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Immediate Postoperative Care in the General Thoracic Ward Is Safe for Low-risk Patients after Lobectomy for Lung Cancer

 Seong Yong Park  ;  In-Kyu Park  ;  Yoohwa Hwang  ;  Chun Sung Byun  ;  Mi-Kyung Bae  ;  Chang-Young Lee 
 Korean Journal of Thoracic and Cardiovascular Surgery, Vol.44(3) : 229-235, 2011 
Journal Title
 Korean Journal of Thoracic and Cardiovascular Surgery 
Issue Date
Lobectomy ; Postoperative care
BACKGROUND: Following major lung resection, patients have routinely been monitored in the intensive care unit (ICU). Recently, however, patients are increasingly being placed in a general thoracic ward (GTW). We investigated the safety and efficacy of the GTW care after lobectomy for lung cancer. MATERIALS AND METHODS: 316 patients who had undergone lobectomy for lung cancer were reviewed. These patients were divided into two groups: 275 patients were cared for in the ICU while 41 patients were care for in the GTW immediately post-operation. After propensity score matching, postoperative complications and hospital costs were analyzed. Risk factors for early complications were analyzed with the whole cohort. RESULTS: Early complications (until the end of the first postoperative day) occurred in 11 (3.5%) patients. Late complications occurred in 42 patients (13.3%). After propensity score matching, the incidence of early complications, late complications, and mortality were not different between the two groups. The mean expense was higher in the ICU group. Risk factors for early complications were cardiac comorbidities and low expected forced expiratory volume in one second. The location of postoperative care had no influence on outcome. CONCLUSION: Immediate postoperative care after lobectomy for lung cancer in a GTW was safe and cost-effective without compromising outcomes in low-risk patients.
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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Seong Yong(박성용) ORCID logo https://orcid.org/0000-0002-5180-3853
Bae, Mi Kyung(배미경)
Byun, Chun Sung(변천성)
Lee, Chang Young(이창영)
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