Safety and feasibility of thoracic surgery for high-altitude patients in the high-altitude medical center
- VernacularTitle:高原医疗中心开展高原地区患者胸外科手术的安全性分析
- Author:
Yanli JI
1
,
2
;
Chulaerbu JIANG
3
;
Wenping WANG
2
;
Yang HU
2
;
Lin MA
2
;
Yong YUAN
2
;
Feng LIN
2
;
Guowei CHE
2
Author Information
1. Department of Thoracic Surgery, West China Hospital, Sichuan University/School of Nursing, Sichuan University, Chengdu, 610041, P. R. China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
3. Department of Thoracic Surgery, People's Hospital of Ganzi Tibetan Autonomous Prefecture, Kangding, 626000, Sichuan, P. R. China
- Publication Type:Journal Article
- Keywords:
High-altitude resident;
high-altitude medical center;
thoracic surgery;
postoperative complications
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(01):95-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety of thoracic surgery for high-altitude patients in local medical center. Methods We retrospectively collected 258 high-altitude patients who received thoracic surgery in West China Hospital, Sichuan University (plain medical center, 54 patients) and People's Hospital of Ganzi Tibetan Autonomous Prefecture (high-altitude medical center, 204 patients) from January 2013 to July 2019. There were 175 males and 83 females with an average age of 43.0±16.8 years. Perioperative indicators, postoperative complications and related risk factors of patients were analyzed. Results The rate of minimally invasive surgery in the high-altitude medical center was statistically lower than that in the plain medical center (11.8% vs. 55.6%, P<0.001). The surgical proportions of tuberculous empyema (41.2% vs. 1.9%, P<0.001) and pulmonary hydatid (15.2% vs. 0.0%, P=0.002) in the high-altitude medical center were statistically higher than those in the plain medical center. There was no statistical difference in perioperative mortality (0.5% vs. 1.9%, P=0.379) or complication rate within 30 days after operation (7.4% vs. 11.1%, P=0.402) between the high-altitude center and the plain medical center. Univariate and multivariate analyses showed that body mass index≥ 25 kg/m2 (OR=8.647, P<0.001) and esophageal rupture/perforation were independent risk factors for the occurrence of postoperative complications (OR=15.720, P<0.001). Conclusion Thoracic surgery in the high-altitude medical center is safe and feasible.
