Influencing factors of acute lung injury after thoracoscopic surgery in elderly patients with esophageal cancer
10.3760/cma.j.issn.0254-9026.2023.08.010
- VernacularTitle:老年食管癌患者胸腔镜手术后并发急性肺损伤的影响因素探讨
- Author:
Zhengwei WANG
1
;
Hewen WU
;
Haibo SUN
;
Yanzhi MI
Author Information
1. 河南省人民医院感染科 郑州大学附属人民医院，郑州 450000
- Keywords:
Esophageal neoplasms;
Thoracoscopy;
Respiratory distress syndreme, adult
- From:
Chinese Journal of Geriatrics
2023;42(8):941-944
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the factors that contribute to acute lung injury(ALI)following thoracoscopic surgery in elderly patients with esophageal cancer.Methods:This study retrospectively analyzed the clinical data of 300 elderly patients with esophageal cancer who were treated in the hospital between June 2018 and June 2022.The baseline data of the patients were recorded and they were divided into two groups: ALI group and non-ALI group based on the postoperative complication of ALI.The study compared the baseline data of the two groups and used Logistic regression analysis to identify the influencing factors of ALI after thoracoscopic surgery in elderly patients with esophageal cancer.Results:This study involving 300 elderly patients with esophageal cancer found that 35 had ALI while 265 did not.Multiple Logistic regression analysis revealed that age increase( OR=1.573, P=0.031), a large number of lymph nodes cleaned( OR=3.145, P=0.008), and long tracheal intubation time( OR=1.108, P=0.028)were identified as risk factors for ALI in elderly esophageal cancer patients after thoracoscopic surgery.Conversely, high albumin levels were found to be a protective factor( OR=0.434, P=0.035). Conclusions:The incidence of acute lung injury(ALI)following thoracoscopic surgery in elderly patients with esophageal cancer is significantly high.Several factors contribute to this risk, including patient age, the number of lymph nodes cleaned, albumin level, and tracheal intubation time.
