ArticleInteractive cardiovascular and thoracic surgery2022
Clinical significance of postoperative pulmonary complications in elderly patients with lung cancer.
Article in Interactive cardiovascular and thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 30 citations in OpenAlex.
- Perioperative recovery and survival after lobectomy versus sublobar resection in adults aged ≥ 70 years with NSCLC ≤ 3 cm: complementary SEER and real-world cohort analyses.BMC geriatrics · 2026Observational
- Artificial intelligence-assisted risk prediction of postoperative pulmonary complications in non-small cell lung cancer surgery.Journal of cardiothoracic surgery · 2026Article
- Association between diaphragm thickness and postoperative complications in elderly patients with non-small-cell lung cancer.Surgery today · 2026Article
- Comparison of PNI and GNRI nomogram models for predicting postoperative complications in elderly patients with lung cancer: a retrospective study.Frontiers in nutrition · 2026Article
- Machine learning model for predicting malnutrition risk in lung cancer patients after thoracoscopic resection: a multi-center study.Frontiers in oncology · 2026Article
- Application of risk prediction model to evaluate the effect of mechanical ventilation on postoperative pulmonary complications in thoracic surgery.European journal of medical research · 2025Article
- U-shaped threshold-balanced extensive pleural lavage system for empyema: a retrospective case-control study on drainage efficiency and clinical outcomes.Journal of thoracic disease · 2025Article
- Development and validation of a nomogram-based model for predicting postoperative pulmonary complications after coronary artery bypass grafting with cardiopulmonary bypass.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Epidemiology and risk of pulmonary complications following hepatobiliary surgical procedures: A retrospective study.World journal of gastrointestinal surgery · 2025Article
- Can artificial intelligence models predict hospital stays following non-small cell lung carcinoma surgery?Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2025Article
- Prediction model for postoperative pulmonary complications after thoracoscopic surgery with machine learning algorithms and SHapley Additive exPlanations.Journal of thoracic disease · 2025Article
- Short-term outcomes of robotic subxiphoid-optical thymectomy.Surgery today · 2025Article
- Outcomes of Patients Undergoing Elective Cancer Surgery After SARS-CoV-2 Infection: An Observational Cohort Study.Annals of surgical oncology · 2025Observational
- Prognostic value of perioperative changes in the prognostic nutritional index in patients with surgically resected non-small cell lung cancer.Surgery today · 2024Article
- Perioperative Challenges: Analysis of Surgical Complications in Screening Lung Carcinoma Patient.Cureus · 2024Article
- Incidence and risk factors of pulmonary complications after lung cancer surgery: A systematic review and meta-analysis.Heliyon · 2024Article
- Predictors associated with Clavien-Dindo complications in lung cancer surgery: A retrospective cohort study.PloS one · 2024Article
- Risk stratification of postoperative pulmonary complications in elderly patients undergoing lung cancer resection: a propensity score-matched study.Journal of thoracic disease · 2023Article
- Article
- [Surgery of old people-Thoracic surgery].Wiener klinisches Magazin : Beilage zur Wiener klinischen Wochenschrift · 2023Review
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesAn increasing number of elderly patients with impaired immunity, malnutrition and comorbidities are considered surgical candidates. This study aimed to clarify the predictive factors and prognostic impact of postoperative pulmonary complications in elderly patients with lung cancer.
methodsThis retrospective study included 188 patients (≥75 years) who underwent complete anatomical lung resection for non-small cell lung cancer between 2005 and 2019. Postoperative pulmonary complications graded ≥II in the Clavien-Dindo classification, occurring within 30-day post-surgery were evaluated. Multivariate logistic regression analyses and Cox proportional hazard models were used to analyse predictors and prognostic impact of complications.
resultsVideo-assisted thoracoscopic surgery was performed in 154 patients (81.9%). The 90-day mortality rate was 0.5%. Postoperative pulmonary complications including air leak, pneumonia, sputum retention, atelectasis, bronchopleural fistula and empyema occurred in 29 patients (15.4%). A lower prognostic nutritional index (<45) and longer operative time were independent predictive factors of pulmonary complications, with 33.3% of patients experiencing both factors. Following a median follow-up of 48 months, the 5-year overall and relapse-free survival rates were significantly worse in patients with pulmonary complications than in those without them (54.4% vs 81.5% and 41.2% vs 74.9%). Pulmonary complications were significantly associated with worse overall and relapse-free survival [hazard ratio (95% confidence interval): 1.97 (1.01-3.66), P = 0.047 and 2.35 (1.28-4.12), P = 0.007, respectively] along with pathologic stage and carcinoembryonic antigen levels.
conclusionsPostoperative pulmonary complications are associated with a lower prognostic nutritional index and prolonged operative time; the complications are independent adverse prognostic factors in elderly patients.
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