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2022 World Conference on Lung Cancer (ePosters)
EP02.03-005. Perioperative Factors That Predict or ...
EP02.03-005. Perioperative Factors That Predict or Are Associated With Prolonged Air Leaks After Robotic-Assisted Pulmonary Lobectomy
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Pdf Summary
The study examined perioperative factors that predict or are associated with prolonged air leaks (PAL) after robotic-assisted pulmonary lobectomy. PAL is a common complication following partial lung resection and can increase hospital length of stay and risk of morbidity, mortality, and cost. The study analyzed data from patients who underwent robotic-assisted pulmonary lobectomy and compared those with and without PAL. <br /><br />The results showed that several factors were identified as risk factors for PAL development, including greater age, lower BMI, longer pack-year smoking history, history of COPD, and decreased lowest prealbumin during hospital stay. Patients with PAL were more likely to have pleural adhesions and develop postoperative complications such as subcutaneous emphysema, pneumothorax after chest tube removal, pneumonia, respiratory failure, effusion or empyema, atrial fibrillation, or other arrhythmia. They also experienced longer operative time, hospital length of stay, greater chest tube duration, and higher 30-day mortality. <br /><br />The study highlights the importance of preventing or treating PAL effectively to minimize its negative impact on patients. By identifying the risk factors and understanding the associated perioperative complications and outcomes, healthcare providers can take measures to reduce the occurrence of PAL and improve patient outcomes.
Asset Subtitle
Eric M Toloza
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Speaker
Eric M Toloza
Topic
Early Stage Non-small Cell Lung Cancer - Surgery
Keywords
PAL
robotic-assisted pulmonary lobectomy
risk factors
hospital length of stay
morbidity
mortality
postoperative complications
prealbumin
pleural adhesions
patient outcomes
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