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postoperative pulmonary complication

Wan-Ting Hung, Ming-Hui Hung, Man-Ling Wang, Ya-Jung Cheng, Hsao-Hsun Hsu, Jin-Shing Chen
BACKGROUND: Nonintubated thoracoscopic surgery for lung tumor is not widely performed. This study assessed the safety, outcome, and risk factors for conversion to tracheal intubation of nonintubated thoracoscopic surgery for lung tumor resection. METHODS: We retrospectively reviewed the records of 1025 patients who underwent lung tumor resection by nonintubated thoracoscopic surgery from August 2009 to December 2016 at our institution. Using univariable and multivariable analyses, we focused on the operative procedures, complications, conversion rate, surgical outcome, and risk factors for conversion to tracheal intubation...
February 11, 2019: Annals of Thoracic Surgery
Juying Jin, Su Min, Qibin Chen, Dong Zhang
To determine efficacy and safety of patient-controlled intravenous analgesia (PCIA) with tramadol and lornoxicam for postoperative analgesia, and its effects on surgical outcomes in patients following thoracotomy.The records of patients who underwent thoracotomy for lung resection between January 2014 and December 2014 at our institution were reviewed. The patients were divided into 2 groups according to postoperative pain treatment modalities. Patients of the patient-controlled epidural analgesia (PCEA) group (n = 63), received PCEA with 0...
February 2019: Medicine (Baltimore)
Shuo-Fang Ren, Hong Yu, Ying-Qiang Guo, Hai Yu
INTRODUCTION: Many studies have found that volatile anesthetics are associated with improved clinical outcomes for adults undergoing coronary artery bypass grafting. However, the effect of volatile anesthetics for adults after heart valve surgery has been unclear. So we conducted a meta-analysis of randomized controlled trials (RCTs) to explore whether the choice of an anesthetic regimen might influence patients' outcomes after valve surgery. EVIDENCE ACQUISITION: PubMed, Embase, and Cochrane Library were searched from inception to June 2018...
February 13, 2019: Minerva Anestesiologica
Douglas J Young, Philip J McCall, Alan Kirk, Alistair Macfie, John Kinsella, Benjamin G Shelley
OBJECTIVES: Following lung resection, there is a decrease in the functional capacity and quality of life, which is not fully explained by changes in pulmonary function. Previous work demonstrates that B-type natriuretic peptide (BNP) is associated with short- and long-term complications following lung resection, leading to the suggestion that cardiac dysfunction may contribute to functional deterioration. Our aim was to investigate any relationship between BNP and subjective and objective indices of functional deterioration following lung resection surgery...
February 8, 2019: Interactive Cardiovascular and Thoracic Surgery
Liang Xue, Hong Fan, Woda Shi, Di Ge, Yi Zhang, Qun Wang, Yunfeng Yuan
Background: Three-dimensional (3D) simulation of pulmonary vessels and the space between the lesion and adjacent tissues may improve the safety and accuracy of video-assisted thoracoscopic surgery (VATS) for lung. The aim of this study was to evaluate the effect of 3D simulation on the outcome of VATS segmentectomy for ground glass opacity (GGO) in lung. Methods: We retrospectively analyzed 68 cases of small (≤2 cm) GGO, which were diagnosed as cT1aN0M0 lung cancer, from May 1, 2016 to February 28, 2017 in our institute...
December 2018: Journal of Thoracic Disease
Koh Takeuchi, Aseem Srivastava, Dennis R Steed
Aortic arch obstruction and bronchial compression are possible postoperative complications in patients with truncus arteriosus communis (TAC) with interrupted aortic arch (IAA). We present a case of bronchial compression as adverse effect of right pulmonary artery (PA) stenting in an infant with TAC (Type 4A)-IAA (Type B) repair. Due to growth potential, self-expandable metal stent was applied for postoperative proximal right PA stenosis, which caused bronchial compression. Later, we found patient having bronchomalacia...
January 2019: Annals of Pediatric Cardiology
Jie Li, Lijuan Zhang, Qigen Xie, Weiguo Wang, Yanyan Hua, Leyuan Zhou, Zongqiong Sun
PURPOSE: The effect of 125 I seed implantation for the treatment of local residual tumor of hepatocellular carcinoma located beneath the diaphragm (HCC-LBD) after transcatheter arterial chemoembolization (TACE) has not yet been reported. This retrospective study was performed to evaluate the safety and efficacy of 125 I seeds implantation (ISI) for the treatment of residual HCC-LBD after TACE. METHODS AND MATERIALS: A total of 18 patients treated with ISI between August 2012 and March 2018 for residual HCC-LBD after single or multiple TACE were enrolled...
February 7, 2019: Brachytherapy
Alice M Kai, Nalini Vadivelu, Feng Dai, Susan Dabu-Bondoc, Hosni Mikhael, Peter A Blume
BACKGROUND: Studies on obtaining donor skin graft using intravenous sedation for patients undergoing major foot surgeries in the same operating room visit have not previously been reported. The objective of this retrospective study is to demonstrate that intravenous sedation in this setting is both adequate and safe in patients undergoing skin graft reconstruction of the lower extremities in which donor skin graft is harvested from the same patient in one operating room visit. METHODS: Medical records of 79 patients who underwent skin graft reconstruction of the lower extremities by one surgeon at the Yale New Haven Health System between November 1, 2008, and July 31, 2014, were reviewed...
November 2018: Journal of the American Podiatric Medical Association
Yasser Menaissy, Ihab Omar, Basem Mofreh, Mohamed Alassal
BACKGROUND:  The timing of surgical repair of tetralogy of Fallot (TOF) is a key to alleviate complications and for long-term survival. Total correction was usually performed at the age of 6 months or older under the notion of decreasing the surgical risk. However, avoiding palliation with an aortopulmonary shunt and early correction of systemic hypoxia appear to be of more benefit than the inborn surgical risk in low body weight patients. Our objective was to assess early/midterm survival and operative complications and to analyze patients, surgical techniques, and morphological risk factors to determine their effects on outcomes...
February 9, 2019: Thoracic and Cardiovascular Surgeon
Hiroyuki Koga, Hiroki Nakamura, Hiroshi Murakami, Shunki Hirayama, Kota Imashimizu, Kinya Nishimura, Kazuhiro Suzuki, Ryohei Kuwatsuru, Eiichi Inada, Kenji Suzuki, Atsuyuki Yamataka
AIM: Thoracoscopic pulmonary lobectomy (TPL) is extremely challenging in cases where severe incomplete fissure causes densely fused pulmonary lobes (DFPL) since pulmonary arteries (PAs) are buried and completely concealed by DFPL. We describe TPL for DFPL including a technical tip to prevent pitfalls. MATERIALS AND METHODS: Four congenital pulmonary airway malformation (CPAM) and DFPL (left-upper: 2, left-lower: 1, right-middle: 1) were treated. During TPL, DFPL prevent interlobar PAs from being identified and searching for them only promotes bleeding and air leakage, serious pitfalls that affect the safety and success of TPL...
February 8, 2019: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Richard W Nicolay, Ryan S Selley, Michael A Terry, Vehniah K Tjong
PURPOSE: To use the American College of Surgeons National Surgical Quality Improvement Program database to determine whether body mass index (BMI) is associated with 30-day postoperative complications following arthroscopic surgery. METHODS: Cases of elective knee, hip, and shoulder arthroscopy were identified. A retrospective comparative analysis was conducted, and the overall rates of morbidity, mortality, readmission, reoperation, and venothromboembolism (VTE) were compared using univariate analyses and binary logistic regressions to ascertain the adjusted effect of BMI, with and without diabetes, on morbidity, readmission, reoperation, and VTE...
February 4, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Hui Zhao, Lifang Li, Guang Yang, Jiannan Gong, Lu Ye, Shuyin Zhi, Xulong Zhang, Jianqiang Li
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a frequent comorbid disease in patients undergoing coronary artery bypass grafting (CABG) surgery, with an incidence ranging from 4% to 20.5%. Conventionally, COPD was recognized as a surgical contraindication to CABG. Because of the recent improvements in surgical techniques, anesthesia, and postoperative management, CABG has been performed more commonly in patients with COPD. However, studies have shown the various effects of COPD on postoperative morbidity and mortality after CABG, and this remains to be well defined...
February 2019: Medicine (Baltimore)
Xiaoyu Chen, Lin Hou, Yuanyuan Zhang, Xiangjing Liu, Bohan Shao, Bo Yuan, Jing Li, Min Li, Hong Cheng, Lei Teng, Mingdi Guo, Zhengqing Wang, Tienan Chen, Jianjun Liu, Yaping Liu, Zhigang Liu, Xiaocheng Liu, Qi Guo
OBJECTIVE: To determine the prophylactic efficacy of short-term intensive preoperative inspiratory muscle training on the incidence of postoperative pulmonary complications in patients scheduled for cardiac surgery. DESIGN: Single-blind, randomized controlled pilot study. SETTING: TEDA International Cardiovascular Hospital, China. SUBJECTS: In total, 197 subjects aged ⩾50 years scheduled for cardiac surgery were selected...
February 6, 2019: Clinical Rehabilitation
Omair A Shariq, Kristine T Hanson, Nicholas P McKenna, Scott R Kelley, Eric J Dozois, Amy L Lightner, Kellie L Mathis, Elizabeth B Habermann
BACKGROUND: Metabolic syndrome is associated with poorer postoperative outcomes after various abdominal operations. However, the impact of metabolic syndrome on outcomes after colorectal cancer surgery remains poorly described. OBJECTIVE: The purpose of this study was to determine the association between metabolic syndrome and short-term postoperative outcomes in patients undergoing elective colorectal cancer surgery. DESIGN: This was a retrospective cohort study...
January 31, 2019: Diseases of the Colon and Rectum
Matthew J Bott, Stephen C Yang, Bernard J Park, Prasad S Adusumilli, Valerie W Rusch, James M Isbell, Robert J Downey, Julie R Brahmer, Richard Battafarano, Errol Bush, Jamie Chaft, Patrick M Forde, David R Jones, Stephen R Broderick
OBJECTIVE: We conducted a phase I trial of neoadjuvant nivolumab, a monoclonal antibody to the programmed cell death protein 1 checkpoint receptor, in patients with resectable non-small cell lung cancer. We analyzed perioperative outcomes to assess the safety of this strategy. METHODS: Patients with untreated stage I-IIIA non-small cell lung cancer underwent neoadjuvant therapy with 2 cycles of nivolumab (3 mg/kg), 4 and 2 weeks before resection. Patients underwent invasive mediastinal staging as indicated and post-treatment computed tomography...
December 13, 2018: Journal of Thoracic and Cardiovascular Surgery
Wenbin Hu, Yiran Zhang, Lei Guo, Jingya Fan, Yuan Lu, Liang Ma
BACKGROUND: Retrograde type A aortic dissection (RTAD) is a rare but life-threatening complication after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). A graft inversion technique was applied to distal anastomosis in total arch replacement for this complicated dissection. We reviewed our results of the processing for this serious complication. The aim is to evaluate the feasibility of this technology. METHODS: From January 2013 to December 2017, 20 patients (80% male, mean age 50...
February 4, 2019: Journal of Cardiothoracic Surgery
Zane Z Young, Mark D Balceniuk, Khurram Rasheed, Doran Mix, Antoinette Esce, Jennifer L Ellis, Roan J Glocker, Adam J Doyle, Kathleen Raman, Michael C Stoner
BACKGROUND: Anatomic severity grade (ASG) can be used to assess abdominal aortic aneurysm (AAA) anatomic complexity. High ASG is associated with complications following endovascular repair of AAAs and we have demonstrated that ASG correlates with resource utilization. The hypothesis of this study is that ASG is directly related to midterm mortality in patients undergoing AAA repair. METHODS: Patients who underwent infrarenal AAA repairs between July 2007 and August 2014 were retrospectively reviewed and ASG scores were calculated using 3-dimensional computed tomography reconstructions...
February 4, 2019: Vascular and Endovascular Surgery
Andrea Ziegler, Alexander Schneider, Amy Pittman, Eric Thorpe
OBJECTIVE: The goal of this study was to determine the incidence of postoperative tachycardia and its predictive value of complications in patients following microvascular free flap surgery in the head and neck. STUDY DESIGN: Retrospective chart review. SETTING: Single tertiary care academic medical center. SUBJECTS AND METHODS: All patients who underwent a microvascular free flap of the head and neck by surgeons in the department of otolaryngology from 2013 to 2017 were included in this study...
February 5, 2019: Otolaryngology—Head and Neck Surgery
Chaowu Yan, Shiguo Li, Huijun Song, Jinglin Jin, Hong Zheng, Cheng Wang, Shihua Zhao
OBJECTIVE: Transcatheter closure is usually contraindicated in secundum atrial septal defect with no rim to right pulmonary vein. The morphology of an atrial septal defect is special in these patients, and the off-label use of a duct occluder might make transcatheter closure possible with the assistance of a personalized heart model. However, the related data are absent. This study was performed to investigate the off-label use of a duct occluder in the transcatheter closure of an atrial septal defect with no right pulmonary vein rim...
December 12, 2018: Journal of Thoracic and Cardiovascular Surgery
Tatsuro Tamura, Katsunobu Sakurai, Mikio Nambara, Yuichiro Miki, Takahiro Toyokawa, Naoshi Kubo, Hiroaki Tanaka, Kazuya Muguruma, Masakazu Yashiro, Masaichi Ohira
BACKGROUND: Sarcopenia is known to have an important influence on postoperative complications in several diseases, and on the prognosis of patients with cancer. However, whether sarcopenia is associated with complications and prognosis after gastrectomy in patients with gastric cancer remains controversial. This study evaluated the impact of the preoperative muscle mass on postoperative complications of gastric cancer surgery. MATERIALS AND METHODS: The muscle mass of 153 patients who underwent gastrectomy for gastric cancer from January 2014 to August 2016 was assessed before surgery by a multifrequency bioelectrical impedance analysis (In Body 3...
February 2019: Anticancer Research
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