Journal of Nippon Medical School: Vol.71 No.1 page.030

Journal of Nippon Medical School

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ArticleTitle Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer

AuthorList Shuji Haraguchi¹, Kiyoshi Koizumi², Nobuo Hatori², Masafumi Hioki¹, Koji Yamashita¹, Hirohiko Akiyama³, Tomomi Hirata², Kyoji Hirai², Iwao Mikami², Hirotoshi Kubokura² and Shigeo Tanaka²

Affiliation ¹Department of Surgery, Nippon Medical School Second Hospital
²Department of Surgery II, Nippon Medical School
³Department of Thoracic Surgery, Saitama Cancer Center

Language EN

Volume 71

Issue 1

Year 2004

Page 30-34

Received August 1, 2003

Accepted August 29, 2003

Keywords primary lung cancer, video-assisted thoracic surgery, postoperative respiratory complications

Abstract Purpose: We analyzed the risk factors predisposing patients to develop postoperative respiratory complications (PRCs) in VATS lobectomy and segmentectomy for lung cancer, retrospectively.
Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had undergone VATS lobectomy and segmentectomy for lung cancer from November 1994 to December 2000.
Results: Univariate analysis of the development of PRCs revealed that the significant risk factors were age, ppo%VC, ppo%FEV, ppoFEV, poor pulmonary function, and duration of surgery. Multivariate logistic regression test in regard to the development of PRCs revealed that duration of surgery was the most significant risk factor. On the basis of the receiver operator characteristic analysis, duration of surgery more than 297 min had a sensitivity of 70% and a specificity of 66% for the development of PRCs.
Conclusions: The duration of surgery should be less than five hours not to lose advantages of VATS lobectomy and segmentectomy. Therefore, if the duration of surgery is more than five hours for any reasons, conversion to limited thoracotomy or muscle-sparing methods is recommended.

Correspondence to Correspondence to Shuji Haraguchi, MD, Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-8533, Japan
shuji@nms.ac.jp

ArticleTitle	Postoperative Respiratory Complications of Video-assisted Thoracic Surgery for Lung Cancer
AuthorList	Shuji Haraguchi¹, Kiyoshi Koizumi², Nobuo Hatori², Masafumi Hioki¹, Koji Yamashita¹, Hirohiko Akiyama³, Tomomi Hirata², Kyoji Hirai², Iwao Mikami², Hirotoshi Kubokura² and Shigeo Tanaka²
Affiliation	¹Department of Surgery, Nippon Medical School Second Hospital ²Department of Surgery II, Nippon Medical School ³Department of Thoracic Surgery, Saitama Cancer Center
Language	EN
Volume	71
Issue	1
Year	2004
Page	30-34
Received	August 1, 2003
Accepted	August 29, 2003
Keywords	primary lung cancer, video-assisted thoracic surgery, postoperative respiratory complications
Abstract	Purpose: We analyzed the risk factors predisposing patients to develop postoperative respiratory complications (PRCs) in VATS lobectomy and segmentectomy for lung cancer, retrospectively. Methods: Both univariate and multivariate analyses of PRCs were performed in seventy-five patients who had undergone VATS lobectomy and segmentectomy for lung cancer from November 1994 to December 2000. Results: Univariate analysis of the development of PRCs revealed that the significant risk factors were age, ppo%VC, ppo%FEV, ppoFEV, poor pulmonary function, and duration of surgery. Multivariate logistic regression test in regard to the development of PRCs revealed that duration of surgery was the most significant risk factor. On the basis of the receiver operator characteristic analysis, duration of surgery more than 297 min had a sensitivity of 70% and a specificity of 66% for the development of PRCs. Conclusions: The duration of surgery should be less than five hours not to lose advantages of VATS lobectomy and segmentectomy. Therefore, if the duration of surgery is more than five hours for any reasons, conversion to limited thoracotomy or muscle-sparing methods is recommended.
Correspondence to	Correspondence to Shuji Haraguchi, MD, Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-8533, Japan shuji@nms.ac.jp