scholarly journals Use Of Mechanical Sutures In Pulmonary Surgery

2003 ◽  
Vol 20 (63) ◽  
pp. 26-35
Author(s):  
Govind Lennard Sharma
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Pulmonary Resection ◽  
Pulmonary Diseases ◽  
Bronchial Stump ◽  
Pulmonary Vessels ◽  
Pulmonary Surgery ◽  
Suture Insufficiency ◽  
Hospital Deaths ◽  
Benign Course

In a ten years period, Six hundred and twenty patients under surgical treatment for different kinds of pulmonary diseases. Pulmonary tuberculosis was the indication for 395 thoracotomies and 115 patients were operated for lung cancer. Ninetyone thoracotomies were performed chronic non-specific diseases of the lung and in 19 cases indications for pulmonary resection were other diseases. In all cases various types of mechanical staplers were used for individual suturing of the culmonary vessels and bronchus. Operations performed included 207 pneumonectomies, 341 lob and bilobectomies, 49 segementectomics and 23 combined resections. Chronometry was done in seventyone thoracotomitromies with average time spent for each operation being one hour and fortyseven minutes only. Out of this time, only four minutes and thirtyfour seconds (4.2%) were spent for individual suturing of the pulmonary vessels and bronchus. During the operation insufficiency of mechanical sutures were seen in few cases and dealt with accordingly. Arterial and bronchial stump insufficiency were noted in the percent cases each, whereas venous suture insufficiency was seen only in 1.3 percent cases. Five huudred and fortysix patients (88.1%) had a benign course, whereas fortythree patients (6.9%) experienced postoperative complications. But only in sixteen cases (2.6%) could the mechanical sutures be related theoretically for those complications. There were thirtyone hospital deaths (5%). Our results show that the use of mechanical sutures is safe, considerably reduces the time for pulmonary resection and is associated with relatively very few intraoperative and postoperative complications.

scholarly journals P-191PREOPERATIVE PEAK WORKLOAD AS PREDICTOR OF POSTOPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING PULMONARY RESECTION FOR LUNG CANCER

2015 ◽  
Vol 21 (suppl_1) ◽  
pp. S52-S52
Author(s):  
C. Martin ◽  
E. Curto ◽  
A. Rodó ◽  
R. Aguiló ◽  
Albert Rodriguez ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Pulmonary Resection

scholarly journals Repeat pulmonary resection for lung malignancies does not affect the postoperative complications: a retrospective study

2020 ◽  
Author(s):  
Nozomu Motono ◽  
Shun Iwai ◽  
Yoshihito Iijima ◽  
Katsuo Usuda ◽  
Hidetaka Uramoto
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Pulmonary Resection ◽  
Lung Tumor ◽  
Operation Time ◽  
Metastatic Lung Tumor ◽  
Metastatic Lung ◽  
Lung Malignancies ◽  
Medical University

Abstract Background: Although repeat pulmonary resection (RPR) for multiple lung cancer (MLC) has been performed for non-small cell lung cancer (NSCLC) and metastatic lung tumor, with the prognostic benefit detailed in several reports, the risk of RPR has not been well analyzed.Methods: Patients with lung malignancies who underwent complete resection at Kanazawa Medical University between January 2010 and October 2019 were analyzed. The relationship between postoperative complications and preoperative and perioperative factors was analyzed. Postoperative complications were categorized into five grades according to the Clavien–Dindo classification system.Results: A total of 41 patients who were received RPR were enrolled in this study. Primary lung tumor was found in 31 patients, and metastatic lung tumor was found in 10 patients. The postoperative complication rate of the first operation was 29%, and that of the second operation was 29%. While there were no significant factors for an increased incidence of postoperative complication in a multivariate analysis, an operation time over 2 h at the second operation tended to affect the incidence of postoperative complication (p=0.06). Furthermore, the operation time was significantly longer (p=0.02) and wound length tended to be longer (p=0.07) in the ipsilateral group than in the contralateral group. The rate of postoperative complications and the length of the postoperative hospital stay were not significantly different between the two groups.Conclusion: RPR is safely feasible and is not associated with an increased rate of postoperative complications, even on the ipsilateral side.

scholarly journals Impact of diabetes mellitus on postoperative outcomes in individuals with non-small-cell lung cancer: A retrospective cohort study

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241930
Author(s):  
Teruya Komatsu ◽  
Toyofumi F. Chen-Yoshikawa ◽  
Masaki Ikeda ◽  
Koji Takahashi ◽  
Akiko Nishimura ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Lung Cancer ◽  
Postoperative Complications ◽  
Small Cell Lung Cancer ◽  
Pulmonary Resection ◽  
Survival Rates ◽  
Length Of Hospital Stay ◽  
Small Cell ◽  
Small Cell Lung ◽  
Postoperative Length

Objectives Studies showing that individuals with non-small cell lung cancer (NSCLC) and diabetes mellitus (DM) have reported poor outcomes after pulmonary resection with varying results. Therefore, we investigated the clinical impact of preoperative DM on postoperative morbidity and survival in individuals with resectable NSCLC. Patients and methods Data of individuals who underwent pulmonary resection for NSCLC from 2000 to 2015 were extracted from the database of Kyoto University Hospital. The primary endpoint was the incidence of postoperative complications, and secondary endpoints were postoperative length of hospital stay and overall survival. The survival rate was analyzed using the Kaplan–Meier method. Results A total of 2,219 patients were eligible for the study. The median age of participants was 67 years. Among them, 39.5% were women, and 259 (11.7%) presented with DM. The effect of DM on the incidence of postoperative complications and postoperative length of hospital stay was not significant. Although the 5-year survival rates were similar in both patients with and without DM (80.2% versus 79.4%; p = 0.158), those with DM who had a hemoglobin A1c level ≥ 8.0% had the worst survival. Conclusions In individuals with resectable NSCLC, preoperative DM does not influence the acute phase postoperative recovery. However, poorly controlled preoperative DM could lead to low postoperative survival rates.

scholarly journals Repeat pulmonary resection for lung malignancies does not affect the postoperative complications: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nozomu Motono ◽  
Shun Iwai ◽  
Yoshihito Iijima ◽  
Katsuo Usuda ◽  
Hidetaka Uramoto
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Pulmonary Resection ◽  
Lung Tumor ◽  
Operation Time ◽  
Metastatic Lung Tumor ◽  
Metastatic Lung ◽  
Lung Malignancies ◽  
Medical University

Abstract Background Although repeat pulmonary resection (RPR) for multiple lung cancer has been performed for non-small cell lung cancer and metastatic lung tumor, with the prognostic benefit detailed in several reports, the risk of RPR has not been well analyzed. Methods Patients with lung malignancies who underwent complete resection at Kanazawa Medical University between January 2010 and October 2019 were analyzed. The relationship between postoperative complications and preoperative and perioperative factors was analyzed. Postoperative complications were categorized into five grades according to the Clavien–Dindo classification system. Results A total of 41 patients who were received RPR were enrolled in this study. Primary lung tumor was found in 31 patients, and metastatic lung tumor was found in 10 patients. The postoperative complication rate of the first operation was 29%, and that of the second operation was 29%. While there were no significant factors for an increased incidence of postoperative complication in a multivariate analysis, an operation time over 2 h at the second operation tended to affect the incidence of postoperative complication (p = 0.06). Furthermore, the operation time was significantly longer (p = 0.02) and wound length tended to be longer (p = 0.07) in the ipsilateral group than in the contralateral group. The rate of postoperative complications and the length of the postoperative hospital stay were not significantly different between the two groups. Conclusion RPR is safely feasible and is not associated with an increased rate of postoperative complications, even on the ipsilateral side.

Postoperative Complications of Pulmonary Resection After Platinum-Based Induction Chemotherapy for Primary Lung Cancer

Surgery Today ◽  
2003 ◽  
Vol 33 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Masashi Muraoka ◽  
Tadayuki Oka ◽  
Shinji Akamine ◽  
Tsutomu Tagawa ◽  
Takeshi Nagayasu ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Induction Chemotherapy ◽  
Pulmonary Resection ◽  
Primary Lung Cancer

scholarly journals Repeat Pulmonary Resection for Lung Malignancies Does Not Affect the Postoperative Complications: A Retrospective Study

2020 ◽  
Author(s):  
Nozomu Motono ◽  
Shun Iwai ◽  
Yoshihito Iijima ◽  
Katsuo Usuda ◽  
Hidetaka Uramoto
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Pulmonary Resection ◽  
Lung Tumor ◽  
Operation Time ◽  
Metastatic Lung Tumor ◽  
Metastatic Lung ◽  
Lung Malignancies ◽  
Medical University

Abstract Background: Although repeat pulmonary resection (RPR) for multiple lung cancer (MLC) has been performed for non-small cell lung cancer (NSCLC) and metastatic lung tumor, with the prognostic benefit detailed in several reports, the risk of RPR has not been well analyzed.Methods: Patients with lung malignancies who underwent complete resection at Kanazawa Medical University between January 2010 and October 2019 were analyzed. The relationship between postoperative complications and preoperative and perioperative factors was analyzed. Postoperative complications were categorized into five grades according to the Clavien–Dindo classification system.Results: A total of 41 patients who were received RPR were enrolled in this study. Primary lung tumor was found in 31 patients, and metastatic lung tumor was found in 10 patients. The postoperative complication rate of the first operation was 29%, and that of the second operation was 29%. While there were no significant factors for an increased incidence of postoperative complication in a multivariate analysis, an operation time over 2 h at the second operation tended to affect the incidence of postoperative complication (p=0.06). Furthermore, the operation time was significantly longer (p=0.02) and wound length tended to be longer (p=0.07) in the ipsilateral group than in the contralateral group. The rate of postoperative complications and the length of the postoperative hospital stay were not significantly different between the two groups.Conclusion: RPR is safely feasible and is not associated with an increased rate of postoperative complications, even on the ipsilateral side.

scholarly journals Repeat pulmonary resection for lung malignancies does not affect the postoperative complications: a retrospective study

2020 ◽  
Author(s):  
Nozomu Motono ◽  
Shun Iwai ◽  
Yoshihito Iijima ◽  
Katsuo Usuda ◽  
Hidetaka Uramoto
Keyword(s):  
Lung Cancer ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Pulmonary Resection ◽  
Lung Tumor ◽  
Operation Time ◽  
Metastatic Lung Tumor ◽  
Metastatic Lung ◽  
Lung Malignancies ◽  
Medical University

Abstract Background: Although repeat pulmonary resection (RPR) for multiple lung cancer (MLC) has been performed for non-small cell lung cancer (NSCLC) and metastatic lung tumor, with the prognostic benefit detailed in several reports, the risk of RPR has not been well analyzed.Methods: Patients with lung malignancies who underwent complete resection at Kanazawa Medical University between January 2010 and October 2019 were analyzed. The relationship between postoperative complications and preoperative and perioperative factors was analyzed. Postoperative complications were categorized into five grades according to the Clavien–Dindo classification system.Results: A total of 41 patients who were received RPR were enrolled in this study. Primary lung tumor was found in 31 patients, and metastatic lung tumor was found in 10 patients. The postoperative complication rate of the first operation was 29%, and that of the second operation was 29%. While there were no significant factors for an increased incidence of postoperative complication in a multivariate analysis, an operation time over 2 h at the second operation tended to affect the incidence of postoperative complication (p=0.06). Furthermore, the operation time was significantly longer (p=0.02) and wound length tended to be longer (p=0.07) in the ipsilateral group than in the contralateral group. The rate of postoperative complications and the length of the postoperative hospital stay were not significantly different between the two groups.Conclusion: RPR is safely feasible and is not associated with an increased rate of postoperative complications, even on the ipsilateral side.

Sign in / Sign up

Export Citation Format

Share Document