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Prediction of postoperative pulmonary complications in lung cancer surgery: Is proportion of emphysema important?
1Ege University School of Medicine, Department of Thoracic Surgery, Izmir, Turkey
2Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital Department of Thoracic Surgery, Izmir, Turkey
3Çiğli Training and Research Hospital Department of Thoracic Surgery, Izmir, Turkey
4Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital Department of Radiology, Izmir, Turkey
Eurasian Journal of Pulmonology 2018; 1(20): 7-11 DOI: 10.4103/ejop.ejop_8_18
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Abstract


OBJECTIVE: Preoperative evaluation in thoracic surgery is highly important to determine surgical suitability, estimate postoperative pulmonary complications, and for patient follow-up. However, there is neither a definite explanation about the possible complications nor a gold standard method.
MATERIALS AND METHODS: In this study, 297 patients undergoing anatomic lung resection for primary lung carcinoma were retrospectively evaluated. To form a homogeneous group, all factors that increase the rate of pulmonary complication were excluded except emphysema. Patients who did not meet these criteria were removed from the study. The study continued with 104 other patients. This patient subgroup was divided into groups according to Goddard Classification– Score (GdCS). The correlation between GdCS and other variables was statistically investigated.
RESULTS: According to the GdCS of 104 patients, the patient distribution was as follows: 10 patients (9.6%) were G0, 28 patients (26.9%) were G1, 42 patients (40.4%) were G2, 22 patients (21.2%) were G3, and 2 patients (1.9%) were G4. Thirty-five (33.6%) of 104 patients had a pulmonary complication during the postoperative follow-up. The average drainage time was longer for higher GdCS scores, and the rate of exposition to a pulmonary complication was higher in the patients with increased GdCS.
CONCLUSION: In view of these findings, Goddard's scoring for chronic obstructive pulmonary disease-emphysema patients was considered likely to be an indicative parameter in the preoperative evaluation and postoperative follow-up of thoracic surgery patients.