TITLE

Subclinical idiopathic pulmonary fibrosis is also a risk factor of postoperative acute respiratory distress syndrome following thoracic surgery

AUTHOR(S)
Chida, Masayuki; Ono, Shuichi; Hoshikawa, Yasushi; Kondo, Takashi
PUB. DATE
October 2008
SOURCE
European Journal of Cardio-Thoracic Surgery;Oct2008, Vol. 34 Issue 4, p878
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Objective: Postoperative acute interstitial pneumonia is a subset of post-surgical acute respiratory distress syndrome (ARDS) and is responsible for one third of in-hospital deaths following lung resection in patients with primary lung cancer. We evaluated the usefulness of computed tomography (CT) for detection of interstitial pneumonia (IP) as a risk factor of postoperative ARDS. Methods: Preoperative chest CT of patients who underwent thoracotomy for primary lung cancer was reviewed retrospectively and IP findings in the chest CT were detected. Results: A total of 1148 patients with primary lung cancer underwent thoracotomy. Fifteen patients (1.3%) developed postoperative ARDS. Eleven of these 15 patients died of ARDS. Three of 41 patients who received induction therapy developed postoperative ARDS. Induction therapy was a risk factor of postoperative ARDS (p <0.01). Eleven out of the 15 patients who developed postoperative ARDS had IP findings (10: localized, 1: diffuse) in their chest CT. Two of three patients who had postoperative ARDS after induction therapy also had IP findings. Chest CTs of 834 patients were retrospectively analyzed; 91 patients (10.9%) had IP-findings (diffuse 1.8%, localized 9.1%). Postoperative ARDS occurred in 8.8% of IP-positive patients, and in 0.4% of IP-negative patients (p <0.001). Conclusion: Detection of IP by chest CT is useful for the selection of high-risk patients who may have postoperative ARDS following thoracotomy.
ACCESSION #
34649575

 

Related Articles

  • Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy. Fukuhara, Kenjiro; Akashi, Akinori; Nakane, Shigeru; Tomita, Emiko // European Journal of Cardio-Thoracic Surgery;Oct2008, Vol. 34 Issue 4, p875 

    Abstract: Objective: Our aim was to evaluate the efficacy of 3D imaging using multidetector row helical computed tomography (MDCT) in the preoperative assessment of the branching pattern of pulmonary artery (PA) before complete video-assisted thoracoscopic lobectomy (complete VATS lobectomy) for...

  • Postoperative pain control: videothoracoscopic versus conservative mini-thoracotomic approach†. Andreetti, Claudio; Menna, Cecilia; Ibrahim, Mohsen; Ciccone, Anna Maria; D'Andrilli, Antonio; Venuta, Federico; Rendina, Erino Angelo // European Journal of Cardio-Thoracic Surgery;Nov2014, Vol. 46 Issue 5, p907 

    OBJECTIVES The management of postoperative pain in thoracic surgery is an open issue. The aim of this study was to compare postoperative pain after a videothoracoscopic lobectomy versus a mini-thoracotomy approach. METHODS Between April 2011 and January 2013 we enrolled in a prospective,...

  • Learning thoracoscopic lobectomy Petersen, René Horsleben; Hansen, Henrik Jessen // European Journal of Cardio-Thoracic Surgery;Mar2010, Vol. 37 Issue 3, p516 

    Abstract: Objective: Thoracoscopic (video-assisted thoracoscopic surgery (VATS)) lobectomy is a safe and effective method for treating early-stage lung cancer. Despite this, it is still not widely practised, which could be due to a shallow learning curve. We have evaluated the surgical outcome...

  • Role of Video-assisted Thoracoscopic Surgery in Children - Our Experience in a Tertiary Care Centre. Gupta, Rahul; Gupta, Abhaya; Sanghvi, Bijal; Shah, Hemanshi; Parelkar, S. V. // Journal of Indian Association of Pediatric Surgeons;Jul-Sep2007, Vol. 12 Issue 3, p173 

    Aim: Our aim was to review the current status of VATS in a Pediatric Surgery tertiary care center in K.E.M. Hospital Mumbai, in terms of feasibility and safety. Methods: We reviewed all children who underwent a VATS procedure in our department during the period April 2004 to June 2007. Patients...

  • Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Watanabe, Atsushi; Watanabe, Toshiaki; Ohsawa, Hisayoshi; Mawatari, Tohru; Ichimiya, Yasunori; Takahashi, Noriyuki; Sato, Hiroki; Abe, Tomio // European Journal of Cardio-Thoracic Surgery;May2004, Vol. 25 Issue 5, p872 

    Objective: A chest tube is usually placed in the pleural cavity after wedge resection of the lung, even after thoracoscopic procedures. The aim of this study was to determine the validity and safety of postoperative management without chest tube placement for patients undergoing thoracoscopic...

  • Thoracoscopic treatment of empyema. Dale, David C.; Federman, Daniel D. // Cortlandt Forum;04/25/97, Vol. 10 Issue 4, p28 

    Looks at the advantages and requirements for video-assisted thoracoscopic surgery in the management of empyema.

  • Importance of preoperative imaging with 64-row three-dimensional multidetector computed tomography for safer video-assisted thoracic surgery in lung cancer. Tadashi Akiba; Hideki Marushima; Junta Harada; Susumu Kobayashi; Toshiaki Morikawa // Surgery Today;Oct2009, Vol. 39 Issue 10, p844 

    Abstract Purpose  Video-assisted thoracic surgery (VATS) has recently been adopted for complicated anatomical lung resections. During these thoracoscopic procedures, surgeons view the operative field on a two-dimensional (2-D) video monitor and cannot palpate the organ directly,...

  • Comparison of three software programs for three-dimensional graphic imaging as contrasted with operative findings†,‡. Matsumoto, Takako; Kanzaki, Masato; Amiki, Manabu; Shimizu, Toshihide; Maeda, Hideyuki; Sakamoto, Kei; Ookubo, Yasuo; Onuki, Takamasa // European Journal of Cardio-Thoracic Surgery;May2012, Vol. 41 Issue 5, p1098 

    OBJECTIVES Several types of practical three-dimensional (3D) imaging software programs are available, including those attached to computed tomographic devices. Three different software programs (Advantage Workstation Volume Share 4, OsiriX and CTTRY) were used to generate 3D images on the basis...

  • Is Thoracoscopic Decortication Sufficient for the Treatment of Empyema? MANUNGA, JESSE; OLAK, JEMI // American Surgeon;Oct2010, Vol. 76 Issue 10, p1050 

    Before thoracoscopy became popular in the 1990s, thoracotomy and decortication was the treatment of choice for empyema thoracis not responding to tube thoracostomy. An Institutional Review Board-approved, retrospective review of all patients treated for empyema between September 1, 2006, and...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

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

Try another library?
Sign out of this library

Other Topics