Diaphragm Thickening Fraction as a Prognostic Imaging Marker for Postoperative Pulmonary Complications in Robot-Assisted Laparoscopic Prostatectomy Requiring the Trendelenburg Position and Pneumoperitoneum
Background. Robot-assisted laparoscopic prostatectomy (RALP) frequently entails postoperative pulmonary complications (PPCs) due to the Trendelenburg position and pneumoperitoneum. Diaphragm thickening fraction (TF) as an imaging marker can offer the advantage of predicting respiratory outcomes. The...
Gespeichert in:
| Veröffentlicht in: | Disease markers 2021, Vol.2021, p.9931690-9, Article 9931690 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 9 |
|---|---|
| container_issue | |
| container_start_page | 9931690 |
| container_title | Disease markers |
| container_volume | 2021 |
| creator | Yu, Jihion Lee, Yongsoo Park, Jun-Young Hwang, Jai-Hyun Kim, Young-Kug |
| description | Background. Robot-assisted laparoscopic prostatectomy (RALP) frequently entails postoperative pulmonary complications (PPCs) due to the Trendelenburg position and pneumoperitoneum. Diaphragm thickening fraction (TF) as an imaging marker can offer the advantage of predicting respiratory outcomes. Therefore, we evaluated the effect of diaphragm TF on the occurrence of PPCs in RALP. Methods. We measured the preoperative thickness of the diaphragm at peak inspiration (Tpi) and end expiration (Tee) using ultrasonography. Diaphragm TF was calculated as TF=Tpi–Tee/Tee. A receiver operating characteristic (ROC) curve analysis of TF was performed. After dividing patients into two groups according to the optimal TF cut-off value, we compared the occurrence of PPCs between the groups. The predictivity of diaphragm TF for the occurrence of PPCs was evaluated. Results. Of 145 patients, 40 patients (27.6%) developed PPCs. Patients with PPCs had a significantly lower TF than those without PPCs (0.31±0.09 vs. 0.39±0.11, P |
| doi_str_mv | 10.1155/2021/9931690 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_webofscience_primary_000671868300003CitationCount</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2548295155</sourcerecordid><originalsourceid>FETCH-LOGICAL-c448t-59820f6c3c2ae03b1958f76e490094a7f3ad42972c86447a6b3d5a88cae3575a3</originalsourceid><addsrcrecordid>eNqNkk9v1DAQxSMEoqVw44wscUGCUMexE-eCVC0UKi1iVS3naOJMdt0mdmo7rfoh-U447LL8OSBOHml-em-e9ZLkeUbfZpkQp4yy7LSq8qyo6IPkOJOlSGWR04fJMWWlTCnj9Ch54v0VpRmrePU4Oco5E2Up6HHy7b2GcetgM5D1VqtrNNpsyLkDFbQ1BDwBsnJ2Y6wPWpGLATYz8BncNTrSWUdWcWNHdBD0LZLV1A_WgLsnCzuMvVYw63iiDbm0jQ3pmffaB2zJEkZw1is7Rt1o4QMEVMEO9-QSbybtZp-wRbJ2aFrs0TST28x2eneaacnK4DTM5jrYeXyaPOqg9_hs_54kX88_rBef0uWXjxeLs2WqOJchFZVktCtUrhggzZusErIrC-QVpRWHssuh5awqmZIF5yUUTd4KkFIB5qIUkJ8k73a649QM2Co0wUFfj04PMXptQdd_boze1ht7W0vGBWMsCrzaCzh7M6EP9aC9wr4Hg3byNRMiEyXPRRHRl3-hV3ZyJsaLFJesiqSI1JsdpeJPeofd4ZiM1nNP6rkn9b4nEX_xe4AD_LMYEXi9A-6wsZ1XGo3CA0YpLcpMFjKPE80jLf-fXujwoxQLO5nwy2irTQt3-t93fweKj-w0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2548295155</pqid></control><display><type>article</type><title>Diaphragm Thickening Fraction as a Prognostic Imaging Marker for Postoperative Pulmonary Complications in Robot-Assisted Laparoscopic Prostatectomy Requiring the Trendelenburg Position and Pneumoperitoneum</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Yu, Jihion ; Lee, Yongsoo ; Park, Jun-Young ; Hwang, Jai-Hyun ; Kim, Young-Kug</creator><contributor>Shi, Zhongjie ; Zhongjie Shi</contributor><creatorcontrib>Yu, Jihion ; Lee, Yongsoo ; Park, Jun-Young ; Hwang, Jai-Hyun ; Kim, Young-Kug ; Shi, Zhongjie ; Zhongjie Shi</creatorcontrib><description>Background. Robot-assisted laparoscopic prostatectomy (RALP) frequently entails postoperative pulmonary complications (PPCs) due to the Trendelenburg position and pneumoperitoneum. Diaphragm thickening fraction (TF) as an imaging marker can offer the advantage of predicting respiratory outcomes. Therefore, we evaluated the effect of diaphragm TF on the occurrence of PPCs in RALP. Methods. We measured the preoperative thickness of the diaphragm at peak inspiration (Tpi) and end expiration (Tee) using ultrasonography. Diaphragm TF was calculated as TF=Tpi–Tee/Tee. A receiver operating characteristic (ROC) curve analysis of TF was performed. After dividing patients into two groups according to the optimal TF cut-off value, we compared the occurrence of PPCs between the groups. The predictivity of diaphragm TF for the occurrence of PPCs was evaluated. Results. Of 145 patients, 40 patients (27.6%) developed PPCs. Patients with PPCs had a significantly lower TF than those without PPCs (0.31±0.09 vs. 0.39±0.11, P<0.001). In the ROC curve analysis, the optimal TF cut-off value was 0.28. The patients were divided into TF≥0.28 group (n=114) and TF<0.28 group (n=31). The incidence of PPCs was significantly higher in the TF<0.28 group than in the TF≥0.28 group (51.6% vs. 21.1%, P=0.001). Diaphragm TF<0.28 was associated with a higher incidence of PPCs than diaphragm TF≥0.28 (odds ratio=4.534, 95% confidence interval [1.763–11.658], P=0.002). Conclusion. Preoperative diaphragm TF<0.28 was associated with an increased incidence of PPCs, suggesting that diaphragm TF as a prognostic imaging marker provides useful information on PPCs in RALP requiring the Trendelenburg position and pneumoperitoneum. Trial Registry Number. This trial is registered with KCT0005028.</description><identifier>ISSN: 0278-0240</identifier><identifier>EISSN: 1875-8630</identifier><identifier>DOI: 10.1155/2021/9931690</identifier><identifier>PMID: 34257750</identifier><language>eng</language><publisher>LONDON: Hindawi</publisher><subject><![CDATA[Adult ; Aged ; Anesthesia ; Biotechnology & Applied Microbiology ; Blood pressure ; Carbon dioxide ; Cardiovascular disease ; Complications ; Confidence intervals ; Diaphragm ; Diaphragm (Anatomy) ; Diaphragm - diagnostic imaging ; Diaphragm - physiopathology ; Evaluation ; Female ; Genetics & Heredity ; Head-Down Tilt - adverse effects ; Humans ; Imaging ; Incidence ; Infections ; Laparoscopy ; Laparoscopy - methods ; Life Sciences & Biomedicine ; Lung Diseases - diagnosis ; Lung Diseases - epidemiology ; Lung Diseases - etiology ; Male ; Markers ; Medicine, Research & Experimental ; Middle Aged ; Oxygen saturation ; Pathology ; Patients ; Pleural effusion ; Pneumoperitoneum, Artificial - adverse effects ; Pneumothorax ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Preoperative Care - methods ; Prognosis ; Prospective Studies ; Prostatectomy ; Prostatectomy - methods ; Research & Experimental Medicine ; Respiration ; Respiratory system ; Risk Factors ; Robotic Surgical Procedures - methods ; Robots ; ROC Curve ; Science & Technology ; Surgery ; Thickening ; Tuberculosis ; Ultrasonic imaging ; Ultrasonography ; Ventilators]]></subject><ispartof>Disease markers, 2021, Vol.2021, p.9931690-9, Article 9931690</ispartof><rights>Copyright © 2021 Jihion Yu et al.</rights><rights>Copyright © 2021 Jihion Yu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Jihion Yu et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>5</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000671868300003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c448t-59820f6c3c2ae03b1958f76e490094a7f3ad42972c86447a6b3d5a88cae3575a3</citedby><cites>FETCH-LOGICAL-c448t-59820f6c3c2ae03b1958f76e490094a7f3ad42972c86447a6b3d5a88cae3575a3</cites><orcidid>0000-0002-1982-3053</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8245222/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8245222/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,4025,27927,27928,27929,53795,53797</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34257750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Shi, Zhongjie</contributor><contributor>Zhongjie Shi</contributor><creatorcontrib>Yu, Jihion</creatorcontrib><creatorcontrib>Lee, Yongsoo</creatorcontrib><creatorcontrib>Park, Jun-Young</creatorcontrib><creatorcontrib>Hwang, Jai-Hyun</creatorcontrib><creatorcontrib>Kim, Young-Kug</creatorcontrib><title>Diaphragm Thickening Fraction as a Prognostic Imaging Marker for Postoperative Pulmonary Complications in Robot-Assisted Laparoscopic Prostatectomy Requiring the Trendelenburg Position and Pneumoperitoneum</title><title>Disease markers</title><addtitle>DIS MARKERS</addtitle><addtitle>Dis Markers</addtitle><description>Background. Robot-assisted laparoscopic prostatectomy (RALP) frequently entails postoperative pulmonary complications (PPCs) due to the Trendelenburg position and pneumoperitoneum. Diaphragm thickening fraction (TF) as an imaging marker can offer the advantage of predicting respiratory outcomes. Therefore, we evaluated the effect of diaphragm TF on the occurrence of PPCs in RALP. Methods. We measured the preoperative thickness of the diaphragm at peak inspiration (Tpi) and end expiration (Tee) using ultrasonography. Diaphragm TF was calculated as TF=Tpi–Tee/Tee. A receiver operating characteristic (ROC) curve analysis of TF was performed. After dividing patients into two groups according to the optimal TF cut-off value, we compared the occurrence of PPCs between the groups. The predictivity of diaphragm TF for the occurrence of PPCs was evaluated. Results. Of 145 patients, 40 patients (27.6%) developed PPCs. Patients with PPCs had a significantly lower TF than those without PPCs (0.31±0.09 vs. 0.39±0.11, P<0.001). In the ROC curve analysis, the optimal TF cut-off value was 0.28. The patients were divided into TF≥0.28 group (n=114) and TF<0.28 group (n=31). The incidence of PPCs was significantly higher in the TF<0.28 group than in the TF≥0.28 group (51.6% vs. 21.1%, P=0.001). Diaphragm TF<0.28 was associated with a higher incidence of PPCs than diaphragm TF≥0.28 (odds ratio=4.534, 95% confidence interval [1.763–11.658], P=0.002). Conclusion. Preoperative diaphragm TF<0.28 was associated with an increased incidence of PPCs, suggesting that diaphragm TF as a prognostic imaging marker provides useful information on PPCs in RALP requiring the Trendelenburg position and pneumoperitoneum. Trial Registry Number. This trial is registered with KCT0005028.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Biotechnology & Applied Microbiology</subject><subject>Blood pressure</subject><subject>Carbon dioxide</subject><subject>Cardiovascular disease</subject><subject>Complications</subject><subject>Confidence intervals</subject><subject>Diaphragm</subject><subject>Diaphragm (Anatomy)</subject><subject>Diaphragm - diagnostic imaging</subject><subject>Diaphragm - physiopathology</subject><subject>Evaluation</subject><subject>Female</subject><subject>Genetics & Heredity</subject><subject>Head-Down Tilt - adverse effects</subject><subject>Humans</subject><subject>Imaging</subject><subject>Incidence</subject><subject>Infections</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Life Sciences & Biomedicine</subject><subject>Lung Diseases - diagnosis</subject><subject>Lung Diseases - epidemiology</subject><subject>Lung Diseases - etiology</subject><subject>Male</subject><subject>Markers</subject><subject>Medicine, Research & Experimental</subject><subject>Middle Aged</subject><subject>Oxygen saturation</subject><subject>Pathology</subject><subject>Patients</subject><subject>Pleural effusion</subject><subject>Pneumoperitoneum, Artificial - adverse effects</subject><subject>Pneumothorax</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Preoperative Care - methods</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Prostatectomy</subject><subject>Prostatectomy - methods</subject><subject>Research & Experimental Medicine</subject><subject>Respiration</subject><subject>Respiratory system</subject><subject>Risk Factors</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robots</subject><subject>ROC Curve</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>Thickening</subject><subject>Tuberculosis</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ventilators</subject><issn>0278-0240</issn><issn>1875-8630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkk9v1DAQxSMEoqVw44wscUGCUMexE-eCVC0UKi1iVS3naOJMdt0mdmo7rfoh-U447LL8OSBOHml-em-e9ZLkeUbfZpkQp4yy7LSq8qyo6IPkOJOlSGWR04fJMWWlTCnj9Ch54v0VpRmrePU4Oco5E2Up6HHy7b2GcetgM5D1VqtrNNpsyLkDFbQ1BDwBsnJ2Y6wPWpGLATYz8BncNTrSWUdWcWNHdBD0LZLV1A_WgLsnCzuMvVYw63iiDbm0jQ3pmffaB2zJEkZw1is7Rt1o4QMEVMEO9-QSbybtZp-wRbJ2aFrs0TST28x2eneaacnK4DTM5jrYeXyaPOqg9_hs_54kX88_rBef0uWXjxeLs2WqOJchFZVktCtUrhggzZusErIrC-QVpRWHssuh5awqmZIF5yUUTd4KkFIB5qIUkJ8k73a649QM2Co0wUFfj04PMXptQdd_boze1ht7W0vGBWMsCrzaCzh7M6EP9aC9wr4Hg3byNRMiEyXPRRHRl3-hV3ZyJsaLFJesiqSI1JsdpeJPeofd4ZiM1nNP6rkn9b4nEX_xe4AD_LMYEXi9A-6wsZ1XGo3CA0YpLcpMFjKPE80jLf-fXujwoxQLO5nwy2irTQt3-t93fweKj-w0</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Yu, Jihion</creator><creator>Lee, Yongsoo</creator><creator>Park, Jun-Young</creator><creator>Hwang, Jai-Hyun</creator><creator>Kim, Young-Kug</creator><general>Hindawi</general><general>Hindawi Publishing Group</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><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>7QL</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1982-3053</orcidid></search><sort><creationdate>2021</creationdate><title>Diaphragm Thickening Fraction as a Prognostic Imaging Marker for Postoperative Pulmonary Complications in Robot-Assisted Laparoscopic Prostatectomy Requiring the Trendelenburg Position and Pneumoperitoneum</title><author>Yu, Jihion ; Lee, Yongsoo ; Park, Jun-Young ; Hwang, Jai-Hyun ; Kim, Young-Kug</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-59820f6c3c2ae03b1958f76e490094a7f3ad42972c86447a6b3d5a88cae3575a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Biotechnology & Applied Microbiology</topic><topic>Blood pressure</topic><topic>Carbon dioxide</topic><topic>Cardiovascular disease</topic><topic>Complications</topic><topic>Confidence intervals</topic><topic>Diaphragm</topic><topic>Diaphragm (Anatomy)</topic><topic>Diaphragm - diagnostic imaging</topic><topic>Diaphragm - physiopathology</topic><topic>Evaluation</topic><topic>Female</topic><topic>Genetics & Heredity</topic><topic>Head-Down Tilt - adverse effects</topic><topic>Humans</topic><topic>Imaging</topic><topic>Incidence</topic><topic>Infections</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Life Sciences & Biomedicine</topic><topic>Lung Diseases - diagnosis</topic><topic>Lung Diseases - epidemiology</topic><topic>Lung Diseases - etiology</topic><topic>Male</topic><topic>Markers</topic><topic>Medicine, Research & Experimental</topic><topic>Middle Aged</topic><topic>Oxygen saturation</topic><topic>Pathology</topic><topic>Patients</topic><topic>Pleural effusion</topic><topic>Pneumoperitoneum, Artificial - adverse effects</topic><topic>Pneumothorax</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Preoperative Care - methods</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Prostatectomy</topic><topic>Prostatectomy - methods</topic><topic>Research & Experimental Medicine</topic><topic>Respiration</topic><topic>Respiratory system</topic><topic>Risk Factors</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robots</topic><topic>ROC Curve</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>Thickening</topic><topic>Tuberculosis</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Jihion</creatorcontrib><creatorcontrib>Lee, Yongsoo</creatorcontrib><creatorcontrib>Park, Jun-Young</creatorcontrib><creatorcontrib>Hwang, Jai-Hyun</creatorcontrib><creatorcontrib>Kim, Young-Kug</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Disease markers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Jihion</au><au>Lee, Yongsoo</au><au>Park, Jun-Young</au><au>Hwang, Jai-Hyun</au><au>Kim, Young-Kug</au><au>Shi, Zhongjie</au><au>Zhongjie Shi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diaphragm Thickening Fraction as a Prognostic Imaging Marker for Postoperative Pulmonary Complications in Robot-Assisted Laparoscopic Prostatectomy Requiring the Trendelenburg Position and Pneumoperitoneum</atitle><jtitle>Disease markers</jtitle><stitle>DIS MARKERS</stitle><addtitle>Dis Markers</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><spage>9931690</spage><epage>9</epage><pages>9931690-9</pages><artnum>9931690</artnum><issn>0278-0240</issn><eissn>1875-8630</eissn><abstract>Background. Robot-assisted laparoscopic prostatectomy (RALP) frequently entails postoperative pulmonary complications (PPCs) due to the Trendelenburg position and pneumoperitoneum. Diaphragm thickening fraction (TF) as an imaging marker can offer the advantage of predicting respiratory outcomes. Therefore, we evaluated the effect of diaphragm TF on the occurrence of PPCs in RALP. Methods. We measured the preoperative thickness of the diaphragm at peak inspiration (Tpi) and end expiration (Tee) using ultrasonography. Diaphragm TF was calculated as TF=Tpi–Tee/Tee. A receiver operating characteristic (ROC) curve analysis of TF was performed. After dividing patients into two groups according to the optimal TF cut-off value, we compared the occurrence of PPCs between the groups. The predictivity of diaphragm TF for the occurrence of PPCs was evaluated. Results. Of 145 patients, 40 patients (27.6%) developed PPCs. Patients with PPCs had a significantly lower TF than those without PPCs (0.31±0.09 vs. 0.39±0.11, P<0.001). In the ROC curve analysis, the optimal TF cut-off value was 0.28. The patients were divided into TF≥0.28 group (n=114) and TF<0.28 group (n=31). The incidence of PPCs was significantly higher in the TF<0.28 group than in the TF≥0.28 group (51.6% vs. 21.1%, P=0.001). Diaphragm TF<0.28 was associated with a higher incidence of PPCs than diaphragm TF≥0.28 (odds ratio=4.534, 95% confidence interval [1.763–11.658], P=0.002). Conclusion. Preoperative diaphragm TF<0.28 was associated with an increased incidence of PPCs, suggesting that diaphragm TF as a prognostic imaging marker provides useful information on PPCs in RALP requiring the Trendelenburg position and pneumoperitoneum. Trial Registry Number. This trial is registered with KCT0005028.</abstract><cop>LONDON</cop><pub>Hindawi</pub><pmid>34257750</pmid><doi>10.1155/2021/9931690</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1982-3053</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0278-0240 |
| ispartof | Disease markers, 2021, Vol.2021, p.9931690-9, Article 9931690 |
| issn | 0278-0240 1875-8630 |
| language | eng |
| recordid | cdi_webofscience_primary_000671868300003CitationCount |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Online Library (Open Access Collection); PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Anesthesia Biotechnology & Applied Microbiology Blood pressure Carbon dioxide Cardiovascular disease Complications Confidence intervals Diaphragm Diaphragm (Anatomy) Diaphragm - diagnostic imaging Diaphragm - physiopathology Evaluation Female Genetics & Heredity Head-Down Tilt - adverse effects Humans Imaging Incidence Infections Laparoscopy Laparoscopy - methods Life Sciences & Biomedicine Lung Diseases - diagnosis Lung Diseases - epidemiology Lung Diseases - etiology Male Markers Medicine, Research & Experimental Middle Aged Oxygen saturation Pathology Patients Pleural effusion Pneumoperitoneum, Artificial - adverse effects Pneumothorax Postoperative Complications - diagnosis Postoperative Complications - epidemiology Postoperative Complications - etiology Preoperative Care - methods Prognosis Prospective Studies Prostatectomy Prostatectomy - methods Research & Experimental Medicine Respiration Respiratory system Risk Factors Robotic Surgical Procedures - methods Robots ROC Curve Science & Technology Surgery Thickening Tuberculosis Ultrasonic imaging Ultrasonography Ventilators |
| title | Diaphragm Thickening Fraction as a Prognostic Imaging Marker for Postoperative Pulmonary Complications in Robot-Assisted Laparoscopic Prostatectomy Requiring the Trendelenburg Position and Pneumoperitoneum |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-17T12%3A06%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_webof&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Diaphragm%20Thickening%20Fraction%20as%20a%20Prognostic%20Imaging%20Marker%20for%20Postoperative%20Pulmonary%20Complications%20in%20Robot-Assisted%20Laparoscopic%20Prostatectomy%20Requiring%20the%20Trendelenburg%20Position%20and%20Pneumoperitoneum&rft.jtitle=Disease%20markers&rft.au=Yu,%20Jihion&rft.date=2021&rft.volume=2021&rft.spage=9931690&rft.epage=9&rft.pages=9931690-9&rft.artnum=9931690&rft.issn=0278-0240&rft.eissn=1875-8630&rft_id=info:doi/10.1155/2021/9931690&rft_dat=%3Cproquest_webof%3E2548295155%3C/proquest_webof%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2548295155&rft_id=info:pmid/34257750&rfr_iscdi=true |