Preoperative Smoking Cessation Period Is Not Related to Postoperative Respiratory Complications in Patients Undergoing Lung Cancer Surgery

Matsuoka, Katsunari; Yamada, Tetsu; Matsuoka, Takahisa; Nagai, Shinjiro; Ueda, Mitsuhiro; Miyamoto, Yoshihiro

doi:10.5761/atcs.oa.19-00080

Cited by 16 publications

(10 citation statements)

References 18 publications

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“…Smoking seems to be important in the genesis of postoperative pulmonary complications since it is associated with a decrease in secretion transport, an increase in mucus secretion, and airway narrowing [18][19][20][21]. In our study, 6 (35.2%) patients were smokers but their spirometric tests were normal before and after the surgical procedure.…”

Section: Discussionmentioning

confidence: 47%

Pre- and postoperative respiratory muscle strength, body mass index and fasting glucose profile of patients with type 2 diabetes mellitus submitted to metabolic surgery

et al. 2020

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Introduction: The lung is considered a target organ in diabetes mellitus as a consequence of alterations secondary to chronic hyperglycemia that compromise respiratory muscle strength. Metabolic surgery for improving diabetes mellitus has beneficial effects on weight loss and glucose metabolism. Objective: The objective of this study was to evaluate the respiratory muscle strength, assessed by MIP and MEP, body mass index (BMI) and fasting glucose profile of patients with type 2 diabetes mellitus before and after metabolic surgery without gastric resection. Method: Seventeen patients with type 2 diabetes mellitus participated in the study. The participants had a mean age of 44.8 ± 11.81 years. Results: The results showed a significant decrease of MEP values in the immediate postoperative period when compared to the preoperative period (p=0.001), while no significant results were obtained for MIP. Regarding BMI and fasting glucose, significant weight loss and a significant reduction in fasting glucose levels were observed in the late postoperative period (p=0.006 and p=0.007, respectively). Conclusion: The MIP and MEP were reestablished and satisfactory results were obtained for BMI and fasting glucose in the late postoperative period. Further studies are needed to monitor patients in the pre- and postoperative period of metabolic surgery, identifying complications and acting on the care and recovery of these patients.

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Section: Discussionmentioning

confidence: 47%

Pre- and postoperative respiratory muscle strength, body mass index and fasting glucose profile of patients with type 2 diabetes mellitus submitted to metabolic surgery

et al. 2020

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“…Smoking prior to surgery has been irrevocably demonstrated to increase the risk of postoperative morbidity and mortality [6][7][8][9][10][11][12]14 . However, a debate arises regarding the timing of cessation and the level of impact on the patient's postoperative course.…”

Section: Discussionmentioning

confidence: 99%

“…Smoking prior to surgery has been irrevocably demonstrated to increase the risk of postoperative morbidity and mortality. [6][7][8][9][10][11][12]14 However, a debate arises regarding the timing of cessation and the level of impact on the patient's postoperative course. This is of crucial importance in the context of cancer surgery, where delays to resection may result in tumor progression and treatment targets are set by a National Lung Cancer Pathway.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, conflicting expert opinions and evidence exists regarding the correlation between smoking cessation prior to surgery and the risk of PPCs. The majority of authors suggest smoking cessation prior to surgery decreases the risk of PPCs 7,9 , however some authors have found no significant change in the rate of complications with cessation or in fact, an increased rate of complications depending on the time of abstinence and surgery [6][7][10][11][12][13][14] . The beliefs and practices vary amongst surgeons regarding advice on smoking cessation.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Smoking Status and Outcomes following Lung Resection

Ahmed-Issap,

Mantio,

Jain

et al. 2023

Thorac Cardiovasc Surg

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Background: Surgical resection is the gold-standard treatment for the management of early-stage lung cancer. A number of modifiable factors may significantly influence postoperative morbidity and mortality. We examined the outcomes of patients following lung resection based upon preoperative smoking status to quantify the impact on postoperative outcomes. Methods: Data from consecutive lung resections from 01/01/2012 to 11/06/2021 were included. Biopsies for interstitial lung disease and resections for emphysematous lung or bullae were excluded. Patients were divided into three cohorts: current smokers (those who smoked within 4 weeks of surgery), ex-smokers (those who stopped smoking prior to 4 weeks leading up to surgery) and non-smokers (those who have never smoked). Patient’s preoperative variables, postoperative complications, length of stay and mortality were examined. Results: 2426 patients were included in the study. 502 patients (20.7%) were current smokers, 1445 (59.6%) were ex-smokers and 479 patients (19.7%) non-smokers. Of those smoking immediately prior to surgery 36.9% developed postoperative complications. Lower respiratory tract infections (18.1%) and prolonged air-leak (17.1%), in particular, were significant higher in smokers. 90-day mortality (5.8%) was higher in the current smokers when compared to ex- and non-smokers (5.3% and 1%, respectively). Median length of hospital stay, readmissions and cost of hospital stay was also higher in the current smoker cohort. Conclusion: Smoking immediately prior to surgery is associated with an increase in morbidity, mortality and length of stay. Not only does this have a significant individual impact, but it is also associated with a significant financial burden to the NHS.

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“…Both patient and surgeon alike fear prolonged waits prior to surgery due to possible tumour progression, however, wish to minimise postoperative complications. Existing literature, ranges from studies who find no difference in complications based on time from cessation to surgery (18), to those advising a two-month period to be optimal (19).…”

Section: Smokingmentioning

confidence: 99%

Optimisation of the high-risk thoracic surgical patient: a narrative review

Ahmed-Issap¹,

Mahendran²,

Abah³

2023

Shanghai Chest

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Background and Objective: High-risk patient cohorts have significant rates of morbidity and mortality following thoracic surgery, these outcomes can be modulated with preoperative intervention. This review article examines the existing literature pertaining to specific high-risk groups of patients and the impact of preoperative optimisation.Methods: We performed literature searches using the PubMed and BMJ search engine for Englishlanguage articles published from 1966 to 2022. A separate literature search was performed for each individual topic area to identify existing evidence of optimisation and the magnitude of effect. Key recommendations were compiled for each topic area.

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Preoperative Smoking Cessation Period Is Not Related to Postoperative Respiratory Complications in Patients Undergoing Lung Cancer Surgery

Cited by 16 publications

References 18 publications

Pre- and postoperative respiratory muscle strength, body mass index and fasting glucose profile of patients with type 2 diabetes mellitus submitted to metabolic surgery

Pre- and postoperative respiratory muscle strength, body mass index and fasting glucose profile of patients with type 2 diabetes mellitus submitted to metabolic surgery

Smoking Status and Outcomes following Lung Resection

Optimisation of the high-risk thoracic surgical patient: a narrative review

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