Analysis of risk factors for late postoperative pleural effusion in patients undergoing single-port thoracoscopic lung surgery
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 12
Abstract
Objective To explore the risk factors of late postoperative pleural effusion in patients undergoing single-port thoracoscopic lung surgery, and to provide a basis for the whole-process management of surgical patients. Methods A retrospective analysis was conducted on the clinical data of 140 patients who underwent single port thoracoscopic lung surgery at the Department of Thoracic Surgery of Nanjing Chest Hospital from December 2021 to October 2022. According to the amount of pleural effusion, they were divided into four groups: no pleural effusion group (n=42), mild pleural effusion group (n=58), moderate pleural effusion group (n=11), and severe pleural effusion group (n=29). Univariate analysis and ordinal logistic regression analysis were used to compare the following variables: gender, age, body mass index, smoking history, complications, or previous history (hypertension, diabetes, coronary heart disease, tuberculosis), pleural thickening, chest adhesion, surgical technique and lymph node dissection, postoperative active breathing training, dietary habits (high protein diet, high fat diet, and average daily soup consumption). Results Univariate analysis showed that lobectomy (χ2=8.469, P=0.037), lymph node dissection (χ2=13.027, P=0.005), postoperative high protein diet (χ2=13.719, P=0.003), postoperative high fat diet (χ2=49.374, P＜0.001), and daily soup consumption (Z=30.707, P=＜0.001) were associated with the amount of late postoperative pleural effusion in pulmonary surgery patients. The results of ordinal logistic regression analysis showed that high fat diet (OR=7.114, 95%CI: 3.191~15.877) and high mean daily soup consumption (OR=1.167, 95%CI: 1.062-1.283) were risk factors for late pleural effusion in patients undergoing lung surgery, while high protein diet (OR=0.229, 95%CI: 0.077-0.676) was a protective factor. Conclusion The amount of delayed pleural effusion after lung surgery is related to the early postoperative diet. Patients with a high fat diet and high daily soup consumption have a high risk of delayed pleural effusion, while high protein diet can reduce the risk of delayed pleural effusion.
Authors and Affiliations
WANG Qin, XIA Guanghui, JIANG Jie, YANG Xiaoxin, DING Jiefang, YIN Ying, WU Guanghong, LIU Feng, CAO Hui, SHI Ye
Keywords
Related Articles
- EP ID EP753816
- DOI 10.13429/j.cnki.cjcr.2024.12.020
- Views 21
- Downloads 0
Research progress on the mechanism of non-alcoholic fatty liver disease caused by hepatic insulin resistance
Non-alcoholic fatty liver disease (NAFLD) refers to a clinicopathological syndrome characterized by macrovesicular steatosis and lipid accumulation of hepatocytes, except for alcohol and other specific factors associated...
Influence of fascia iliaca block under ultrasound on anesthesia placement position and postoperative analgesia in patients with hip fractures
Objective To compare the influence of fascia iliaca block (FIB) under ultrasound and intraspinal anesthesia on anesthesia placement position and postoperative analgesia in patients with hip fractures. Methods A total o...
Efficacy of robot-assisted full-endoscopic transforaminal lumbar interbody fusion in the treatment of degree Ⅰand Ⅱ lumbar spondylolisthesis
<b>Objective</b> To evaluate the efficacy of robot-assisted full-endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) in the treatment of grade Ⅰ and Ⅱ lumbar spondylolisthesis. <b>Methods</b> The clinical dat...
Changes and significance of α kinase 1 expression in cartilage tisssueof patients with knee osteoarthritis
<b>Objective</b> To investigate the expression changes and significance of α kinase 1 （ALPK1）, a member of the α kinase family, in cartilage tissue of knee osteoarthritis （OA）. <b>Methods</b> Twenty-five patients...
Current status and progress in research on postoperative acute kidney injury
Postoperative acute kidney injury (AKI) is one of the common complications of major surgery, associated with mortality and long-term adverse events. The Kidney Disease: Improving Global Outcomes (KDIGO) has proposed the...