Evaluation of Factors Affecting the Development of Re-Operation Due to Hemorrhage After Lung Resection

Authors : Yücel ÖZGÜR, Cemal AKER

Pages : 755-760

View : 33 | Download : 13

Publication Date : 2022-08-30

Article Type : Research Paper

Abstract :In our study, peroperative factors affecting the development of re-operation after lung resection were examined.413 patients who underwent lung resection between 2018-2020 were included in our study. The peroperative data of 25 insert ignore into journalissuearticles values(6.1%); patients who underwent re-operation and 388 insert ignore into journalissuearticles values(93.9%); patients who did not undergo re-operation were compared. Preoperative hemoglobin level insert ignore into journalissuearticles values(p=0.009);, neoadjuvant therapy insert ignore into journalissuearticles values(p<0.001);, pneumonectomy insert ignore into journalissuearticles values(p<0.001);, thoracotomy insert ignore into journalissuearticles values(p=0.005);, amount of intraoperative blood loss insert ignore into journalissuearticles values(p<0.001);, need for intraoperative blood product use insert ignore into journalissuearticles values(p);. =0.005);, intraoperative mean arterial pressure insert ignore into journalissuearticles values(p=0.01);, pulse rate insert ignore into journalissuearticles values(p=0.001);, postoperative hemoglobulin amount insert ignore into journalissuearticles values(p<0.001); were found to affect and increase the probability of re-operation. It was statistically significant that the need for postoperative blood product usage was higher insert ignore into journalissuearticles values(p<0.001);, postoperative complications insert ignore into journalissuearticles values(100% vs. 22.8%, p<0.001); and mortality insert ignore into journalissuearticles values(0.6% vs. 4%, p=0.01); in reoperated patients. It was found that the hospitalization day in the ICU was longer in those who underwent reoperation than in those who did not insert ignore into journalissuearticles values(3.2 days vs. 1.5, p<0.001);. Independent risk factors affecting re-operation according to multiple logistic regression analysis; neoadjuvant treatment insert ignore into journalissuearticles values(p<0.001);, operation time insert ignore into journalissuearticles values(p=0.04);, intraoperative pulse rate insert ignore into journalissuearticles values(p=0.01); and postoperative hemoglobin insert ignore into journalissuearticles values(p<0.001); were found. Low preoperative hemoglobin level, on the other hand, independently affected the development of re-operation at a level close to significance insert ignore into journalissuearticles values(p=0.06);. Re-operation due to bleeding after lung resection increases the rate of cardiopulmonary complications in the postoperative period. Careful follow-up and approach of surgery and anesthesia in the intraoperative period will contribute to the decrease in the incidence of re-operation.
Keywords : Re operation, Hemorrhage, Thoracic Surgery, Lung Resection

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