Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS

Abstract Background The aim of this study was to identify risk factors for surgical complications after anatomic lung resections in the era of video‐assisted thoracic surgery (VATS) and enhanced recovery after surgery (ERAS). Methods A retrospective analysis of all consecutive adult patients who und...

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Autores principales:	Christian Galata, Ioannis Karampinis, Eric D. Roessner, Davor Stamenovic
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	enhanced recovery after surgery postoperative complications thoracic surgery thoracotomy VATS Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/9ebb7f2cd9384f90b1b6027d2f80a067
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spelling	oai:doaj.org-article:9ebb7f2cd9384f90b1b6027d2f80a0672021-12-02T02:34:55ZRisk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS1759-77141759-770610.1111/1759-7714.14197https://doaj.org/article/9ebb7f2cd9384f90b1b6027d2f80a0672021-12-01T00:00:00Zhttps://doi.org/10.1111/1759-7714.14197https://doaj.org/toc/1759-7706https://doaj.org/toc/1759-7714Abstract Background The aim of this study was to identify risk factors for surgical complications after anatomic lung resections in the era of video‐assisted thoracic surgery (VATS) and enhanced recovery after surgery (ERAS). Methods A retrospective analysis of all consecutive adult patients who underwent elective anatomic lung resections between January and December 2020 at our institution was performed. Results Eighty patients (40 VATS, 40 thoracotomy) were included. The 30‐day mortality rate was 1.3%. The overall rate of major postoperative complications was 18.8%. Most major complications occurred in patients who underwent open surgery (complication rate 32.5%, share of total complications 86.7%). Major morbidity after VATS resection was rare (complication rate 2.5%, share of total complications 13.3%). In univariable analysis, thoracotomy (p = 0.003), impaired preoperative lung function (p = 0.003), complex surgery (p = 0.004) and sleeve resection (p = 0.037) were associated with adverse outcomes. In multivariable analysis, thoracotomy (p = 0.044) and impaired preoperative lung function (p = 0.028) were the only independent risk factors for major postoperative morbidity. Conclusion Thoracotomy was associated with a 10‐fold increased risk for postoperative complications compared with minimally invasive surgery and was an independent risk factor for surgical complications. In the era of VATS and ERAS, the fact that thoracotomy is performed may be a reliable parameter to identify patients at risk for postoperative complications.Christian GalataIoannis KarampinisEric D. RoessnerDavor StamenovicWileyarticleenhanced recovery after surgerypostoperative complicationsthoracic surgerythoracotomyVATSNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENThoracic Cancer, Vol 12, Iss 23, Pp 3255-3262 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	enhanced recovery after surgery postoperative complications thoracic surgery thoracotomy VATS Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	enhanced recovery after surgery postoperative complications thoracic surgery thoracotomy VATS Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Christian Galata Ioannis Karampinis Eric D. Roessner Davor Stamenovic Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS
description	Abstract Background The aim of this study was to identify risk factors for surgical complications after anatomic lung resections in the era of video‐assisted thoracic surgery (VATS) and enhanced recovery after surgery (ERAS). Methods A retrospective analysis of all consecutive adult patients who underwent elective anatomic lung resections between January and December 2020 at our institution was performed. Results Eighty patients (40 VATS, 40 thoracotomy) were included. The 30‐day mortality rate was 1.3%. The overall rate of major postoperative complications was 18.8%. Most major complications occurred in patients who underwent open surgery (complication rate 32.5%, share of total complications 86.7%). Major morbidity after VATS resection was rare (complication rate 2.5%, share of total complications 13.3%). In univariable analysis, thoracotomy (p = 0.003), impaired preoperative lung function (p = 0.003), complex surgery (p = 0.004) and sleeve resection (p = 0.037) were associated with adverse outcomes. In multivariable analysis, thoracotomy (p = 0.044) and impaired preoperative lung function (p = 0.028) were the only independent risk factors for major postoperative morbidity. Conclusion Thoracotomy was associated with a 10‐fold increased risk for postoperative complications compared with minimally invasive surgery and was an independent risk factor for surgical complications. In the era of VATS and ERAS, the fact that thoracotomy is performed may be a reliable parameter to identify patients at risk for postoperative complications.
format	article
author	Christian Galata Ioannis Karampinis Eric D. Roessner Davor Stamenovic
author_facet	Christian Galata Ioannis Karampinis Eric D. Roessner Davor Stamenovic
author_sort	Christian Galata
title	Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS
title_short	Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS
title_full	Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS
title_fullStr	Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS
title_full_unstemmed	Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS
title_sort	risk factors for surgical complications after anatomic lung resections in the era of vats and eras
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/9ebb7f2cd9384f90b1b6027d2f80a067
work_keys_str_mv	AT christiangalata riskfactorsforsurgicalcomplicationsafteranatomiclungresectionsintheeraofvatsanderas AT ioanniskarampinis riskfactorsforsurgicalcomplicationsafteranatomiclungresectionsintheeraofvatsanderas AT ericdroessner riskfactorsforsurgicalcomplicationsafteranatomiclungresectionsintheeraofvatsanderas AT davorstamenovic riskfactorsforsurgicalcomplicationsafteranatomiclungresectionsintheeraofvatsanderas
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Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS

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