One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer
Abstract Background We evaluated the safety and feasibility of one‐lung ventilation in obese patients undergoing thoracoscopic lobectomy and whether obesity affected peri‐ and postoperative outcomes. Methods This was a retrospective single center study including consecutive patients undergoing thora...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Thoracic Cancer |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1759-7714.14747 |
| _version_ | 1797945021350019072 |
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| author | Beatrice Leonardi Stefano Forte Giovanni Natale Gaetana Messina Anna Rainone Giorgia Opromolla Maria Antonietta Puca Mario Grande Mario Martone Francesco Leone Roberta Fiorito Francesca Molino Giovanni Liguori Fara Russo Fausto Ferraro Maria Caterina Pace Antonio Molino Luigi Ferrante Mauro Forte Giovanni Vicidomini Alfonso Fiorelli |
| author_facet | Beatrice Leonardi Stefano Forte Giovanni Natale Gaetana Messina Anna Rainone Giorgia Opromolla Maria Antonietta Puca Mario Grande Mario Martone Francesco Leone Roberta Fiorito Francesca Molino Giovanni Liguori Fara Russo Fausto Ferraro Maria Caterina Pace Antonio Molino Luigi Ferrante Mauro Forte Giovanni Vicidomini Alfonso Fiorelli |
| author_sort | Beatrice Leonardi |
| collection | DOAJ |
| description | Abstract Background We evaluated the safety and feasibility of one‐lung ventilation in obese patients undergoing thoracoscopic lobectomy and whether obesity affected peri‐ and postoperative outcomes. Methods This was a retrospective single center study including consecutive patients undergoing thoracoscopic lobectomy between October 2019 and February 2022. Obese patients were statistically compared to a control group to evaluate any differences in relation to one‐lung ventilation and peri‐ and postoperative outcomes. Results Our study population included 111 patients; of these, 26 (23%) were included in the obese group, while 85 (77%) were included within the nonobese group. To obtain one‐lung ventilation in nonobese patients, a double‐lumen tube was more frequently used than a single‐lumen tube with bronchial blocker (61% vs. 39%; p = 0.02), while in obese patients a single‐lumen tube with bronchial blocker was used more than a double‐lumen tube (81% vs. 19%, p = 0.001). Intergroup comparison showed that a double‐lumen tube was the preferred method in nonobese patients, while a single‐lumen tube with bronchial blockers was the strategy of choice in obese patients (p = 0.0002). Intubation time was longer in the obese group than in the nonobese group (94.0 ± 6.1 vs. 85.0 ± 7.0 s; p = 0.0004) and failure rate of first attempt at intubation was higher in the obese group (23% vs. 5%; p = 0.01). Obesity was not associated with increased intra‐, peri‐ and postoperative complications and/or mortality. Conclusions One‐lung ventilation is a feasible and safe procedure also in obese patients and obesity did not negatively affect peri‐ and postoperative outcomes after lung resection. |
| first_indexed | 2024-04-10T20:47:40Z |
| format | Article |
| id | doaj.art-1430bf7d098c4299ad1759d815cce142 |
| institution | Directory Open Access Journal |
| issn | 1759-7706 1759-7714 |
| language | English |
| last_indexed | 2024-04-10T20:47:40Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj.art-1430bf7d098c4299ad1759d815cce1422023-01-24T01:23:12ZengWileyThoracic Cancer1759-77061759-77142023-01-0114328128810.1111/1759-7714.14747One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancerBeatrice Leonardi0Stefano Forte1Giovanni Natale2Gaetana Messina3Anna Rainone4Giorgia Opromolla5Maria Antonietta Puca6Mario Grande7Mario Martone8Francesco Leone9Roberta Fiorito10Francesca Molino11Giovanni Liguori12Fara Russo13Fausto Ferraro14Maria Caterina Pace15Antonio Molino16Luigi Ferrante17Mauro Forte18Giovanni Vicidomini19Alfonso Fiorelli20Thoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyIstituto Oncologico Mediterraneo Viagrande ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyAnaestesiology Unit University of Campania Luigi Vanvitelli Naples ItalyAnaestesiology Unit University of Campania Luigi Vanvitelli Naples ItalyAnaestesiology Unit Cardarelli Hospital Naples ItalyAnaestesiology Unit Villa Malta Hospital Sarno ItalyAnaestesiology Unit University of Campania Luigi Vanvitelli Naples ItalyAnaestesiology Unit University of Campania Luigi Vanvitelli Naples ItalyPneumology Unit, Federico II University Naples ItalyAnaestesiology Unit University of Campania Luigi Vanvitelli Naples ItalyAnaestesiology Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyThoracic Surgery Unit University of Campania Luigi Vanvitelli Naples ItalyAbstract Background We evaluated the safety and feasibility of one‐lung ventilation in obese patients undergoing thoracoscopic lobectomy and whether obesity affected peri‐ and postoperative outcomes. Methods This was a retrospective single center study including consecutive patients undergoing thoracoscopic lobectomy between October 2019 and February 2022. Obese patients were statistically compared to a control group to evaluate any differences in relation to one‐lung ventilation and peri‐ and postoperative outcomes. Results Our study population included 111 patients; of these, 26 (23%) were included in the obese group, while 85 (77%) were included within the nonobese group. To obtain one‐lung ventilation in nonobese patients, a double‐lumen tube was more frequently used than a single‐lumen tube with bronchial blocker (61% vs. 39%; p = 0.02), while in obese patients a single‐lumen tube with bronchial blocker was used more than a double‐lumen tube (81% vs. 19%, p = 0.001). Intergroup comparison showed that a double‐lumen tube was the preferred method in nonobese patients, while a single‐lumen tube with bronchial blockers was the strategy of choice in obese patients (p = 0.0002). Intubation time was longer in the obese group than in the nonobese group (94.0 ± 6.1 vs. 85.0 ± 7.0 s; p = 0.0004) and failure rate of first attempt at intubation was higher in the obese group (23% vs. 5%; p = 0.01). Obesity was not associated with increased intra‐, peri‐ and postoperative complications and/or mortality. Conclusions One‐lung ventilation is a feasible and safe procedure also in obese patients and obesity did not negatively affect peri‐ and postoperative outcomes after lung resection.https://doi.org/10.1111/1759-7714.14747lobectomylung cancerobeseone‐lung ventilationthoracoscopy |
| spellingShingle | Beatrice Leonardi Stefano Forte Giovanni Natale Gaetana Messina Anna Rainone Giorgia Opromolla Maria Antonietta Puca Mario Grande Mario Martone Francesco Leone Roberta Fiorito Francesca Molino Giovanni Liguori Fara Russo Fausto Ferraro Maria Caterina Pace Antonio Molino Luigi Ferrante Mauro Forte Giovanni Vicidomini Alfonso Fiorelli One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer Thoracic Cancer lobectomy lung cancer obese one‐lung ventilation thoracoscopy |
| title | One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer |
| title_full | One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer |
| title_fullStr | One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer |
| title_full_unstemmed | One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer |
| title_short | One‐lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer |
| title_sort | one lung ventilation in obese patients undergoing thoracoscopic lobectomy for lung cancer |
| topic | lobectomy lung cancer obese one‐lung ventilation thoracoscopy |
| url | https://doi.org/10.1111/1759-7714.14747 |
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