Early and late abdominal surgeries after lung transplantation: incidence and outcome

Interactive Cardiovascular and Thoracic Surgery
Pascale SulserIlhan Inci

Abstract

Abdominal surgery after lung transplantation is an important factor for major morbidity and mortality. Herein, we describe the incidence and outcome of abdominal surgery occurring early or late after transplantation. Overall, 315 patients who underwent lung transplantation between January 2000 and December 2013 at our institution were included in a prospective database. Perioperative parameters were assessed, and complications were graded according to the Clavien-Dindo Classification. Among 315 patients after lung transplantation, 52 patients underwent abdominal surgery, 16 during the early postoperative phase and 42 at later time points. Bowel ischaemia and perforation of the right colon were the most common reason for early surgery, with a median interval of 7 days after lung transplantation. The median survival time for patients with early abdominal surgery was 31 months compared to 40 and 90 months for patients with no or late abdominal surgery (P = 0.001 and P = 0.002, respectively). The most common late indications for surgery were perforated diverticulitis, ileus and hernia, with a median interval of 37.9 months after lung transplantation and a median survival comparable with patients without any abdominal surgery (P = 0...Continue Reading

References

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Citations

Feb 23, 2019·Transplant International : Official Journal of the European Society for Organ Transplantation·Laneshia K TagueErin M Lowery
Jun 26, 2020·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Michael T OlsonRoss M Bremner
Dec 16, 2021·Anesthesiology·Matteo Di NardoLorenzo Del Sorbo

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