Post-operative pulmonary complications after thoracotomy

Sengupta, Saikat

doi:10.4103/0019-5049.165852

Cited by 73 publications

(67 citation statements)

References 55 publications

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“…6 Open surgical removal is noted for its potential to reduce the risk of septic pulmonary embolism but caries a high risk of severe postoperative complications, including respiratory failure. 9 Such complications delay patient recovery and increase the cost of postoperative care. 10,11 Furthermore, patients requiring CIED removal are often characterized by numerous concomitant chronic conditions such as congestive heart failure, poor baseline lung function, and a history of recurrent deep vein thrombosis/PE, making them poor candidates for surgery.…”

Section: Discussionmentioning

confidence: 99%

AngioVac Debulking in Endocarditis Patients with Large, Device-related Vegetations

Patel¹,

McDonald²,

Bradford³

et al. 2018

J Innov Cardiac Rhythm Manage.

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As the number and complexity of cardiovascular implantable electronic devices has increased, so too has the incidence of device-related infections. Such a rise requires that the focus be directed toward developing universal standards for infected lead removal. To date, no consensus currently exists regarding the optimal management of patients with large vegetations (diameter > 2 cm). In these individuals, medical therapy is universally ineffective and they are often too ill for surgical extraction; furthermore, transvenous lead extraction (TLE) carries with it a risk of large septic pulmonary emboli. We present a series of five cases in which the AngioVac thrombectomy system (AngioDynamics Inc., Latham, NY, USA) was used as an adjunct to TLE. Debridement of infected leads prior to percutaneous lead extraction was accomplished as either a bridge to or as concomitant therapy with laser lead removal at our institution. This study included three males and two females with an average age of 52 years. The sizes of vegetations removed from leads ranged from 1.5 cm to 3.9 cm in the largest dimension and the average diameter was 2.65 cm ± 1.1 cm. The vegetations were successfully debulked in all five patients. This suggests that TLE performed with assistance from the AngioVac system (AngioDynamics Inc., Latham, NY, USA) is a safe and effective alternative to open surgical lead removal in patients with large lead vegetations.

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Section: Discussionmentioning

confidence: 99%

AngioVac Debulking in Endocarditis Patients with Large, Device-related Vegetations

Patel¹,

McDonald²,

Bradford³

et al. 2018

J Innov Cardiac Rhythm Manage.

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show abstract

“…Riordan and Stedmon that the vulnerability to ventilator-induced lung injury depends on type of surgery [1], so we controlled for this in our multivariable regression model, as well as sensitivity analyses [2]. In the online supporting information, we provided a sensitivity analysis conducted in patients undergoing abdominal surgery -our data showed a protective effect of volume-controlled ventilation compared with pressure-controlled ventilation, and the magnitude of the effect was similar to the main study cohort.…”

Section: Postoperative Pulmonary Complications and Thoracic Patients mentioning

confidence: 99%

Postoperative pulmonary complications and thoracic patients

Riordan

Stedmon

2018

Anaesthesia

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“…[10][11][12] Nevertheless, in minimally invasive esophagectomy, the transthoracic approach, such as Ivor-Lewis esophagectomy and the three-incision modified McKeown esophagectomy, is most often adopted, Transthoracic surgery is a crucial independent risk factor for the incidence of postoperative pulmonary complications, [13] the main cause of morbidity and mortality following thoracotomy. [14] To reduce postoperative pulmonary and cardiac complications, considerable efforts have been made to develop the non-transthoracic esophagectomy for esophageal cancer. For instance, esophageal stripping and transhiatal esophagectomy are the non-transthoracic operations developed to cure esophageal cancer.…”

Section: Introductionmentioning

confidence: 99%

Clinical Application and Observation of Single-Port Inflatable Mediastinoscopy Combined With Laparoscopy for Radical Esophagectomy in Esophageal Squamous Cell Carcinoma

Yin

Liu

Song

et al. 2020

Preprint

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Background Transthoracic esophagectomy is a crucial independent risk factor for the incidence of postoperative cardiopulmonary complications in elderly or comorbid patients. To reduce postoperative cardiopulmonary complications and promote postoperative recovery. We made a bold attempt to adopt the single-port inflatable mediastinoscopy combined with laparoscopy for radical esophagectomy in esophageal cancer to observe the clinical application and effect. Method Data of patients with esophageal carcinoma were collected in the Hebei General Hospital from May 2018 to November 2019. The operation time、surgical blood loss、the number of dissected lymph nodes、duration of drainage tube、postoperative complications、the length of postoperative hospital stay were collected to assess the safety and feasibility of the single-port inflatable mediastinoscopy combined with laparoscopy for radical esophagectomy in esophageal cancer. Results A total of 22 patients with esophageal cancer were analyzed in our research. There was no case of switching to thoracotomy、perioperative death or postoperative cardiopulmonary complications. The average operation time、surgical blood loss、amount of dissected lymph nodes、duration of drainage tube、postoperative hospital stay of all enrolled patients was 4.26±0.52 hours、142±36.50 ml、21.6±4.2、5.8±2.5 days、12.6±2.5 days, respectively. Among all the enrolled patients, one patient(4.5%) developed anastomotic fistula on the third day after surgery. 5 patients(22.7%) with anastomotic stricture. Pleural effusion was found in 4 cases (18.2%). Recurrent laryngeal nerve injury caused hoarseness or cough after drinking water in 3 cases (13.6%). one patients(4.5%) was switched from laparoscopy to open surgery as the patient had serious peritoneal adhesion. All of the patients were discharged successfully. Conclusion Our results showed that this surgery of single-port inflatable mediastinoscopy combined with laparoscopy for radical esophagectomy in esophageal squamous cell carcinoma is safe and feasible. The feasibility and safety could be further and better investigated with a RCT to achieve more conclusive results.

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Post-operative pulmonary complications after thoracotomy

Cited by 73 publications

References 55 publications

AngioVac Debulking in Endocarditis Patients with Large, Device-related Vegetations

AngioVac Debulking in Endocarditis Patients with Large, Device-related Vegetations

Postoperative pulmonary complications and thoracic patients

Clinical Application and Observation of Single-Port Inflatable Mediastinoscopy Combined With Laparoscopy for Radical Esophagectomy in Esophageal Squamous Cell Carcinoma

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