Prediction of Postoperative Pulmonary Complications in a Population-based Surgical Cohort

Canet, Jaume; Gallart, Lluís; Gomar, C.; Paluzié, G.; Vallès, Jordi; Castillo, Jordi; Sabaté, Sergi; Mazo, Valentín; Briones, Z.; Sanchís, J.

doi:10.1097/aln.0b013e3181fc6e0a

Cited by 1,078 publications

(1,111 citation statements)

References 28 publications

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“…Neben der Anamnese und der körperlichen Untersuchung stehen hierfür technische Verfahren (Thoraxröntgen, Spirometrie, Blutgasanalyse) sowie spezifische Scoring-Systeme zur Verfügung [11,12]. Anhand anamnestischer Informationen sowie der pulsoxymetrisch bestimmten arteriellen Sauerstoffsättigung kann das Risiko einer postoperativen pulmonalen Insuffizienz eingeschätzt werden (.…”

Section: A22 Pulmonales Risikounclassified

Präoperative Evaluation erwachsener Patienten vor elektiven, nicht Herz-Thorax-chirurgischen Eingriffen

Zwißler

2017

Anaesthesist

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Section: A22 Pulmonales Risikounclassified

Präoperative Evaluation erwachsener Patienten vor elektiven, nicht Herz-Thorax-chirurgischen Eingriffen

Zwißler

2017

Anaesthesist

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“…Alongside medical history and physical examination, technical procedures (chest x-ray, spirometry, blood gas analysis) and specific scoring systems are available [11,12]. The risk of postoperative respiratory failure can be estimated on the basis of anamnestic information and the arterial oxygen saturation measured by pulse oximetry (.…”

Section: A22 Pulmonary Riskmentioning

confidence: 99%

“…There is a moderate correlation between the incidence of pathologic findings in lung function tests and the occurrence of perioperative pulmonary complications [11]. Therefore, knowledge of the results of pulmonary examinations can help to reduce perioperative morbidity and mortality not only in patients undergoing thoracic surgery [25], but also in patients with a pulmonary risk undergoing major epigastric interventions [26,27].…”

Section: A34 Lung Function Testsmentioning

confidence: 99%

Preoperative evaluation of adult patients before elective, noncardiothoracic surgery

Zwißler

2017

Anaesthesist

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“…Transthoracic surgery is one of the most important risk factors contributing to the occurrence of pulmonary complications 8, 9. Even with smaller incisions, transthoracic manipulation mandates one‐lung ventilation or collapsing the right lung with artificial pneumothorax.…”

Section: Introductionmentioning

confidence: 99%

Technical details of video‐assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome

Mori

Aikou

Yagi

et al. 2017

Annals of Gastroent Surgery

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To reduce pulmonary complications after esophagectomy, the transthoracic procedure should be shortened or totally avoided. Transcervical approach assisted by mediastinoscope for the upper mediastinum may be advantageous for this purpose. We carried out video‐assisted transcervical mediastinal dissection (VATCMD) as part of totally non‐transthoracic radical esophagectomy. A single‐port laparoscopy device was adopted to a small cervical incision and the mediastinum was inflated with a positive pressure of 6 to 10 mmHg. Without assistant's retractor, the upper mediastinum and partially the middle mediastinum were dissected mainly by mediastinoscopic‐assisted surgery. Video of the operation is demonstrated with illustrations. We have carried out and reported 17 cases of esophagectomy including VATCMD and its perioperative outcome. Non‐transthoracic esophagectomy was completed without conversion to transthoracic procedure in all 17 cases. Procedure‐related adverse event was not observed and postoperative course was favorable with a zero occurrence (0%) of recurrent laryngeal nerve palsy, chyle leakage or pulmonary complications. Median number of harvested lymph nodes from the upper mediastinal stations was 10. VATCMD is suggested as a safe and feasible approach for the upper mediastinum in esophagectomy for malignancies. It enabled a totally non‐transthoracic radical esophagectomy in combination with a transhiatal approach.Video‐assisted transcervical mediastinal dissection is suggested as a safe and feasible approach for the upper mediastinum in esophagectomy for malignancies. It enabled a totally non‐transthoracic radical esophagectomy in combination with a transhiatal approach.

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Prediction of Postoperative Pulmonary Complications in a Population-based Surgical Cohort

Abstract: The risk index based on seven objective, easily assessed factors has excellent discriminative ability. The index can be used to assess individual risk of PPC and focus further research on measures to improve patient care.

Cited by 1,078 publications

References 28 publications

Präoperative Evaluation erwachsener Patienten vor elektiven, nicht Herz-Thorax-chirurgischen Eingriffen

Präoperative Evaluation erwachsener Patienten vor elektiven, nicht Herz-Thorax-chirurgischen Eingriffen

Preoperative evaluation of adult patients before elective, noncardiothoracic surgery

Technical details of video‐assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome

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