Wedge Resection Outcomes: A Comparison of Video-Assisted and Robot-Assisted Wedge Resections

Martin, Jonathan L.; Mack, Shale J.; Rshaidat, Hamza; Collins, Micaela L.; Whitehorn, Gregory L.; Grenda, Tyler R.; Evans, Nathaniel R.; Okusanya, Olugbenga T.

doi:10.1016/j.athoracsur.2024.02.010

The Annals of Thoracic Surgery

2024

DOI: 10.1016/j.athoracsur.2024.02.010

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Wedge Resection Outcomes: A Comparison of Video-Assisted and Robot-Assisted Wedge Resections

Jonathan L. Martin,

Shale J. Mack,

Hamza Rshaidat

et al.

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2024

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Risk factors for postoperative pulmonary complications in elderly patients undergoing video-assisted thoracoscopic surgery lobectomy under general anesthesia: a retrospective study

Feng,

Jia,

Zhao

et al. 2024

BMC Surg

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Background The objective of this study is to identify and evaluate the risk factors associated with the development of postoperative pulmonary complications (PPCs) in elderly patients undergoing video-assisted thoracoscopic surgery lobectomy under general anesthesia. Methods The retrospective study consecutively included elderly patients (≥ 70 years old) who underwent thoracoscopic lobectomy at Xuanwu Hospital of Capital Medical University from January 1, 2018 to August 31, 2023. The demographic characteristics, the preoperative, intraoperative and postoperative parameters were collected and analyzed using multivariate logistic regression to identify the prediction of risk factors for PPCs. Results 322 patients were included for analysis, and 115 patients (35.7%) developed PPCs. Multifactorial regression analysis showed that ASA ≥ III (P = 0.006, 95% CI: 1.230 ∼ 3.532), duration of one-lung ventilation (P = 0.033, 95% CI: 1.069 ∼ 4.867), smoking (P = 0.027, 95% CI: 1.072 ∼ 3.194) and COPD (P = 0.015, 95% CI: 1.332 ∼ 13.716) are independent risk factors for PPCs after thoracoscopic lobectomy in elderly patients. Conclusion Risk factors for PPCs are ASA ≥ III, duration of one-lung ventilation, smoking and COPD in elderly patients over 70 years old undergoing thoracoscopic lobectomy. It is necessary to pay special attention to these patients to help optimize the allocation of resources and enhance preventive efforts.

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Risk factors for postoperative pulmonary complications in elderly patients undergoing video-assisted thoracoscopic surgery lobectomy under general anesthesia: a retrospective study

Feng,

Jia,

Zhao

et al. 2024

BMC Surg

View full text Add to dashboard Cite

show abstract

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Wedge Resection Outcomes: A Comparison of Video-Assisted and Robot-Assisted Wedge Resections

Cited by 1 publication

References 15 publications

Risk factors for postoperative pulmonary complications in elderly patients undergoing video-assisted thoracoscopic surgery lobectomy under general anesthesia: a retrospective study

Risk factors for postoperative pulmonary complications in elderly patients undergoing video-assisted thoracoscopic surgery lobectomy under general anesthesia: a retrospective study

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