Influence of body weight on perioperative complications of thoracoscopic lobectomy
Objective To investigate the influence of body weight on perioperative complications of thoracoscopic lobectomy.Methods A total of 190 patients who underwent thoracoscopic lobectomy in the Department of Thoracic Surgery,Anyang Tumor Hospital from January 2023 to May 2023 were retrospectively selected as the study objects.According to the Chinese body mass index(BMI)standard,the patients were divided into a normal weight group(18.5 kg/m2≤BMI＜24.0 kg/m2)of 76 cases and a high weight group(BMI ≥24.0 kg/m2)of 114 cases.There were 41 males and 35 females in the normal weight group,the age was(61.0±8.7)years old,the BMI was(21.9±1.4)kg/m2,the preoperative American Society of Anesthesiologists(ASA)classification was grade Ⅰ in 6 cases and grade Ⅱ in 70 cases,and the tumor size was(2.3±1.6)cm.There were 53 males and 61 females in the high weight group,the age was(61.9±9.3)years old,the BMI was(26.9±2.3)kg/m2,the preoperative ASA classification was grade I in 13 cases and grade Ⅱ in 101 cases,and the tumor size was(2.3±1.8)cm.The incidence of postoperative complications and clinical outcomes were compared between the two groups.x2 test and t test were used.Results In this study,the operation time of enrolled patients was(155.2±50.8)min,and the operation time of the normal weight group[(157.5±51.4)min]was slightly longer than that of the high weight group[(153.6±50.6)min],with no statistically significant difference(P＞0.05).There was no statistically significant difference in the incidence of intraoperative bleeding between the two groups(P＞0.05).The length of hospital stay after surgery of enrolled patients in this study was(17.7±4.5)d,and there was no statistically significant difference in the length of hospital stay between the normal weight group[(17.6±4.9)d]and the high weight group[(17.8±4.3)d](P＞0.05).There was no statistically significant difference in the incidence of complications within 30 d after surgery between the normal weight group[44.7％(34/76)]and the high weight group[28.9％(33/114)](P＞0.05),and no death occurred within 30 d after surgery between the two groups.Conclusion High body weight does not increase the incidence of perioperative complications in patients undergoing thoracoscopic lobectomy,and thoracoscopic lobectomy is safe and feasible for patients with high body weight.
Body weightLobectomyPerioperative periodComplications
万方数据
维普
