duration of surgery should be less than five hours not to lose advantages of VATS lobectomy and segmentectomy. Therefore, if the duration of surgery is more than five hours for any reasons, conversion to limited thoracotomy or muscle-sparing methods is recommended.</abstract><cop>Japan</cop><pub>The Medical Association of Nippon Medical School</pub><pmid>15129593</pmid><doi>10.1272/jnms.71.30</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Causality Female Humans Logistic Models Lung Neoplasms - surgery Male Multivariate Analysis Pneumonectomy - methods Postoperative Complications - epidemiology postoperative respiratory complications primary lung cancer Respiratory Function Tests Respiratory Tract Diseases - epidemiology Retrospective Studies Risk Factors Thoracic Surgery, Video-Assisted Time Factors video-assisted thoracic surgery |
| title | Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer |
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