机构:[1]Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China外科中心胸外科中心四川省人民医院四川省肿瘤医院胸外科
Background: Postoperative hemorrhage after lung cancer surgery is a potentially fatal complication. This study aimed to investigate the indications and timing of reoperation for postoperative hemorrhage after lung cancer surgery. Methods: We identified all patients who underwent lung resection and mediastinal lymph node dissection for lung cancer between October 2001 and September 2015 at Sichuan Cancer Hospital, identifying 57 who had undergone reoperation for hemostasis. The records of these 57 patients were reviewed and analyzed. Results: The most common postoperative hemorrhage site was the separation surface of the original pleural adhesions (29.8%). The median time interval between the initial operation and reoperation was 12 hours (range, 2-432 hours), and most patients (77.2%) underwent reoperation within 24 hours. The overall morbidity and mortality rates of reoperation were 50.9% and 5.3%, respectively. The morbidity rates of the early reoperation group (<= 24 hours) and the late reoperation group were 43.2% and 77.0%, respectively, which were significantly different (P=0.033). The mortality rates of the early reoperation group and the late reoperation group were 0 and 23.1%, respectively, which were also significantly different (P=0.010). Conclusions: Once indications of reoperation for postoperative hemorrhage after lung cancer surgery are identified, reoperation within 24 hours after the initial operation can get a better short-term outcome.
基金:
This work was supported by a grant from the Key Research Project of Science and Technology Department of Sichuan Province (2017SZ0013 to Qiang Li).
第一作者机构:[1]Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China
通讯作者:
通讯机构:[1]Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China[*1]Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China.
推荐引用方式(GB/T 7714):
Wei Dai,Xiao-Jun Yang,Xiang Zhuang,et al.Reoperation for hemostasis within 24 hours can get a better short-term outcome when indicated after lung cancer surgery[J].JOURNAL OF THORACIC DISEASE.2017,9(10):3677-3683.doi:10.21037/jtd.2017.09.85.
APA:
Wei Dai,Xiao-Jun Yang,Xiang Zhuang,Tian-Peng Xie,Ping Xiao...&Qiang Li.(2017).Reoperation for hemostasis within 24 hours can get a better short-term outcome when indicated after lung cancer surgery.JOURNAL OF THORACIC DISEASE,9,(10)
MLA:
Wei Dai,et al."Reoperation for hemostasis within 24 hours can get a better short-term outcome when indicated after lung cancer surgery".JOURNAL OF THORACIC DISEASE 9..10(2017):3677-3683