Analysis of the unplanned reoperation following surgical treatment of pulmonary tumor

• DOI: 10.1186/s13019-022-02064-6
• Publication Date: 2022-12-12T17:05:58Z
• Authors: Long-Yong Mei; Yong-Geng Feng; Shao-Lin Tao; Bin Jiang; Fu-Qiang Dai; Jing-Hai Zhou; Cheng Shen; Wei Guo; Qun-You Tan; Bo Deng
• Keywords: Hemothorax; Cardiothoracic surgery; Bronchopleural fistula; Mediastinal lymph node; Pleural cavity; Chylothorax; Pulmonary Surgical Procedures

In this study, we aimed to summarize the extremely important lesson and experience in whole process of surgical treatments lung tumors for benefit steps taken prevent against unplanned reoperation.Demographical clinical information 7732 patients were retrospectively retrieved reviewed, who diagnosed with pulmonary tumor underwent from January 2016 March 2021. Those reoperation treatment severe complications focused carefully analyzed meticulously.A total forty-one (41/7732) received 44 reoperations. Among them, eight thirty-three benign malignant tumor, respectively. The incidence reoperations seemed be similar on both sides (Left vs. Right: 12/3231 29/4501, p = 0.103). Lobectomy plus segmentectomy is prone (2/16, 12.5%) as compared other types surgery. leading was hemothorax, including active hemorrhage (23/44, 52.3%) clotted hemothorax (6/44, 13.6%), chylothorax (8/44, 18.2%), others (7/44, 15.9%) bronchopleural fistula, torsion, or injury right middle bronchus bulla rupture. morbidity mortality after 17.1% (7/41) 12.2% (5/41), respectively.Bronchi vessel stumps, edges parenchyma, pleural adhesions should checked avoid postoperative bleeding. Prophylactic ligation thoracic duct recommended case suspected oily-like exudation lymph node bed. Smooth expansion lobe narrowing torsion before transection bronchus.