[Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis].

Q4 Medicine Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia202503124

G M Agafonov, A S Petrov, O V Novikova, M A Atyukov, P K Yablonsky

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Abstract

Objective: To study the risk factors of complications after wedge resection with subsequent pleurectomy.

Material and methods: There were 454 patients diagnosed with spontaneous pneumothorax between 2018 and 2023. Surgical intervention was performed in 331 (72.9%) patients according to commonly accepted indications for prevention of recurrence. Risk factors were studied using regression analysis and directed acyclic graph (DAG) method to build predictive models.

Results: The complication rate was 11.5% (n=38). The most common complications were intrapleural bleeding and prolonged air leak (3.9% and 3.6%, respectively). One-third of cases were classified as major complications according to the Clavien-Dindo classification in thoracic surgery and required pleural cavity drainage or debridement. Significant risk factors of postoperative complications were secondary pneumothorax (HR 4.009; 95% 1.147-14.013; p=0.030) and severe pleural adhesions (HR 4.258; 95% 1.134-15.991; p=0.032).

Conclusion: Secondary pneumothorax and severe pleural adhesions are independent risk factors of postoperative complications.

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[自发性气胸手术治疗后的早期并发症：风险因素分析]。

目的：探讨楔形切除合并胸膜切除术后并发症的危险因素。材料与方法：2018 - 2023年诊断为自发性气胸的患者454例。331例（72.9%）患者按照普遍接受的预防复发指征行手术干预。采用回归分析和有向无环图（DAG）方法研究危险因素，建立预测模型。结果：并发症发生率11.5% （n=38）。最常见的并发症是胸膜内出血和长时间漏气（分别为3.9%和3.6%）。根据胸外科Clavien-Dindo分类，三分之一的病例为主要并发症，需要胸腔引流或清创。术后并发症的重要危险因素为继发性气胸(HR 4.009；95% 1.147 - -14.013;p=0.030)和严重胸膜粘连(HR 4.258；95% 1.134 - -15.991;p = 0.032)。结论：继发性气胸和严重胸膜粘连是术后并发症的独立危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень