Early postoperative pulmonary complications after minimally invasive esophagectomy in the prone position: incidence and perioperative risk factors from the perspective of anesthetic management

Objectives To investigate the incidence of and the risk factors for early postoperative pulmonary complications (PPC) after minimally invasive esophagectomy (MIE) in the prone position from the perspective of anesthetic management. Methods We conducted a historical cohort study of patients who under...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2022-07, Vol.70 (7), p.659-667
Main Authors: Ishikawa, Seiji, Ozato, Shojiro, Ebina, Toshiaki, Yoshioka, Sayaka, Miichi, Mitsuhisa, Watanabe, Masayuki, Yokota, Miyuki
Format: Article
Language:English
Subjects:
Anesthesia
Carbon dioxide
Cardiac Surgery
Cardiology
Chronic obstructive pulmonary disease
Cohort analysis
Epidural
Esophageal cancer
Hospitals
Intensive care
Medical laboratories
Medical personnel
Medicine
Medicine & Public Health
Mortality
Original Article
Ostomy
Patients
Pneumonia
Pneumothorax
Postoperative period
Pulmonary embolisms
Respiratory failure
Risk factors
Surgeons
Surgery
Surgical Oncology
Thoracic Surgery
Ventilators
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Summary:Objectives To investigate the incidence of and the risk factors for early postoperative pulmonary complications (PPC) after minimally invasive esophagectomy (MIE) in the prone position from the perspective of anesthetic management. Methods We conducted a historical cohort study of patients who underwent MIE in the prone position between September 2010 and August 2018. PPC was defined as pneumonia, atelectasis, acute respiratory distress syndrome (ARDS), respiratory failure, and pulmonary embolism (Clavien–Dindo Classification Grade II or higher) that occurred within 7 days after MIE. Results Out of 489 patients, there were 90 patients (18.4%) with PPC: 75 patients with pneumonia, 24 patients with atelectasis, 13 patients with respiratory failure, 6 patients with ARDS, and 2 patients with pulmonary embolism. Twenty-eight patients suffered from 2 or more components of PPC. PPC patients were older (66.6 vs. 63.6 year, P  = 0.038) and had higher amount of crystalloid (4200 vs. 3550 mL, P  
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-022-01818-2