scholarly journals Risk Factors for the Development of Intraoperative Hypoxia in Patients Undergoing Nonintubated Video-Assisted Thoracic Surgery: A Retrospective Study from a Single Center

2021 ◽  
Vol 27 ◽  
Author(s):  
Lan Lan ◽  
Yanyi Cen ◽  
Long Jiang ◽  
Huazhang Miao ◽  
Weixiang Lu
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Thoracic Surgery ◽  
Single Center ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals Comparison of postoperative complications between segmentectomy and lobectomy by video-assisted thoracic surgery: a multicenter study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Benoît Bédat ◽  
Etienne Abdelnour-Berchtold ◽  
Thomas Perneger ◽  
Marc-Joseph Licker ◽  
Alexandra Stefani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Thoracic Surgery ◽  
Benign Lesion ◽  
Lung Resection ◽  
Primary Lung Cancer ◽  
Forced Expiratory Volume ◽  
University Hospitals ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract Background Compared to lobectomy by video-assisted thoracic surgery (VATS), segmentectomy by VATS has a potential higher risk of postoperative atelectasis and air leakage. We compared postoperative complications between these two procedures, and analyzed their risk factors. Methods We reviewed the records of all patients who underwent anatomical pulmonary resections by VATS from January 2014 to March 2018 in two Swiss university hospitals. All complications were reported. A logistic regression model was used to compare the risks of complications for the two interventions. Adjustment for patient characteristics was performed using a propensity score, and by including risk factors separately. Results Among 690 patients reviewed, the major indication for lung resection was primary lung cancer (86.4%) followed by metastasis resection (5.8%), benign lesion (3.9%), infection (3.2%) and emphysema (0.7%). Postoperatively, there were 80 instances (33.3%) of complications in 240 segmentectomies, and 171 instances (38.0%) of complications in 450 lobectomies (P = 0.73). After adjustment for the patient’s propensity to be treated by segmentectomy rather than lobectomy, the risks of a complication remained comparable for the two techniques (odds ratio for segmentectomy 0.91 (0.61–1.30), p = 0.59). Length of hospital stay and drainage duration were shorter after segmentectomy. On multivariate analysis, an American Society of Anesthesiologists score above 2 and a forced expiratory volume in one second below 80% of predicted value were significantly associated with the occurrence of complications. Conclusions The rate of complications and their grade were similar between segmentectomy and lobectomy by VATS.

scholarly journals Risk Factors for Major Adverse Events of Video-Assisted Thoracic Surgery Lobectomy for Lung Cancer

2014 ◽  
Vol 11 (9) ◽  
pp. 863-869 ◽  
Author(s):  
Jie Yang ◽  
Yan Xia ◽  
Yang Yang ◽  
Zheng-zheng Ni ◽  
Wen-xin He ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Cancer ◽  
Adverse Events ◽  
Thoracic Surgery ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Major Adverse Events

Video-assisted thoracic surgery lobectomy in patients with reduced pulmonary function: a single-center series

2016 ◽  
Vol 12 (23s) ◽  
pp. 39-45 ◽  
Author(s):  
Alessandro Bertani ◽  
Paolo Albino Ferrari ◽  
Lavinia De Monte ◽  
Emanuele Russo ◽  
Gioacchino Di Paola
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Function ◽  
Single Center ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals Conversion from video-assisted thoracic surgery (VATS) to thoracotomy during major lung resection: how does it affect perioperative outcomes?

2020 ◽  
Vol 32 (1) ◽  
pp. 55-63
Author(s):  
Joseph Seitlinger ◽  
Anne Olland ◽  
Sophie Guinard ◽  
Gilbert Massard ◽  
Pierre-Emmanuel Falcoz
Keyword(s):  
Risk Factors ◽  
Thoracic Surgery ◽  
Conversion Rate ◽  
Lung Resection ◽  
Perioperative Outcomes ◽  
High Risk Population ◽  
Technical Failure ◽  
Perioperative Mortality ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract OBJECTIVES Since video-assisted thoracic surgery (VATS) was first performed in the early 1990s, there have been many developments, and the conversion rate has decreased over the years. This article highlights the specific outcomes of patients undergoing conversion to thoracotomy despite initially scheduled VATS lung resection. METHODS We retrospectively reviewed 501 patients who underwent thoracoscopic anatomic lung resection (i.e. lobectomy, segmentectomy or bilobectomy) between 1 January 2012 and 1 August 2017 at our institution. We explored the risk factors for surgical conversion and adverse events occurring in patients who underwent conversion to thoracotomy. RESULTS A total of 44/501 patients underwent conversion during the procedure (global rate: 8.8%). The main reasons for conversion were (i) anatomical variation, adhesions or unexpected tumour extension (37%), followed by (ii) vascular causes (30%) and (iii) unexpected lymph node invasion (20%). The least common reason for conversion was technical failure (13%). We could not identify any specific risk factors for conversion. The global complication rate was significantly higher in converted patients (40.9%) than in complete VATS patients (16.8%) (P = 0.001). Postoperative atrial fibrillation was a major complication in converted patients (18.2%) [odds ratio (OR) 5.09, 95% confidence interval (CI) 1.80–13.27; P = 0.001]. Perioperative mortality was higher in the conversion group (6.8%) than in the VATS group (0.2%) (OR 33.3, 95% CI 3.4–328; P = 0.003). CONCLUSIONS Through the years, the global conversion rate has dramatically decreased to <10%. Nevertheless, patients who undergo conversion represent a high-risk population in terms of complications (40.9% vs 16.8%) and perioperative mortality (6.8% vs 0.2%).

scholarly journals Effects of Non-intubated Video-Assisted Thoracic Surgery on Patients With Pulmonary Dysfunction

2022 ◽  
Vol 8 ◽  
Author(s):  
Shiyu Deng ◽  
Yanyi Cen ◽  
Long Jiang ◽  
Lan Lan
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Thoracic Surgery ◽  
Binary Logistic Regression ◽  
Binary Logistic Regression Analysis ◽  
Pulmonary Dysfunction ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Different Types

Background: Non-intubated video-assisted thoracic surgery (NIVATS) can be safely performed in lung volume reduction surgery for patients with severe pulmonary dysfunction. However, there is still no cohort observation on the effects of NIVATS on patients with pulmonary dysfunction undergoing different types of thoracic procedures. This retrospective study aimed to observe the effects of NIVATS for this kind of patients.Methods: Three hundred and twenty-eight patients with moderate to severe obstructive pulmonary dysfunction, who underwent video-assisted thoracic surgery (VATS), were retrospectively collected from June 1st, 2017 to September 30th, 2019. Patients in NIVATS were case-matched with those in intubated video-assisted thoracic surgery (IVATS) by a propensity score-matched analysis. The primary outcome was the comparison of perioperative values, the secondary outcome was the risk factors for postoperative clinical complications (PCP) which were identified by binary logistic regression analysis.Results: After being matched, there were no differences in demographics and preoperative values of pulmonary function between NIVATS and IVATS groups. The duration of surgery and anesthesia had no difference (P = 0.091 and P = 0.467). As for the postoperative recovery, except for the mean intensive care unit (ICU) stay was longer in the IVATS group than in the NIVATS group (P = 0.015), the chest tube removal time and the postoperative hospital stay had no difference (P = 0.394 and P = 0.453), and the incidence of PCP also had no difference (P = 0.121). The binary logistic regression analysis revealed that the history of pulmonary disease, anesthesia method, and surgical location were risk factors of PCP.Conclusion: For patients with pulmonary dysfunction when undergoing different types of thoracic procedures, the NIVATS can be performed as effectively and safely as the IVATS, and can reduce the ICU stay.

scholarly journals Relationship between pain outcomes and smoking history following video-assisted thoracic surgery for lobectomy: a retrospective study

2018 ◽  
Vol Volume 11 ◽  
pp. 667-673 ◽  
Author(s):  
Tak Kyu Oh ◽  
Kwhanmien Kim ◽  
Sanghoon Jheon ◽  
Sang-Hwan Do ◽  
Jung-Won Hwang ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Thoracic Surgery ◽  
Smoking History ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Pain Outcomes
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