|CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ|
|Journals - Article|
|Česky / Czech version||Čas. Lék. čes., 2008, 147, pp. 228–232.|
Risk Factors of Atelectasis Following
1Stolz A. J., 2Petřík F., 1Šimonek J., 1Schützner J., 1Lischke R., 1Pafko P.
13. chirurgická klinika 1. LF UK a FNM, Praha 2Pneumologická klinika 2. LF UK a FNM, Praha
Background. The aim our study was to determine incidence and predisposing factors of atelectasis
following pulmonary lobectomy.
Methods and Results. Retrospective study of our prospective database included 282 patients.
Postlobectomy atelectasis (APL) was defined as ipsi- or contralateral atelectasis with whiteout of the
involved lobe or segment on the chest radiograph requiring bronchoscopy. Postlobectomy atelectasis
occurred in 18 (6.4%) patients. Chronic obstructive pulmonary disease (COPD) remained the only
preoperative variable predicted of APL (p < 0.05). Patients undergoing right upper lobectomy (RUL),
either alone or in combination with the right middle lobe had a significantly greater incidence of APL
when compared with all other types of resections (p < 0.05).
Conclusions. Postlobectomy atelectasis is an important postlobectomy complication occurring in 6.4%
of all lobectomies. Patients with COPD and undergoing RUL are at the higher risk for APL and
prophylactic measures to prevent it are necessary.
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