Prediction of postoperative pulmonary complications in lung cancer surgery: Is proportion of emphysema important?

dc.contributor.authorAkçam, Tevfik İlker
dc.contributor.authorKaya, Şeyda Örs
dc.contributor.authorAkçay, Onur
dc.contributor.authorSamancılar, Özgür
dc.contributor.authorSevinç, Serpil
dc.contributor.authorSusam, Seher
dc.contributor.authorCeylan, Kenan Can
dc.date.accessioned2021-05-03T21:14:10Z
dc.date.available2021-05-03T21:14:10Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractOBJECTIVE: Preoperative evaluation in thoracic surgery is highly important to determine surgical suitability, estimate postoperative pulmonary complications, and for patient follow?up. However, there is neither a definite explanation about the possible complications nor a gold standard method. MATERIALS AND METHODS: In this study, 297 patients undergoing anatomic lung resection for primary lung carcinoma were retrospectively evaluated. To form a homogeneous group, all factors that increase the rate of pulmonary complication were excluded except emphysema. Patients who did not meet these criteria were removed from the study. The study continued with 104 other patients. This patient subgroup was divided into groups according to Goddard Classification– Score (GdCS). The correlation between GdCS and other variables was statistically investigated. RESULTS: According to the GdCS of 104 patients, the patient distribution was as follows: 10 patients (9.6%) were G0, 28 patients (26.9%) were G1, 42 patients (40.4%) were G2, 22 patients (21.2%) were G3, and 2 patients (1.9%) were G4. Thirty?five (33.6%) of 104 patients had a pulmonary complication during the postoperative follow?up. The average drainage time was longer for higher GdCS scores, and the rate of exposition to a pulmonary complication was higher in the patients with increased GdCS. CONCLUSION: In view of these findings, Goddard’s scoring for chronic obstructive pulmonary disease?emphysema patients was considered likely to be an indicative parameter in the preoperative evaluation and postoperative follow?up of thoracic surgery patients.en_US
dc.identifier.doi10.4103/ejop.ejop_8_18
dc.identifier.endpage11en_US
dc.identifier.issn2148-3620
dc.identifier.issn2148-5402
dc.identifier.issue1en_US
dc.identifier.startpage7en_US
dc.identifier.urihttps://doi.org/10.4103/ejop.ejop_8_18
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpVd09UY3pNdz09
dc.identifier.urihttps://hdl.handle.net/11454/71784
dc.identifier.volume20en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofEurasian Journal of Pulmonologyen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keywords]en_US
dc.titlePrediction of postoperative pulmonary complications in lung cancer surgery: Is proportion of emphysema important?en_US
dc.typeArticleen_US

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