Thoracic surgery in Taiwan

Gao, Xing; Chao, Yin-Kai

doi:10.21037/jtd-21-1302

Cited by 2 publications

(3 citation statements)

References 54 publications

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“…We reviewed the electronic medical database of our institution and extracted the data of all patients who underwent video-assisted thoracoscopic surgery (VATS) at our medical center between January 2016 and December 2020. Patients who met the following criteria were excluded from the analysis: [ 1 ] missing relevant data, such as demographic information, surgical and anesthetic features, or postoperative outcomes; [ 2 ] did not undergo LRS; [ 3 ] underwent thoracotomy or intraoperative conversion to open resection; [ 4 ] underwent tubeless surgery; [ 5 ] underwent delayed extubation; and [ 6 ] an American Society of Anesthesiologists (ASA) class four or higher pre-anesthesia health status. The included patients were categorized in two groups: the TIVA group, which comprised patients who received intravenous anesthetics for the maintenance of general anesthesia, and the volatile anesthesia group, which included those who received volatile anesthetics for the maintenance of general anesthesia.…”

Section: Methodsmentioning

confidence: 99%

“…Lung cancer is the most common cause of cancer-related deaths, accounting for 1.8 million deaths each year [ 1 ]. In Taiwan, the number of lung cancer surgeries performed in 2020 was three times that recorded in 2010, most likely owing to the increasing use of low-dose computed tomography in lung cancer screening [ 2 ]. In addition, the incidence of postoperative pulmonary complications (PPCs) after lung resection surgery (LRS) was from < 1–23% [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Total intravenous anesthesia decreases hospital stay but not incidence of postoperative pulmonary complications after lung resection surgery: a propensity score matching study

Hsu,

Cheng,

Teng

et al. 2023

BMC Anesthesiol

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Background There is no consensus regarding the superiority of volatile or total intravenous anesthesia (TIVA) in reducing the incidence of postoperative pulmonary complications (PPCs) after lung resection surgery (LRS). Thus, the aim of this study was to investigate the different anesthetic regimens and the incidence of PPCs in patients who underwent LRS. We hypothesized that TIVA is associated with a lower incidence of PPCs than volatile anesthesia. Methods This was a retrospective cohort study of patients who underwent LRS at Taipei Veterans General Hospital between January 2016 and December 2020. The patients’ charts were reviewed and data on patient characteristics, perioperative features, and postoperative outcomes were extracted and analyzed. The patients were categorized into TIVA or volatile anesthesia groups and their clinical data were compared. Propensity score matching was performed to reduce potential selection bias. The primary outcome was the incidence of PPCs, whereas the secondary outcomes were the incidences of other postoperative events, such as length of hospital stay (LOS) and postoperative nausea and vomiting (PONV). Results A total of 392 patients each were included in the TIVA and volatile anesthesia groups. There was no statistically significant difference in the incidence of PPCs between the volatile anesthesia and TIVA groups. The TIVA group had a shorter LOS (p < 0.001) and a lower incidence of PONV than the volatile anesthesia group (4.6% in the TIVA group vs. 8.2% in the volatile anesthesia group; p = 0.041). However, there were no significant differences in reintubation, 30-day readmission, and re-operation rates between the two groups. Conclusions There was no significant difference between the incidence of PPCs in patients who underwent LRS under TIVA and that in patients who underwent LRS under volatile anesthesia. However, TIVA had shorter LOS and lower incidence of PONV which may be a better choice for maintenance of anesthesia in patients undergoing LRS.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Total intravenous anesthesia decreases hospital stay but not incidence of postoperative pulmonary complications after lung resection surgery: a propensity score matching study

Hsu,

Cheng,

Teng

et al. 2023

BMC Anesthesiol

View full text Add to dashboard Cite

show abstract

“…Lung cancer is the most common cause of cancer-related deaths, accounting for 1.8 million deaths each year [1]. In Taiwan, the number of lung cancer surgeries performed in 2020 was three times that recorded in 2010, most likely owing to the increasing use of low-dose computed tomography in lung cancer screening [2]. In addition, the incidence of postoperative pulmonary complications (PPCs) after lung resection surgery (LRS) was from < 1-23%.…”

Section: Introductionmentioning

confidence: 99%

Total intravenous anesthesia shortens hospital stay after lung resection surgery: A propensity score matching study.

Hsu

Cheng

Teng

et al. 2023

Preprint

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Background There is no consensus regarding the superiority of volatile or total intravenous anesthesia (TIVA) in reducing the incidence of postoperative pulmonary complications (PPCs) after lung resection surgery (LRS). Thus, the aim of this study was to investigate the effects of TIVA and volatile anesthesia on the incidence of PPCs in patients who underwent LRS. We hypothesized that TIVA is associated with a lower incidence of PPCs than volatile anesthesia.Methods This was a retrospective cohort study of patients who underwent LRS at Taipei Veterans General Hospital between January 2016 and December 2020. The patients’ charts were reviewed and data on patient characteristics, perioperative features, and postoperative outcomes were extracted and analyzed. The patients were categorized into TIVA and volatile anesthesia groups and their clinical data were compared. Propensity score matching was performed to reduce potential selection bias. The primary outcome was the difference between the incidence of PPCs in the volatile anesthesia and TIVA groups, whereas the secondary outcomes were the differences in the incidences of other postoperative events, such as length of hospital stay (LOS) and postoperative nausea and vomiting (PONV), between the two groups.Results A total of 396 patients each were included in the TIVA and volatile anesthesia groups. There was no statistically significant difference in the incidence of PPCs between the volatile anesthetic and TIVA groups. The TIVA group had a shorter LOS (p < 0.001) and a lower incidence of PONV than the volatile anesthesia group (4.5% in the TIVA group vs. 8.8% in the volatile anesthesia group; p = 0.016). However, there were no significant differences in reintubation, 30-day readmission, and reoperation rates between the two groups.Conclusions There is no significant difference between the incidence of PPCs in patients who underwent LRS under TIVA and that in patients who underwent LRS under volatile anesthesia. However, TIVA may be a better choice for maintenance of anesthesia in patients undergoing LRS.

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Thoracic surgery in Taiwan

Cited by 2 publications

References 54 publications

Total intravenous anesthesia decreases hospital stay but not incidence of postoperative pulmonary complications after lung resection surgery: a propensity score matching study

Total intravenous anesthesia decreases hospital stay but not incidence of postoperative pulmonary complications after lung resection surgery: a propensity score matching study

Total intravenous anesthesia shortens hospital stay after lung resection surgery: A propensity score matching study.

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