The Severity of Complications Is Associated With Postoperative Costs After Lung Resection

Brunelli, Alessandro; Drosos, Polyvios; Dinesh, Padma; Ismail, Haaris; Bassi, Vinod

doi:10.1016/j.athoracsur.2016.10.061

Cited by 32 publications

(24 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Postoperative complications were all gathered and classified into a scale from I to V according to the definition of the Clavien-Dindo classification of surgical complications. [ 11 , 12 ] Grades I and II stood for minor complications requiring no therapy or pharmacological intervention. Grades III and IV represented major complications requiring surgical intervention or life support.…”

Section: Methodsmentioning

confidence: 99%

Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection

González-Rivas

Kuo

et al. 2018

Medicine

View full text Add to dashboard Cite

The purpose of this study was to identify the risk factors for adverse events during single-port video-assisted thoracoscopic (SPVATS) anatomical resections.We retrospectively reviewed patients who had undergone SPVATS anatomic resections between January 2014 and February 2017 in Coruña University Hospital's Minimally Invasive Thoracic Surgery Unit (CHUAC, Spain) and Chang Gung Memorial Hospital (CGMH, Taiwan). Four hundred forty-two patients (male: 306, female: 136) were enrolled in this study. Logistic regression analysis was performed on variables for postoperative complications.Postoperative complications with a 30-day mortality occurred in 94 patients (21.3%) and with a 90-day mortality in 3 patients (0.7%) while the major complication rate was 3.9%. Prolonged air leak (PAL > 5 days) was the most common complication and came by postoperative arrhythmia. Logistic regression indicated that pleural symphysis (odds ratio (OR), 1.91; 95% confidence interval (CI), 1.14–3.18; P = .014), computed tomography (CT) pulmonary emphysema (OR, 2.63; 95% CI, 1.41–4.76; P = .002), well-developed pulmonary CT fissure line (OR, 0.49; 95% CI, 0.29–0.84; P = .009), and tumor size (≥3 cm) (OR, 2.15; 95% CI, 1.30–3.57; P = .003) were predictors of postoperative complications.Our preliminary results revealed that SPVATS anatomic resection achieves acceptable 30- and 90-day surgery related mortality (0.7%) and major complications rate (3.9%). Prolonged Air leak (PAL > 5 days) was the most common postoperative complication. Pleural symphysis, pulmonary emphysema, well-developed pulmonary CT fissure line and tumor size (≥3 cm) were predictors of adverse events during SPVATS anatomic resection.

show abstract

Section: Methodsmentioning

confidence: 99%

Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection

González-Rivas

Kuo

et al. 2018

Medicine

View full text Add to dashboard Cite

show abstract

“…Preoperative peak expiratory flow (PEF) for predicting postoperative pulmonary complications after lung cancer lobectomy: a prospective study with 725 cases lesions which are amenably resectable (6). Postoperative pulmonary complications (PPCs) are deemed to be strongly correlated to short-and long-term survival after lung cancer surgery (5,7,8). Hence, the preoperative state of candidates waiting for lung cancer surgery and predictive risks for PPCs with up-to-date data is urgently needed to be investigated, helping to set realistic expectations for perioperative interventions, therapies and care.…”

Section: Original Articlementioning

confidence: 99%

Preoperative peak expiratory flow (PEF) for predicting postoperative pulmonary complications after lung cancer lobectomy: a prospective study with 725 cases

Lai¹,

Wang²,

Li³

et al. 2018

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…Regardless of surgical approach, complications bring an increase in healthcare expenditure. In this regard, Brunelli et al applied the Ottawa thoracic morbidity and mortality (TM&M) classification system devised by Seely et al and linked costs to grade of complication (21,22). The higher grade of complications was directly related to significant increases in the cost of care.…”

Section: Complicationsmentioning

confidence: 99%

Resource implications of robotic thoracic surgery: what are the wider issues?

Stamenkovic

Slight

2019

Ann. Cardiothorac. Surg.

View full text Add to dashboard Cite

The benefits of minimally invasive thoracic surgery are well documented when compared to the use of standard thoracotomy. Much controversy exists, however, regarding the resource implications when using robot-assisted thoracic surgery (RATS), especially when compared to video-assisted thoracoscopic surgery (VATS). Much of the costs attributed to a particular approach center around the frequency and severity of the complications that may arise. Little exists in the literature to appropriately compare and contrast the complication rate following either of the minimally invasive approaches. There is a suggestion that many conventional open surgeons are more readily persuaded to adopt a minimally invasive approach through the use of the robotic platform, therefore reducing the complication-related costs of standard thoracotomy by an increase in minimally invasive resection rates. Further gains may be made in the ability to perform more complex minimally invasive procedures via a RATS approach without recourse to open conversion when compared to VATS. As opportunities and competition increase in the commercial market place, it is reasonable to assume costs will fall and further savings will be made.

show abstract

The Severity of Complications Is Associated With Postoperative Costs After Lung Resection

Cited by 32 publications

References 16 publications

Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection

Predictive factors of postoperative complications in single-port video-assisted thoracoscopic anatomical resection

Preoperative peak expiratory flow (PEF) for predicting postoperative pulmonary complications after lung cancer lobectomy: a prospective study with 725 cases

Resource implications of robotic thoracic surgery: what are the wider issues?

Contact Info

Product

Resources

About