Distribution of the rate of morbidity and mortality developing after surgical treatment of non-small lung cancer surgery by years
Yükleniyor...
Dosyalar
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Yayincilik
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Akciğer kanseri için en etkili tedavi cerrahidir. Morbidite oranları, yıllar içinde mortalite dışında hemen hemen aynı kalmıştır. Morbidite oranları da perioperatif ve postoperatif prosedürlerin iyi yönetimi ile azalmaya başlamıştır. Rezeksiyon cerrahisinden sonra, yıllara göre postoperatif morbidite ve mortalite nedenlerini ve sonuçlarını incelemektir. Yöntemler: Ocak 2013’ten Aralık 2017’ye kadar, anatomik akciğer rezeksiyonları retrospektif olarak gözden geçirildi. Bilateral akciğer rezeksiyonu uygulanan, apse ve tüberküloz gibi enfeksiyonlara eşlik eden hastalar çalışmaya dahil edilmedi. Bulgular: Çalışmaya 907 hasta dahil edildi. Hastaların %79’u erkek ve yaş ortanca değeri 56 olarak bulundu. Malign pulmoner rezeksiyon oranlarındaki artış istatistiksel olarak anlamlıydı (p<0,001). Video yardımlı torakoskopik cerrahi (VATS) lobektomi (p<0,001) oranları artarken, torakotomi lobektomi (p=0,006) ve pnömonektomi oranları (p<0,001) azaldı. Atriyal fibrilasyon, uzamış hava kaçağı ve pnömoni oranları istatistiksel olarak azalırken (p=0,004, p<0,001, p<0,001) mortalite oranlarında bir değişiklik gözlenmedi (p=0,123). Sonuç: Bizim çalışmamız akciğer kanserinde postoperatif morbiditenin anlamlı derecede azaldığını gösterdi. VATS lobektomi sayısındaki artış morbiditenin azaltılmasında her ne kadar istatistiksel anlamlı bulunmasa etkili olabilir. Bu durum, ağırlıklı göğüs hastalıkları ve göğüs cerrahisi alanında çalışan bir hastane olmak ve hastanede deneyimli bir ekip tarafından yürütülen tedavi sürecine bağlanabilir.
Aim: The most effective treatment for lung cancer is surgery. Morbidity rates remained almost constant over the years. However, morbidity rates have started to decline with better management of preoperative and postoperative procedures. We examined the causes and results of postoperative morbidity and mortality after resection surgery by years. Methods: Anatomical lung resections performed in our clinic from January 2013 to December 2017 were retrospectively reviewed. Patients who underwent bilateral lung resections and those with comorbid infections, such as abscess and tuberculosis, were excluded. Results: A total of 907 patients were included in the study. 79% of the patients were male and the median age was 56 years. The increase in malignant pulmonary resection rates by years was statistically significant (p<0.001). It was found that video-assisted thoracoscopic surgery (VATS) lobectomy rates increased (p<0.001), thoracotomy lobectomy (p=0.006) and pneumonectomy rates decreased (p<0.001). The rates of atrial fibrillation, prolonged air leakage and pneumonia were statistically significantly decreased (p=0.004, p<0.001 and p<0.001, respectively) and no change was observed in mortality rates (p=0.123). Conclusion: Our study showed that postoperative morbidity was significantly reduced in lung cancer. A recent increase in VATS lobectomy procedures may have an effect on this result, however, the relationship was not statistically significant. Thus, the increase in the success rates can be attributed to the improved experience of the team in our hospital in years as well as being a specialty hospital for chest diseases and thoracic surgery.
Aim: The most effective treatment for lung cancer is surgery. Morbidity rates remained almost constant over the years. However, morbidity rates have started to decline with better management of preoperative and postoperative procedures. We examined the causes and results of postoperative morbidity and mortality after resection surgery by years. Methods: Anatomical lung resections performed in our clinic from January 2013 to December 2017 were retrospectively reviewed. Patients who underwent bilateral lung resections and those with comorbid infections, such as abscess and tuberculosis, were excluded. Results: A total of 907 patients were included in the study. 79% of the patients were male and the median age was 56 years. The increase in malignant pulmonary resection rates by years was statistically significant (p<0.001). It was found that video-assisted thoracoscopic surgery (VATS) lobectomy rates increased (p<0.001), thoracotomy lobectomy (p=0.006) and pneumonectomy rates decreased (p<0.001). The rates of atrial fibrillation, prolonged air leakage and pneumonia were statistically significantly decreased (p=0.004, p<0.001 and p<0.001, respectively) and no change was observed in mortality rates (p=0.123). Conclusion: Our study showed that postoperative morbidity was significantly reduced in lung cancer. A recent increase in VATS lobectomy procedures may have an effect on this result, however, the relationship was not statistically significant. Thus, the increase in the success rates can be attributed to the improved experience of the team in our hospital in years as well as being a specialty hospital for chest diseases and thoracic surgery.
Açıklama
Anahtar Kelimeler
Thoracic Surgery, Lung Cancer, Morbidity, Mortality, Postoperative Complication Treatment
Kaynak
Haseki Tip Bulteni-Medical Bulletin of Haseki
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
57
Sayı
2
Künye
Karapınar, K., & Kocatürk, C. (2019). Küçük Hücreli Dışı Akciğer Kanseri Cerrahi Tedavisi Sonrasında Gelişen Morbidite ve Mortalite Oranlarının Yıllara Göre Seyri. Medical Bulletin of Haseki/Haseki Tip Bulteni, 57(2).
