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Published in: Surgery Today 6/2015

01-06-2015 | Original Article

Impact of cardiopulmonary complications of lung cancer surgery on long-term outcomes

Authors: Takashi Nojiri, Masayoshi Inoue, Yukiyasu Takeuchi, Hajime Maeda, Yasushi Shintani, Noriyoshi Sawabata, Toshimitsu Hamasaki, Meinoshin Okumura

Published in: Surgery Today | Issue 6/2015

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Abstract

Purpose

The impact of postoperative cardiopulmonary complications on long-term outcomes has not been established. We investigated the effects of acute postoperative cardiopulmonary complications not only on cancer recurrence, but also on cardiovascular or respiratory events in the chronic phase after lung cancer surgery.

Methods

From a prospective single-institution database of 496 consecutive patients, who underwent lung cancer surgery between August, 2008 and December, 2011, medical records, including information about cardiovascular or respiratory events and cancer recurrence in the chronic phase (>6 months) after surgery, were analyzed retrospectively. Results were compared between patients with vs. those without postoperative cardiopulmonary complications in the acute phase.

Results

Postoperative cardiopulmonary complications were identified in 90 (20 %) patients. There were significantly more cardiovascular or respiratory events in the chronic phase after lung cancer surgery in the patients who had suffered postoperative cardiopulmonary complications in the acute phase than in those who had not (23 vs. 5 %; p < 0.0001).

Conclusions

Postoperative cardiopulmonary complications in the acute phase were associated with a higher incidence of cardiovascular or respiratory events in the chronic phase after lung cancer surgery.

Clinical trial registration number

JPRN-UMIN2370
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Metadata
Title
Impact of cardiopulmonary complications of lung cancer surgery on long-term outcomes
Authors
Takashi Nojiri
Masayoshi Inoue
Yukiyasu Takeuchi
Hajime Maeda
Yasushi Shintani
Noriyoshi Sawabata
Toshimitsu Hamasaki
Meinoshin Okumura
Publication date
01-06-2015
Publisher
Springer Japan
Published in
Surgery Today / Issue 6/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-014-1032-z

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