Postoperative pneumonia after lung resection in patients with lung cancer and a history of gastrectomy

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  • Omura Akiisa
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Kimura Toru
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Watari Hirokazu
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Sakata Ryuhei
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Kawagishi Sachi
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Tanaka Ryo
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Maniwa Tomohiro
    Department of General Thoracic Surgery, Osaka International Cancer Institute
  • Okami Jiro
    Department of General Thoracic Surgery, Osaka International Cancer Institute

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  • 胃切除の既往を有する肺癌症例における肺切除術後肺炎に関する検討

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Abstract

<p>We retrospectively investigated 1679 patients who underwent lung resection for lung cancer at our hospital between January 2009 and September 2019. Patients' median age was 66 years; the study included 956 men and 723 women. Fifty-one patients had a history of gastrectomy; postoperative pneumonia occurred in five patients (9.8%) with and in 21 patients (1.3%) without a history of gastrectomy (p = 0.001). Comparison between patients with and without postoperative pneumonia based on multivariate analysis revealed that a history of gastrectomy (p < 0.001) and lobectomy or extended resection (p = 0.040) were risk factors for postoperative pneumonia. A history of gastrectomy may be associated with the risk of postoperative pneumonia in patients who undergo lung resection for lung cancer. Considering the risk of postoperative pneumonia, careful perioperative management is warranted in patients with lung cancer and a history of gastrectomy.</p>

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