Risk factors for postoperative complications Clavien-Dindo classification≥gradeⅡ after lung cancer surgery

Xiaoqing Liao; Zhang Chen; Wei Dai; Xing Wei; Yang3 PU; Chao Lin; Wenhong Feng; Yuanqiang Zhang; Yunfei MU; Rui Zhang; Shaohua Xie; Xin Wang; Qiuling Shi; Qiang LI

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Risk factors for postoperative complications Clavien-Dindo classification≥gradeⅡ after lung cancer surgery

VernacularTitle:肺癌术后并发症Clavien-Dindo分级≥Ⅱ级危险因素分析的多中心前瞻性队列研究
Author: Xiaoqing LIAO ^{1
,

2} ; Zhang CHEN ^{1
,

2} ; Wei DAI ³ ; Xing WEI ³ ; Yang3 PU ⁴ ; Chao LIN ^{1
,

2} ; Wenhong FENG ^{5
,

6} ; Yuanqiang ZHANG ^{7
,

8} ; Yunfei MU ^{9
,

10} ; Rui ZHANG ^{11
,

12} ; Shaohua XIE ³ ; Xin WANG ³ ; Qiuling SHI ^{13
,

14} ; Qiang LI ³
Author Information

1. Department of Cardiothoracic Surgery, Dazhu County People'
2. s Hospital, Dazhou, 635100, Sichuan, P. R. China
3. Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, 610041, P. R. China
4. School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, P. R. China
5. Department of Thoracic and Cardiovascular Surgery, Jiangyou People'
6. s Hospital, 621700, Sichuan, P. R. China
7. Department of Cardiothoracic Surgery, Zigong First People'
8. s Hospital, Zigong, 643000, Sichuan, P. R. China
9. Department of Thoracic Surgery, The Third People'
10. s Hospital of Chengdu, Chengdu, 610031, P. R. China
11. Department of Thoracic Surgery, The Seventh People'
12. s Hospital of Chengdu, Chengdu, 610021, P. R. China
13. 3. School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, P. R. China
14. 8. Center for Cancer Prevention Research, Sichuan Cancer Hospital, Chengdu, 610041, P. R. China
Publication Type:Journal Article
Keywords: Lung cancer; surgery; complications; Clavien-Dindo classification; risk factor
From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2023;30(08):1151-1157
CountryChina
Language:Chinese
Abstract: Objective To investigate the risk factors for postoperative complications Clavien-Dindo classification≥grade Ⅱ after lung cancer surgery. Methods The patients who underwent lung cancer surgery in a multicenter observational study from November 2017 to January 2020 were included. The Clavien-Dindo classification of postoperative complications was analyzed. Logistic regression was used to identify the risk factors for complications≥ gradeⅡ. Results A total of 388 patients were enrolled, including 203 males and 185 females with a mean age of 56.14±10.36 years. The incidence of postoperative complications was 25.52% (99/388) after lung cancer surgery and the incidence of complications≥gradeⅡ was 20.10% (78/388). The five most common postoperative complications were pneumonia (6.96%), prolonged pulmonary air leak (>7 days, 5.67%), incision dehiscence (4.64%), arrhythmia (3.87%), and postoperative pleural effusion (3.35%). Multivariate analysis showed that open surgery [reference: uniportal thoracoscopic surgery, OR=2.18, 95%CI (1.01, 4.70), P=0.047], extended resection [reference: sublobar resection, OR=2.86, 95%CI (1.11, 7.19), P=0.030; reference: lobectomy, OR=2.20, 95%CI (1.10, 4.40), P=0.026] and operative time≥3 h [OR=2.07, 95%CI (1.12, 3.85), P=0.021] were independent risk factors for postoperative complications≥gradeⅡ after lung cancer surgery. Conclusion Surgical approach, extent of resection and operative time are independent influencing factors for postoperative complications≥gradeⅡ after lung cancer surgery.