Casopis lekaru ceskych · 2008
[Risk factors of atelectasis following pulmonary lobectomy].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Stolz A J, Petrík F, Simonek J, Schützner J, Lischke R, Pafko P
Аннотация
BACKGROUND: The aim our study was to determine incidence and predisposing factors of atelectasis following pulmonary lobectomy.
METHODS AND RESULTS: Retrospective study of our prospective database included 282 patients. Postlobectomy atelectasis (APL) was defined as ipsi- or contralateral atelectasis with whiteout of the involved lobe or segment on the chest radiograph requiring bronchoscopy. Postlobectomy atelectasis occurred in 18 (6.4%) patients. Chronic obstructive pulmonary disease (COPD) remained the only preoperative variable predicted of APL (p < 0.05). Patients undergoing right upper lobectomy (RUL), either alone or in combination with the right middle lobe had a significantly greater incidence of APL when compared with all other types of resections (p < 0.05).
CONCLUSIONS: Postlobectomy atelectasis is an important postlobectomy complication occurring in 6.4% of all lobectomies. Patients with COPD and undergoing RUL are at the higher risk for APL and prophylactic measures to prevent it are necessary.
METHODS AND RESULTS: Retrospective study of our prospective database included 282 patients. Postlobectomy atelectasis (APL) was defined as ipsi- or contralateral atelectasis with whiteout of the involved lobe or segment on the chest radiograph requiring bronchoscopy. Postlobectomy atelectasis occurred in 18 (6.4%) patients. Chronic obstructive pulmonary disease (COPD) remained the only preoperative variable predicted of APL (p < 0.05). Patients undergoing right upper lobectomy (RUL), either alone or in combination with the right middle lobe had a significantly greater incidence of APL when compared with all other types of resections (p < 0.05).
CONCLUSIONS: Postlobectomy atelectasis is an important postlobectomy complication occurring in 6.4% of all lobectomies. Patients with COPD and undergoing RUL are at the higher risk for APL and prophylactic measures to prevent it are necessary.