Incidence and Significance of Lobar Atelectasis in Thoracic Surgical Patients

Uzieblo, Matthew; Welsh, Robert; Pursel, Stewart E.; Chmielewski, Gary W.
May 2000
American Surgeon;May2000, Vol. 66 Issue 5, p476
Academic Journal
Lobar atelectasis, defined by complete lobar collapse and mediastinal shift on chest roentgenogram, represents one extreme form of postoperative atelectasis. We have evaluated the incidence and clinical significance of lobar atelectasis in a thoracic surgical patient group. A retrospective review was done of patients who underwent pulmonary resection over a 2-year period to determine patient characteristics, contributing comorbidities, and associated perioperative care factors. Lung resections were performed for both benign and malignant disease through open or video-assisted techniques. One hundred eighty patients had pulmonary resection, 101 males and 79 females, and they were divided into three groups: I, no complications (112 patients, 62%); II, complications unrelated to lobar atelectasis (60 patients, 33%); and III, complications of lobar atelectasis (8 patients, 5%). There was one death in the series, in the lobar atelectasis group (III). Mean age for the entire group was 64.5 +/- 12.5 years; however, patients in Groups II (67.3 years) and III (69.6 years) were significantly older than in Group I (P < 0.02). Mean hospital length of stay in Group I was 6 +/- 3 days, whereas that in Group II was 13 +/- 12 days (P < 0.001), and in Group III it was 27 +/- 31 days (P < 0.001). In addition, patients who developed lobar atelectasis were more likely to be male (88% vs 48%, P = 0.034), had a longer ICU length of stay (P < 0.001), were more likely to have two or more comorbidities (P < 0.05), and had a lower forced expiratory volume in 1 second (2.34 +/- 0.90 vs 1.96 +/- 0.63). All patients in the lobar atelectasis group were operated on for malignancy, but this was not significantly different from the other groups. None of the 16 patients who had thoracoscopy developed lobar atelectasis, but this also was not a significant finding. We conclude that severe postoperative atelectasis occurs as lobar atelectasis in approximately 5 per cent of patients who undergo pulm...


Related Articles

  • DISCUSSION. Silver, Donald // Vascular Surgery;May/Jun1999, Vol. 33 Issue 3, p321 

    The author reflects on a clinical study about a large pseudoaneurysm of the descending thoracic aorta resulting in a complete atelectasis of the left lung. He comments on the recommendation of the researchers about the proper vascular surgery techniques. Furthermore, he suggests that an...

  • Bir Ãœniversite Hastanesinde Göğüs Cerrahisi Konsültasyonu Yapılan Olguların DeÄŸerlendirilmesi. Çobanoğlu, Ufuk // Turk Toraks Dergisi / Turkish Thoracic Journal;Sep2009, Vol. 10 Issue 3, p117 

    Objective: Evaluation was made of the consultation results of patients who were thought to need a surgical approach and consulted the Chest Surgery Department for diagnostic support and treatment offers after detection of a clinical and/or radiological pathology of the respiratory system....

  • Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Agostini, P.; Cieslik, H.; Rathinam, S.; Bishay, E.; Kalkat, M. S.; Rajesh, P. B.; Steyn, R. S.; Singh, S.; Naidu, B. // Thorax;Sep2010, Vol. 65 Issue 9, p6 

    Background Postoperative pulmonary complications (PPC) are the most frequently observed complications following lung resection, of which pneumonia and atelectasis are the most common. PPCs have a significant clinical and economic impact associated with increased observed number of deaths,...

  • The report of double lumen tube anaesthesia in National Cancer Centre of Mongolia. Bolormaa, Batnasan; Avirmed, Damdin; Sanduijav, Ruvjir; Batzolboo, Ganbold // Australasian Medical Journal;2017, Vol. 10 Issue 8, p723 

    If we can successfully place a double lumen tube, then it will ensure safety for our patients throw out the use of one lung anaesthesia. We could achieve adequate oxygen saturation (Spo2 or SaO2) with maintenance of PaO2 the level of 100-150mm Hg. Background In Mongolia, cancer is the second...

  • Alveolar recruitment improves ventilation during thoracic surgery: a randomized controlled trial. Unzueta, C.; Tusman, G.; Suarez-Sipmann, F.; Böhm, S.; Moral, V. // BJA: The British Journal of Anaesthesia;Mar2012, Vol. 108 Issue 3, p517 

    Background This study was conducted to determine whether an alveolar recruitment strategy (ARS) applied during two-lung ventilation (TLV) just before starting one-lung ventilation (OLV) improves ventilatory efficiency. Methods Subjects were randomly allocated to two groups: (i) control group:...

  • Post-operative pulmonary complications after non-cardiothoracic surgery. Kelkar, Kalpana Vinod // Indian Journal of Anaesthesia;Sep2015, Vol. 59 Issue 9, p599 

    Post-operative pulmonary complications (PPCs) occur in 5-10% of patients undergoing non-thoracic surgery and in 22% of high risk patients. PPCs are broadly defined as conditions affecting the respiratory tract that can adversely influence clinical course of the patient after surgery. Prior risk...

  • The role of an ambient pressure oxygen source during one-lung ventilation for thoracoscopic surgery. Pfitzner, J. // Anaesthesia & Intensive Care;2016, Vol. 44 Issue 1, p20 

    Video-assisted thoracoscopic surgery is facilitated by prompt collapse of the non-ventilated ('operated') lung, and interrupted and impeded if there is a need for oxygen (O2) delivery by continuous positive airways pressure in order to manage hypoxaemia. It has been proposed that connecting an...

  • Do Japanese thoracic surgeons think that dissection of the pulmonary ligament is necessary after an upper lobectomy? Usuda, Katsuo; Sagawa, Motoyasu; Aikawa, Hirokazu; Tanaka, Makoto; Machida, Yuichiro; Ueno, Masakatsu; Sakuma, Tsutomu // Surgery Today;Nov2010, Vol. 40 Issue 11, p1097 

    It is uncertain whether the dissection of the pulmonary ligament is necessary in patients who undergo an upper lobectomy. A questionnaire was sent to the directors of Thoracic Surgery in 102 hospitals, asking whether dissection of the pulmonary ligament is performed in such patients, and the...

  • Methods of removing tube thoracostomies.  // American Family Physician;3/1/1995, Vol. 51 Issue 4, p916 

    Highlights the study conducted by Davis et al, published in the November 1994 issue of the `Journal of the American College of Surgeons.' Comparison of two methods of chest tube removal for differences in total duration of chest tube use, complications and the time required to remove the chest...

  • CMDATS年会专题. 我国胸外科发展现状分析. 张逊 // Chinese Journal of Lung Cancer;Jul2014, Vol. 17 Issue 7, p518 

    No abstract available.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics