2023 North America Conference on Lung Cancer (NACLC) - Posters and Abstracts-PP01.129 (Poster) Effects of Preoperative Hematocrit Level on Perioperative Outcomes and Overall Survival after Robotic-Assisted Video-Thoracoscopic Pulmonary Lobectomy

PP01.129 (Poster) Effects of Preoperative Hematocrit Level on Perioperative Outcomes and Overall Survival after Robotic-Assisted Video-Thoracoscopic Pulmonary Lobectomy

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A study was conducted to investigate the impact of preoperative anemia on postoperative outcomes and overall survival in patients who underwent robotic-assisted video-thoracoscopic (RAVT) pulmonary lobectomy. The study included 726 patients who underwent RAVT lobectomy by a single surgeon. The patients were divided into two groups: an Anemic group and a Non-Anemic group, based on their preoperative hematocrit levels.<br /><br />The results showed that patients in the Anemic group had higher rates of intraoperative complications and conversion to thoracotomy compared to the Non-Anemic group. They also had higher intraoperative crystalloid administration, estimated blood loss, skin-to-skin duration, chest tube duration, and hospital length of stay. There were also higher incidences of postoperative aspiration and pneumothorax after chest tube removal in the Anemic group.<br /><br />Furthermore, the study found that patients in the Anemic group had worse overall survival compared to the Non-Anemic group. The median overall survival was lower in the Anemic group.<br /><br />The findings suggest that preoperative identification and management of anemia could potentially improve clinical outcomes and guide decision-making. Early intervention and treatment for anemia may help reduce complications, minimize blood loss, and shorten hospital stays. Additionally, addressing anemia before surgery may have a positive impact on overall survival.<br /><br />The study highlights the importance of assessing patients for anemia before surgery and considering interventions to optimize their hematocrit levels. This could potentially lead to better perioperative outcomes and long-term survival for patients undergoing RAVT lobectomy.<br /><br />In conclusion, the study emphasizes the need for preoperative management of anemia to improve outcomes in patients undergoing RAVT pulmonary lobectomy. The findings suggest that addressing anemia before surgery may lead to better perioperative outcomes and overall survival. Further research and interventions are warranted to optimize the care of anemic patients undergoing RAVT lobectomy.

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Eric Toloza

Keywords

preoperative anemia

postoperative outcomes

overall survival

RAVT pulmonary lobectomy

intraoperative complications

blood loss

hospital length of stay

postoperative aspiration

pneumothorax

perioperative management