Επιπλοκές μετά από μείζονες θωρακοχειρουργικές επεμβάσεις για καρκίνο του πνεύμονα - προοπτική μελέτη

Postgraduate Thesis uoadl:1311198 577 Read counter

Unit:
Κατεύθυνση Καρκίνος Πνεύμονα: Σύγχρονη Κλινικοεργαστηριακή Προσέγγιση και Έρευνα
Library of the School of Health Sciences
Deposit date:
2014-01-27
Year:
2013
Author:
Νικολούζος Στέφανος
Supervisors info:
Κωνσταντίνος Ν. Συρίγος
Original Title:
Επιπλοκές μετά από μείζονες θωρακοχειρουργικές επεμβάσεις για καρκίνο του πνεύμονα - προοπτική μελέτη
Languages:
Greek
Summary:
Aim: The aim of this study was to evaluate the complications after major
pulmonary resections for lung cancer and identify the risk factors associated
with the occurrence of complications.
Material and Methods: 89 patients ( mean age 64.4; range 37 to 82) underwent
major pulmonary resection for treatment of lung cancer in our institution .
Univariate analysis was performed to determine whether there are statistically
significant group differences in the variables. Logistic regression analysis
was performed to access the impact of variables to the presentation of
complications.
Results: Complications occurred in 64% of patients. 79% of these were not
potentially life-threatening. 12.4 % experienced a life-threatening
complication and 4.5 % died.
Conclusions: The preoperative hemoglobin levels and the need for transfusion
are strongly associated with the occurrence of complications. Complications
occurred in 75 % of patients with chronic obstructive pulmonary disease ,
although these complications were among the non- life-threatening . Diabetes
mellitus is associated with life-threatening complications. Prolonged
hospitalization was observed primarily for persistent air leak, atelectasis,
fever, and especially after right-sided thoracotomy.
Keywords:
Thoracotomy, Lobectomy, Pneumonectomy, Complications, Non small cell lung cancer
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
176
Number of pages:
130
File:
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