Clinical value of routine chest X-ray after thoracoscopic lung resection
- VernacularTitle:胸腔镜肺切除术后常规胸部X线检查的临床价值
- Author:
Xianglin LI
1
,
2
;
Dezhao TANG
3
;
Yizhang CHEN
4
;
Junhan WU
2
;
Guibin QIAO
2
;
Qiuling SHI
5
Author Information
1. Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510060, P. R. China
2. Department of Thoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, P. R. China
3. Department of Thoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, P. R. China
4. Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, P. R. China
5. School of Public Health, Chongqing Medical University, Chongqing, 400016, P. R. China
- Publication Type:Journal Article
- Keywords:
Chest X-ray examination;
thoracoscopic lung resection;
patient-reported outcomes;
postoperative complications;
symptom burden;
perioperative care
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(10):1582-1588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the necessity of routine chest X-ray (CXR) examination after lung surgery based on patient symptom burden. Methods A retrospective study was conducted on the patients who underwent thoracoscopic lung resection at the Department of Thoracic Surgery of Guangdong Provincial People's Hospital from March 2020 to April 2023. Routine CXR findings obtained within 24 h post-operation, after chest tube removal, and at 1-month post-discharge, as well as subsequent clinical interventions triggered by these examinations, were collected and analyzed. The Perioperative Symptom Assessment Lung (PSA-Lung) inventory was used to quantify symptom burden including pain, dyspnea, and sleep disturbance. Results A total of 2 101 patients were collected, including 986 males and 1 115 females, with a median age of 56 years. The rate of clinical interventions triggered by routine CXR examinations was very low, being 1.0%, 0.5%, and 1.3% within 24 h post-operation, within 12 h after extubation, and at 1-month post-discharge, respectively. One month after discharge, patients in the intervention group exhibited significantly higher scores for dyspnea (3 points vs. 2 points, P=0.015), pain (2 points vs. 1 point, P=0.039), and sleep disturbance (3 points vs. 2 points, P=0.036) compared with the non-intervention group. Conclusion Very few routine postoperative CXR examinations change patients’ management, and patients who need extra-intervention tended to have more severe symptom burden after surgery.
