ArticleThoracic cancer2021
Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS.
Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 22 citations in OpenAlex.
- The impact of hydromorphone combined with ropivacaine in serratus anterior plane block on postoperative pain in patients undergoing video-assisted thoracoscopic pulmonary lobectomy: a randomized, double-blind clinical trial.BMC anesthesiology · 2025Trial
- Physical activity, functional capacity, and mental health during the first postoperative month in patients undergoing ambulatory pulmonary wedge resection: a prospective observational study.BMC pulmonary medicine · 2026Observational
- Treatment Outcomes for Malignant Peripheral Lung Tumours: A Prospective Single-Centre Comparison of Thermal Ablation, Surgery, and Radiotherapy.Medicina (Kaunas, Lithuania) · 2025Article
- Risk factors for postoperative complications in patients with pulmonary tuberculosis.European journal of medical research · 2025Article
- Physical activity after video-assisted thoracoscopic lung resection following an enhanced recovery after surgery-based protocol: first data from a prospective observational study.Journal of thoracic disease · 2025Article
- Quality of Life Evaluation Before and After Pulmonary Lobe Resection for Benign Diseases: A Comparative Study Among Patients with Tuberculosis, Bronchiectasis, and Benign Lung Nodules.Diseases (Basel, Switzerland) · 2024Article
- Impact of Postoperative Prolonged Air Leakage on Long-Term Pulmonary Function after Lobectomy for Lung Cancer.Journal of chest surgery · 2024Article
- Salivary metabolites as potential predictive biomarkers for lung surgery complications: a retrospective cross-sectional study.Surgery today · 2024Article
- Article
- Outcomes of mobilization in the first hour following uniportal video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2024Article
- Identification of preoperative risk factors associated with prolonged length of stay after lobectomy.Heliyon · 2023Article
- Clinicopathological features and surgical outcomes of lobectomy combined with segmentectomy: a cohort study.Journal of thoracic disease · 2023Article
- The ARISCAT Risk Index as a Predictor of Pulmonary Complications After Thoracic Surgeries, Almoosa Specialist Hospital, Saudi Arabia.Journal of multidisciplinary healthcare · 2023Article
- [Application and Research Progress of Video Double-lumen Tube in Thoracic Surgery].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2022Review
- Risk factors for surgical complications after anatomic lung resections in the era of VATS and ERAS.Thoracic cancer · 2021Article
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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).
methodsA retrospective analysis of all consecutive adult patients who underwent elective anatomic lung resections between January and December 2020 at our institution was performed.
resultsEighty 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.
conclusionThoracotomy 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.
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