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Published in:

01-03-2008

Predictors of general complications after video-assisted thoracoscopic surgical procedures

Authors: Hauke Winter, Georgios Meimarakis, Matthias Pirker, Fritz Spelsberg, Reinhard Kopp, Dominik Rüttinger, Florian Loehe, Karl-Walter Jauch, Rudolf Hatz

Published in: Surgical Endoscopy | Issue 3/2008

Abstract

Background

The video-assisted thoracoscopic approach has become the preferred method for many procedures due to the reduced trauma, complication rate and morbidity. The aim of this study was a risk evaluation of patients undergoing video-assisted thoracoscopic surgery (VATS) procedures.

Methods

Between 1991 and 2004, 1,008 patients were included in this single-center retrospective analysis. Risk assessment was performed using univariate and multivariate analysis.

Results

Multivariate analysis revealed that patient age (p = 0.003), the duration of the VATS procedure (p = 0.008), redo-VATS (p < 0.001) and conversion to open thoracotomy (p < 0.001) correlated significantly with the incidence of complications. Patients with immune deficiency following organ transplantation had the highest complication rate at 31.7%, which was significantly higher than for patients with either benign disease (p = 0.010) or malignant disease (p = 0.019).

Conclusions

VATS is a safe procedure, but extra caution is recommended for patients with a higher risk profile (age, redo-VATS, immune deficiency).

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Title: Predictors of general complications after video-assisted thoracoscopic surgical procedures
Authors: Hauke Winter
Georgios Meimarakis
Matthias Pirker
Fritz Spelsberg
Reinhard Kopp
Dominik Rüttinger
Florian Loehe
Karl-Walter Jauch
Rudolf Hatz
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 3/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-007-9428-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictors of general complications after video-assisted thoracoscopic surgical procedures

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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