New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective

Objective: The study objective was to determine the relationship between lung resection and the development of postoperative hiatal hernia. Methods: Preoperative and postoperative computed tomography imaging from 373 patients from the International Early Lung Cancer Action Program and the Initiative...

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Main Authors: Kimberly J. Song, MD, Rowena Yip, MPH, Michael Chung, MD, Qiang Cai, MD, PhD, Yeqing Zhu, MD, PhD, Ayushi Singh, MD, Erik E. Lewis, MD, David Yankelevitz, MD, Emanuela Taioli, MD, PhD, Claudia Henschke, MD, PhD, Raja Flores, MD, Andrew Kaufman, MD, Dong-Seok Lee, MD, Daniel Nicastri, MD, Andrea Wolf, MD, Kimberly Song, MD, Kenneth Rosenzweig, MD, Jorge Gomez, MD, Mary Beth Beasley, MD, Maureen Zakowski, MD, David F. Yankelevitz, MD, Claudia I. Henschke, PhD, MD, Rebecca Schwartz, MD, Huiwen Chan, Jeffrey Zhu, Sydney Kantor, Shana Adler, Wissam Raad, MD, Zrzu Buyuk, MD, Adie Friedman, MD, Ronald Dreifuss, MD, Stacey Verzosa, MD, Mariya Yakubox, NP, Karina Aloferdova, NP, Patricia Stacey, Simone De Nobrega, Ardeshir Hakami, MD, Harvey Pass, MD, Berne Crawford, MD, Jessica Donnington, MD, Benjamin Cooper, MD, Andre Moreirea, MD, Audrey Sorensen, RN, Leslie Kohman, MD, Robert Dunton, MD, Jason Wallen, MD, Christopher Curtiss, MD, Ernest Scalzetti, MD, Linda Ellinwood, RN, Clifford P. Connery, MD, Emilo Torres, MD, Dan Cruzer, MD, Bruce Gendron, MD, Sonya Alyea, NP, Daniel Lackaye, Lauren Studer, Claudia Henschke, PhD, MD, Rebecca Schwartz, PhD, Betsy Becker, PhD, Artit Jirapatnakul, PhD, Nan You, MS, Huiwen Chan, MPH, MBA, Claudia I. Henschke, David F. Yankelevitz, Rowena Yip, Artit Jirapatnakul, Raja Flores, Andrea Wolf, Daniel M. Libby, James P. Smith, Mark Pasmantier, A.P. Reeves, Steven Markowitz, Albert Miller, Jose Cervera Deval, Heidi Roberts, Demetris Patsios, Shusuke Sone, Takaomi Hanaoka, Javier Zulueta, Juan P. de-Torres, Maria D. Lozano, Ralph Aye, Kristin Manning, Christiana Care, Thomas Bauer, Stefano Canitano, Salvatore Giunta, Enser Cole, Karl Klingler, John H.M. Austin, Gregory D.N. Pearson, Dorith Shaham, Cheryl Aylesworth, Patrick Meyers, Shahriyour Andaz, Davood Vafai, David Naidich, Georgeann McGuinness, Barry Sheppard, Matthew Rifkin, M. Kristin Thorsen, Richard Hansen, Samuel Kopel, William Mayfield, Dan Luedke, Donald Klippenstein, Alan Litwin, Peter A. Loud, Leslie J. Kohman, Ernest M. Scalzetti, Richard Thurer, Nestor Villamizar, Arfa Khan, Rakesh Shah, Xueguo Liu, Gary Herzog, Diana Yeh, Ning Wu, Joseph Lowry, Mary Salvatore, Carmine Frumiento, David S. Mendelson, Michael V. Smith, Robert Korst, Jana Taylor, Michelle S. Ginsberg, Michaela Straznicka, Mark Widmann, Gary Cecchi, Terence A.S. Matalon, Paul Scheinberg, Shari-Lynn Odzer, David Olsen, Fred Grannis, Arnold Rotter, Daniel Ray, David Mullen, Peter H. Wiernik, Edson H. Cheung, Melissa Lim, Louis DeCunzo, Robert Glassberg, Harvey Pass, Carmen Endress, Mark Yoder, Palmi Shah, Laura Welch, Michael Kalafer, Jeremy Green, James Walsh, David Bertsch, Elmer Camacho, Cynthia Chin, James O'Brien, James C. Willey
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:JTCVS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666273622000675
_version_ 1811236116655767552
author Kimberly J. Song, MD
Rowena Yip, MPH
Michael Chung, MD
Qiang Cai, MD, PhD
Yeqing Zhu, MD, PhD
Ayushi Singh, MD
Erik E. Lewis, MD
David Yankelevitz, MD
Emanuela Taioli, MD, PhD
Claudia Henschke, MD, PhD
Raja Flores, MD
Raja Flores, MD
Andrew Kaufman, MD
Dong-Seok Lee, MD
Daniel Nicastri, MD
Andrea Wolf, MD
Kimberly Song, MD
Kenneth Rosenzweig, MD
Jorge Gomez, MD
Mary Beth Beasley, MD
Maureen Zakowski, MD
Michael Chung, MD
David F. Yankelevitz, MD
Claudia I. Henschke, PhD, MD
Emanuela Taioli, MD, PhD
Rebecca Schwartz, MD
Huiwen Chan
Jeffrey Zhu
Sydney Kantor
Shana Adler
Daniel Nicastri, MD
Wissam Raad, MD
Zrzu Buyuk, MD
Adie Friedman, MD
Ronald Dreifuss, MD
Stacey Verzosa, MD
Mariya Yakubox, NP
Karina Aloferdova, NP
Patricia Stacey
Simone De Nobrega
Jeffrey Zhu
Sydney Kantor
Shana Adler
Ardeshir Hakami, MD
Shana Adler
Jeffrey Zhu
Harvey Pass, MD
Berne Crawford, MD
Jessica Donnington, MD
Benjamin Cooper, MD
Andre Moreirea, MD
Audrey Sorensen, RN
Leslie Kohman, MD
Robert Dunton, MD
Jason Wallen, MD
Christopher Curtiss, MD
Ernest Scalzetti, MD
Linda Ellinwood, RN
Clifford P. Connery, MD
Emilo Torres, MD
Dan Cruzer, MD
Bruce Gendron, MD
Sonya Alyea, NP
Daniel Lackaye
Lauren Studer
Raja Flores, MD
Claudia Henschke, PhD, MD
Emanuela Taioli, MD, PhD
David Yankelevitz, MD
Rebecca Schwartz, PhD
Betsy Becker, PhD
Artit Jirapatnakul, PhD
Rowena Yip, MPH
Nan You, MS
Huiwen Chan, MPH, MBA
Claudia I. Henschke
David F. Yankelevitz
Rowena Yip
Artit Jirapatnakul
Raja Flores
Andrea Wolf
Daniel M. Libby
James P. Smith
Mark Pasmantier
A.P. Reeves
Steven Markowitz
Albert Miller
Jose Cervera Deval
Heidi Roberts
Demetris Patsios
Shusuke Sone
Takaomi Hanaoka
Javier Zulueta
Juan P. de-Torres
Maria D. Lozano
Ralph Aye
Kristin Manning
Christiana Care
Thomas Bauer
Stefano Canitano
Salvatore Giunta
Enser Cole
Karl Klingler
John H.M. Austin
Gregory D.N. Pearson
Dorith Shaham
Cheryl Aylesworth
Patrick Meyers
Shahriyour Andaz
Davood Vafai
David Naidich
Georgeann McGuinness
Barry Sheppard
Matthew Rifkin
M. Kristin Thorsen
Richard Hansen
Samuel Kopel
William Mayfield
Dan Luedke
Donald Klippenstein
Alan Litwin
Peter A. Loud
Leslie J. Kohman
Ernest M. Scalzetti
Richard Thurer
Nestor Villamizar
Arfa Khan
Rakesh Shah
Xueguo Liu
Gary Herzog
Diana Yeh
Ning Wu
Joseph Lowry
Mary Salvatore
Carmine Frumiento
David S. Mendelson
Michael V. Smith
Robert Korst
Jana Taylor
Michelle S. Ginsberg
Michaela Straznicka
Mark Widmann
Gary Cecchi
Terence A.S. Matalon
Paul Scheinberg
Shari-Lynn Odzer
David Olsen
Fred Grannis
Arnold Rotter
Daniel Ray
David Mullen
Peter H. Wiernik
Edson H. Cheung
Melissa Lim
Louis DeCunzo
Robert Glassberg
Harvey Pass
Carmen Endress
Mark Yoder
Palmi Shah
Laura Welch
Michael Kalafer
Jeremy Green
James Walsh
David Bertsch
Elmer Camacho
Cynthia Chin
James O'Brien
James C. Willey
Claudia I. Henschke
David F. Yankelevitz
Rowena Yip
Artit Jirapatnakul
Raja Flores
Andrea Wolf
Daniel M. Libby
James P. Smith
Mark Pasmantier
A.P. Reeves
Steven Markowitz
Albert Miller
Jose Cervera Deval
Heidi Roberts
Demetris Patsios
Shusuke Sone
Takaomi Hanaoka
Javier Zulueta
Juan P. de-Torres
Maria D. Lozano
Ralph Aye
Kristin Manning
Thomas Bauer
Stefano Canitano
Salvatore Giunta
Enser Cole
Karl Klingler
John H.M. Austin
Gregory D.N. Pearson
Dorith Shaham
Cheryl Aylesworth
Patrick Meyers
Shahriyour Andaz
Davood Vafai
David Naidich
Georgeann McGuinness
Barry Sheppard
Matthew Rifkin
M. Kristin Thorsen
Richard Hansen
Samuel Kopel
William Mayfield
Dan Luedke
Donald Klippenstein
Alan Litwin
Peter A. Loud
Leslie J. Kohman
Ernest M. Scalzetti
Richard Thurer
Nestor Villamizar
Arfa Khan
Rakesh Shah
Xueguo Liu
Gary Herzog
Diana Yeh
Ning Wu
Joseph Lowry
Mary Salvatore
Carmine Frumiento
David S. Mendelson
Michael V. Smith
Robert Korst
Jana Taylor
Michelle S. Ginsberg
Michaela Straznicka
Mark Widmann
Gary Cecchi
Terence A.S. Matalon
Paul Scheinberg
Shari-Lynn Odzer
David Olsen
Fred Grannis
Arnold Rotter
Daniel Ray
David Mullen
Peter H. Wiernik
Edson H. Cheung
Melissa Lim
Louis DeCunzo
Robert Glassberg
Harvey Pass
Carmen Endress
Mark Yoder
Palmi Shah
Laura Welch
Michael Kalafer
James Walsh
David Bertsch
Elmer Camacho
Cynthia Chin
James C. Willey
author_facet Kimberly J. Song, MD
Rowena Yip, MPH
Michael Chung, MD
Qiang Cai, MD, PhD
Yeqing Zhu, MD, PhD
Ayushi Singh, MD
Erik E. Lewis, MD
David Yankelevitz, MD
Emanuela Taioli, MD, PhD
Claudia Henschke, MD, PhD
Raja Flores, MD
Raja Flores, MD
Andrew Kaufman, MD
Dong-Seok Lee, MD
Daniel Nicastri, MD
Andrea Wolf, MD
Kimberly Song, MD
Kenneth Rosenzweig, MD
Jorge Gomez, MD
Mary Beth Beasley, MD
Maureen Zakowski, MD
Michael Chung, MD
David F. Yankelevitz, MD
Claudia I. Henschke, PhD, MD
Emanuela Taioli, MD, PhD
Rebecca Schwartz, MD
Huiwen Chan
Jeffrey Zhu
Sydney Kantor
Shana Adler
Daniel Nicastri, MD
Wissam Raad, MD
Zrzu Buyuk, MD
Adie Friedman, MD
Ronald Dreifuss, MD
Stacey Verzosa, MD
Mariya Yakubox, NP
Karina Aloferdova, NP
Patricia Stacey
Simone De Nobrega
Jeffrey Zhu
Sydney Kantor
Shana Adler
Ardeshir Hakami, MD
Shana Adler
Jeffrey Zhu
Harvey Pass, MD
Berne Crawford, MD
Jessica Donnington, MD
Benjamin Cooper, MD
Andre Moreirea, MD
Audrey Sorensen, RN
Leslie Kohman, MD
Robert Dunton, MD
Jason Wallen, MD
Christopher Curtiss, MD
Ernest Scalzetti, MD
Linda Ellinwood, RN
Clifford P. Connery, MD
Emilo Torres, MD
Dan Cruzer, MD
Bruce Gendron, MD
Sonya Alyea, NP
Daniel Lackaye
Lauren Studer
Raja Flores, MD
Claudia Henschke, PhD, MD
Emanuela Taioli, MD, PhD
David Yankelevitz, MD
Rebecca Schwartz, PhD
Betsy Becker, PhD
Artit Jirapatnakul, PhD
Rowena Yip, MPH
Nan You, MS
Huiwen Chan, MPH, MBA
Claudia I. Henschke
David F. Yankelevitz
Rowena Yip
Artit Jirapatnakul
Raja Flores
Andrea Wolf
Daniel M. Libby
James P. Smith
Mark Pasmantier
A.P. Reeves
Steven Markowitz
Albert Miller
Jose Cervera Deval
Heidi Roberts
Demetris Patsios
Shusuke Sone
Takaomi Hanaoka
Javier Zulueta
Juan P. de-Torres
Maria D. Lozano
Ralph Aye
Kristin Manning
Christiana Care
Thomas Bauer
Stefano Canitano
Salvatore Giunta
Enser Cole
Karl Klingler
John H.M. Austin
Gregory D.N. Pearson
Dorith Shaham
Cheryl Aylesworth
Patrick Meyers
Shahriyour Andaz
Davood Vafai
David Naidich
Georgeann McGuinness
Barry Sheppard
Matthew Rifkin
M. Kristin Thorsen
Richard Hansen
Samuel Kopel
William Mayfield
Dan Luedke
Donald Klippenstein
Alan Litwin
Peter A. Loud
Leslie J. Kohman
Ernest M. Scalzetti
Richard Thurer
Nestor Villamizar
Arfa Khan
Rakesh Shah
Xueguo Liu
Gary Herzog
Diana Yeh
Ning Wu
Joseph Lowry
Mary Salvatore
Carmine Frumiento
David S. Mendelson
Michael V. Smith
Robert Korst
Jana Taylor
Michelle S. Ginsberg
Michaela Straznicka
Mark Widmann
Gary Cecchi
Terence A.S. Matalon
Paul Scheinberg
Shari-Lynn Odzer
David Olsen
Fred Grannis
Arnold Rotter
Daniel Ray
David Mullen
Peter H. Wiernik
Edson H. Cheung
Melissa Lim
Louis DeCunzo
Robert Glassberg
Harvey Pass
Carmen Endress
Mark Yoder
Palmi Shah
Laura Welch
Michael Kalafer
Jeremy Green
James Walsh
David Bertsch
Elmer Camacho
Cynthia Chin
James O'Brien
James C. Willey
Claudia I. Henschke
David F. Yankelevitz
Rowena Yip
Artit Jirapatnakul
Raja Flores
Andrea Wolf
Daniel M. Libby
James P. Smith
Mark Pasmantier
A.P. Reeves
Steven Markowitz
Albert Miller
Jose Cervera Deval
Heidi Roberts
Demetris Patsios
Shusuke Sone
Takaomi Hanaoka
Javier Zulueta
Juan P. de-Torres
Maria D. Lozano
Ralph Aye
Kristin Manning
Thomas Bauer
Stefano Canitano
Salvatore Giunta
Enser Cole
Karl Klingler
John H.M. Austin
Gregory D.N. Pearson
Dorith Shaham
Cheryl Aylesworth
Patrick Meyers
Shahriyour Andaz
Davood Vafai
David Naidich
Georgeann McGuinness
Barry Sheppard
Matthew Rifkin
M. Kristin Thorsen
Richard Hansen
Samuel Kopel
William Mayfield
Dan Luedke
Donald Klippenstein
Alan Litwin
Peter A. Loud
Leslie J. Kohman
Ernest M. Scalzetti
Richard Thurer
Nestor Villamizar
Arfa Khan
Rakesh Shah
Xueguo Liu
Gary Herzog
Diana Yeh
Ning Wu
Joseph Lowry
Mary Salvatore
Carmine Frumiento
David S. Mendelson
Michael V. Smith
Robert Korst
Jana Taylor
Michelle S. Ginsberg
Michaela Straznicka
Mark Widmann
Gary Cecchi
Terence A.S. Matalon
Paul Scheinberg
Shari-Lynn Odzer
David Olsen
Fred Grannis
Arnold Rotter
Daniel Ray
David Mullen
Peter H. Wiernik
Edson H. Cheung
Melissa Lim
Louis DeCunzo
Robert Glassberg
Harvey Pass
Carmen Endress
Mark Yoder
Palmi Shah
Laura Welch
Michael Kalafer
James Walsh
David Bertsch
Elmer Camacho
Cynthia Chin
James C. Willey
author_sort Kimberly J. Song, MD
collection DOAJ
description Objective: The study objective was to determine the relationship between lung resection and the development of postoperative hiatal hernia. Methods: Preoperative and postoperative computed tomography imaging from 373 patients from the International Early Lung Cancer Action Program and the Initiative for Early Lung Cancer Research on Treatment were compared at a median of 31.1 months of follow-up after resection of clinical early-stage non–small cell lung cancer. Incidence of new hiatal hernia or changes to preexisting hernias were recorded and evaluated by patient demographics, surgical approach, extent of resection, and resection site. Results: New hiatal hernias were seen in 9.6% of patients after lung resection (5.6% after wedge or segmentectomy and 12.4% after lobectomy; P = .047). The median size of new hernias was 21 mm, and the most commonly associated resection site was the left lower lobe (24.2%; P = .04). In patients with preexisting hernias, 53.5% demonstrated a small but significant increase in size from 21 to 22 mm (P < .0001). All hernias persisted through the latest postoperative computed tomography scan. When 110 surgical patients without preexisting hernia were matched by sex, age, and smoking to nonoperative controls, the incidence of new hernia at follow-up was significantly higher among those who underwent surgery (17.3% vs 2.7%, P = .0003). Conclusions: Both open and minimally invasive lung resection for clinical early-stage lung cancer are associated with new or enlarging postoperative hiatal hernia, especially after resections involving the left lower lobe.
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spelling doaj.art-4f65b79d99da4ce3a91fab0dfbad99db2022-12-22T03:33:47ZengElsevierJTCVS Open2666-27362022-06-0110415423New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspectiveKimberly J. Song, MD0Rowena Yip, MPH1Michael Chung, MD2Qiang Cai, MD, PhD3Yeqing Zhu, MD, PhD4Ayushi Singh, MD5Erik E. Lewis, MD6David Yankelevitz, MD7Emanuela Taioli, MD, PhD8Claudia Henschke, MD, PhD9Raja Flores, MD10Raja Flores, MDAndrew Kaufman, MDDong-Seok Lee, MDDaniel Nicastri, MDAndrea Wolf, MDKimberly Song, MDKenneth Rosenzweig, MDJorge Gomez, MDMary Beth Beasley, MDMaureen Zakowski, MDMichael Chung, MDDavid F. Yankelevitz, MDClaudia I. Henschke, PhD, MDEmanuela Taioli, MD, PhDRebecca Schwartz, MDHuiwen ChanJeffrey ZhuSydney KantorShana AdlerDaniel Nicastri, MDWissam Raad, MDZrzu Buyuk, MDAdie Friedman, MDRonald Dreifuss, MDStacey Verzosa, MDMariya Yakubox, NPKarina Aloferdova, NPPatricia StaceySimone De NobregaJeffrey ZhuSydney KantorShana AdlerArdeshir Hakami, MDShana AdlerJeffrey ZhuHarvey Pass, MDBerne Crawford, MDJessica Donnington, MDBenjamin Cooper, MDAndre Moreirea, MDAudrey Sorensen, RNLeslie Kohman, MDRobert Dunton, MDJason Wallen, MDChristopher Curtiss, MDErnest Scalzetti, MDLinda Ellinwood, RNClifford P. Connery, MDEmilo Torres, MDDan Cruzer, MDBruce Gendron, MDSonya Alyea, NPDaniel LackayeLauren StuderRaja Flores, MDClaudia Henschke, PhD, MDEmanuela Taioli, MD, PhDDavid Yankelevitz, MDRebecca Schwartz, PhDBetsy Becker, PhDArtit Jirapatnakul, PhDRowena Yip, MPHNan You, MSHuiwen Chan, MPH, MBAClaudia I. HenschkeDavid F. YankelevitzRowena YipArtit JirapatnakulRaja FloresAndrea WolfDaniel M. LibbyJames P. SmithMark PasmantierA.P. ReevesSteven MarkowitzAlbert MillerJose Cervera DevalHeidi RobertsDemetris PatsiosShusuke SoneTakaomi HanaokaJavier ZuluetaJuan P. de-TorresMaria D. LozanoRalph AyeKristin ManningChristiana CareThomas BauerStefano CanitanoSalvatore GiuntaEnser ColeKarl KlinglerJohn H.M. AustinGregory D.N. PearsonDorith ShahamCheryl AylesworthPatrick MeyersShahriyour AndazDavood VafaiDavid NaidichGeorgeann McGuinnessBarry SheppardMatthew RifkinM. Kristin ThorsenRichard HansenSamuel KopelWilliam MayfieldDan LuedkeDonald KlippensteinAlan LitwinPeter A. LoudLeslie J. KohmanErnest M. ScalzettiRichard ThurerNestor VillamizarArfa KhanRakesh ShahXueguo LiuGary HerzogDiana YehNing WuJoseph LowryMary SalvatoreCarmine FrumientoDavid S. MendelsonMichael V. SmithRobert KorstJana TaylorMichelle S. GinsbergMichaela StraznickaMark WidmannGary CecchiTerence A.S. MatalonPaul ScheinbergShari-Lynn OdzerDavid OlsenFred GrannisArnold RotterDaniel RayDavid MullenPeter H. WiernikEdson H. CheungMelissa LimLouis DeCunzoRobert GlassbergHarvey PassCarmen EndressMark YoderPalmi ShahLaura WelchMichael KalaferJeremy GreenJames WalshDavid BertschElmer CamachoCynthia ChinJames O'BrienJames C. WilleyClaudia I. HenschkeDavid F. YankelevitzRowena YipArtit JirapatnakulRaja FloresAndrea WolfDaniel M. LibbyJames P. SmithMark PasmantierA.P. ReevesSteven MarkowitzAlbert MillerJose Cervera DevalHeidi RobertsDemetris PatsiosShusuke SoneTakaomi HanaokaJavier ZuluetaJuan P. de-TorresMaria D. LozanoRalph AyeKristin ManningThomas BauerStefano CanitanoSalvatore GiuntaEnser ColeKarl KlinglerJohn H.M. AustinGregory D.N. PearsonDorith ShahamCheryl AylesworthPatrick MeyersShahriyour AndazDavood VafaiDavid NaidichGeorgeann McGuinnessBarry SheppardMatthew RifkinM. Kristin ThorsenRichard HansenSamuel KopelWilliam MayfieldDan LuedkeDonald KlippensteinAlan LitwinPeter A. LoudLeslie J. KohmanErnest M. ScalzettiRichard ThurerNestor VillamizarArfa KhanRakesh ShahXueguo LiuGary HerzogDiana YehNing WuJoseph LowryMary SalvatoreCarmine FrumientoDavid S. MendelsonMichael V. SmithRobert KorstJana TaylorMichelle S. GinsbergMichaela StraznickaMark WidmannGary CecchiTerence A.S. MatalonPaul ScheinbergShari-Lynn OdzerDavid OlsenFred GrannisArnold RotterDaniel RayDavid MullenPeter H. WiernikEdson H. CheungMelissa LimLouis DeCunzoRobert GlassbergHarvey PassCarmen EndressMark YoderPalmi ShahLaura WelchMichael KalaferJames WalshDavid BertschElmer CamachoCynthia ChinJames C. WilleyDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, NYDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NYDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NYDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Radiology, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, ChinaDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NYDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NYDepartment of Thoracic Surgery, University of Wisconsin Hospitals, Madison, WisDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY; Tisch Center Institute, Icahn School of Medicine at Mount Sinai, New York, NY; Center for Oncology, Icahn School of Medicine at Mount Sinai, New York, NYTisch Center Institute, Icahn School of Medicine at Mount Sinai, New York, NY; Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NYDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY; Tisch Center Institute, Icahn School of Medicine at Mount Sinai, New York, NY; Center for Oncology, Icahn School of Medicine at Mount Sinai, New York, NY; Address for reprints: Claudia Henschke, MD, PhD, Department of Radiology, Icahn School of Medicine at Mount Sinai, Box 1234, One Gustave L. Levy Place, New York, NY 10029.Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY; Tisch Center Institute, Icahn School of Medicine at Mount Sinai, New York, NY; Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NYObjective: The study objective was to determine the relationship between lung resection and the development of postoperative hiatal hernia. Methods: Preoperative and postoperative computed tomography imaging from 373 patients from the International Early Lung Cancer Action Program and the Initiative for Early Lung Cancer Research on Treatment were compared at a median of 31.1 months of follow-up after resection of clinical early-stage non–small cell lung cancer. Incidence of new hiatal hernia or changes to preexisting hernias were recorded and evaluated by patient demographics, surgical approach, extent of resection, and resection site. Results: New hiatal hernias were seen in 9.6% of patients after lung resection (5.6% after wedge or segmentectomy and 12.4% after lobectomy; P = .047). The median size of new hernias was 21 mm, and the most commonly associated resection site was the left lower lobe (24.2%; P = .04). In patients with preexisting hernias, 53.5% demonstrated a small but significant increase in size from 21 to 22 mm (P < .0001). All hernias persisted through the latest postoperative computed tomography scan. When 110 surgical patients without preexisting hernia were matched by sex, age, and smoking to nonoperative controls, the incidence of new hernia at follow-up was significantly higher among those who underwent surgery (17.3% vs 2.7%, P = .0003). Conclusions: Both open and minimally invasive lung resection for clinical early-stage lung cancer are associated with new or enlarging postoperative hiatal hernia, especially after resections involving the left lower lobe.http://www.sciencedirect.com/science/article/pii/S2666273622000675hiatal hernialung cancerparaesophageal herniapostoperative complicationsthoracic surgery morbidity
spellingShingle Kimberly J. Song, MD
Rowena Yip, MPH
Michael Chung, MD
Qiang Cai, MD, PhD
Yeqing Zhu, MD, PhD
Ayushi Singh, MD
Erik E. Lewis, MD
David Yankelevitz, MD
Emanuela Taioli, MD, PhD
Claudia Henschke, MD, PhD
Raja Flores, MD
Raja Flores, MD
Andrew Kaufman, MD
Dong-Seok Lee, MD
Daniel Nicastri, MD
Andrea Wolf, MD
Kimberly Song, MD
Kenneth Rosenzweig, MD
Jorge Gomez, MD
Mary Beth Beasley, MD
Maureen Zakowski, MD
Michael Chung, MD
David F. Yankelevitz, MD
Claudia I. Henschke, PhD, MD
Emanuela Taioli, MD, PhD
Rebecca Schwartz, MD
Huiwen Chan
Jeffrey Zhu
Sydney Kantor
Shana Adler
Daniel Nicastri, MD
Wissam Raad, MD
Zrzu Buyuk, MD
Adie Friedman, MD
Ronald Dreifuss, MD
Stacey Verzosa, MD
Mariya Yakubox, NP
Karina Aloferdova, NP
Patricia Stacey
Simone De Nobrega
Jeffrey Zhu
Sydney Kantor
Shana Adler
Ardeshir Hakami, MD
Shana Adler
Jeffrey Zhu
Harvey Pass, MD
Berne Crawford, MD
Jessica Donnington, MD
Benjamin Cooper, MD
Andre Moreirea, MD
Audrey Sorensen, RN
Leslie Kohman, MD
Robert Dunton, MD
Jason Wallen, MD
Christopher Curtiss, MD
Ernest Scalzetti, MD
Linda Ellinwood, RN
Clifford P. Connery, MD
Emilo Torres, MD
Dan Cruzer, MD
Bruce Gendron, MD
Sonya Alyea, NP
Daniel Lackaye
Lauren Studer
Raja Flores, MD
Claudia Henschke, PhD, MD
Emanuela Taioli, MD, PhD
David Yankelevitz, MD
Rebecca Schwartz, PhD
Betsy Becker, PhD
Artit Jirapatnakul, PhD
Rowena Yip, MPH
Nan You, MS
Huiwen Chan, MPH, MBA
Claudia I. Henschke
David F. Yankelevitz
Rowena Yip
Artit Jirapatnakul
Raja Flores
Andrea Wolf
Daniel M. Libby
James P. Smith
Mark Pasmantier
A.P. Reeves
Steven Markowitz
Albert Miller
Jose Cervera Deval
Heidi Roberts
Demetris Patsios
Shusuke Sone
Takaomi Hanaoka
Javier Zulueta
Juan P. de-Torres
Maria D. Lozano
Ralph Aye
Kristin Manning
Christiana Care
Thomas Bauer
Stefano Canitano
Salvatore Giunta
Enser Cole
Karl Klingler
John H.M. Austin
Gregory D.N. Pearson
Dorith Shaham
Cheryl Aylesworth
Patrick Meyers
Shahriyour Andaz
Davood Vafai
David Naidich
Georgeann McGuinness
Barry Sheppard
Matthew Rifkin
M. Kristin Thorsen
Richard Hansen
Samuel Kopel
William Mayfield
Dan Luedke
Donald Klippenstein
Alan Litwin
Peter A. Loud
Leslie J. Kohman
Ernest M. Scalzetti
Richard Thurer
Nestor Villamizar
Arfa Khan
Rakesh Shah
Xueguo Liu
Gary Herzog
Diana Yeh
Ning Wu
Joseph Lowry
Mary Salvatore
Carmine Frumiento
David S. Mendelson
Michael V. Smith
Robert Korst
Jana Taylor
Michelle S. Ginsberg
Michaela Straznicka
Mark Widmann
Gary Cecchi
Terence A.S. Matalon
Paul Scheinberg
Shari-Lynn Odzer
David Olsen
Fred Grannis
Arnold Rotter
Daniel Ray
David Mullen
Peter H. Wiernik
Edson H. Cheung
Melissa Lim
Louis DeCunzo
Robert Glassberg
Harvey Pass
Carmen Endress
Mark Yoder
Palmi Shah
Laura Welch
Michael Kalafer
Jeremy Green
James Walsh
David Bertsch
Elmer Camacho
Cynthia Chin
James O'Brien
James C. Willey
Claudia I. Henschke
David F. Yankelevitz
Rowena Yip
Artit Jirapatnakul
Raja Flores
Andrea Wolf
Daniel M. Libby
James P. Smith
Mark Pasmantier
A.P. Reeves
Steven Markowitz
Albert Miller
Jose Cervera Deval
Heidi Roberts
Demetris Patsios
Shusuke Sone
Takaomi Hanaoka
Javier Zulueta
Juan P. de-Torres
Maria D. Lozano
Ralph Aye
Kristin Manning
Thomas Bauer
Stefano Canitano
Salvatore Giunta
Enser Cole
Karl Klingler
John H.M. Austin
Gregory D.N. Pearson
Dorith Shaham
Cheryl Aylesworth
Patrick Meyers
Shahriyour Andaz
Davood Vafai
David Naidich
Georgeann McGuinness
Barry Sheppard
Matthew Rifkin
M. Kristin Thorsen
Richard Hansen
Samuel Kopel
William Mayfield
Dan Luedke
Donald Klippenstein
Alan Litwin
Peter A. Loud
Leslie J. Kohman
Ernest M. Scalzetti
Richard Thurer
Nestor Villamizar
Arfa Khan
Rakesh Shah
Xueguo Liu
Gary Herzog
Diana Yeh
Ning Wu
Joseph Lowry
Mary Salvatore
Carmine Frumiento
David S. Mendelson
Michael V. Smith
Robert Korst
Jana Taylor
Michelle S. Ginsberg
Michaela Straznicka
Mark Widmann
Gary Cecchi
Terence A.S. Matalon
Paul Scheinberg
Shari-Lynn Odzer
David Olsen
Fred Grannis
Arnold Rotter
Daniel Ray
David Mullen
Peter H. Wiernik
Edson H. Cheung
Melissa Lim
Louis DeCunzo
Robert Glassberg
Harvey Pass
Carmen Endress
Mark Yoder
Palmi Shah
Laura Welch
Michael Kalafer
James Walsh
David Bertsch
Elmer Camacho
Cynthia Chin
James C. Willey
New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective
JTCVS Open
hiatal hernia
lung cancer
paraesophageal hernia
postoperative complications
thoracic surgery morbidity
title New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective
title_full New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective
title_fullStr New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective
title_full_unstemmed New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective
title_short New or enlarging hiatal hernias after thoracic surgery for early lung cancerCentral MessagePerspective
title_sort new or enlarging hiatal hernias after thoracic surgery for early lung cancercentral messageperspective
topic hiatal hernia
lung cancer
paraesophageal hernia
postoperative complications
thoracic surgery morbidity
url http://www.sciencedirect.com/science/article/pii/S2666273622000675
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