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Postoperative Complications and Perioperative Management in Patients on Hemodialysis Undergoing Lung Resection by Watanabe, Yukio; Hattori, Aritoshi; Fukui, Mariko; Matsunaga, Takeshi; Takamochi, Kazuya; Oh, Shiaki; Suzuki, Kenji is a Medicine article available to read on EtoBox.

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## Objectives: The rate of lung resection in patients on hemodialysis (hd) is increasing with the increasing number of hd. however, studies assessing lung resection in hd are limited. the study aimed to investigate the perioperative management and postoperative complications of lung resection in hd patients. ## Methods: Between 2007 and 2019, of the 4989 patients underwent lung resection, 43 patients had been receiving hd. we compared the characteristics of a clavien-dindo classification grade ≥ 2 group against grade ≤ 1 group. predictive factors of complications were analyzed by logistic regression analysis. ## Results: Thirty-three patients were men (median age: 69 years). thirty-eight patients had lung cancer. the reason for hd was diabetic nephropathy in 19 patients, nephrosclerosis in 10, and miscellaneous in 14. the median duration of hd before surgery was 64.6 months. the type of lung resection was lobectomy in 24, segmentectomy in 10, and partial resection in 9 patients. bronchial calcification was detected in 16 (37%). reinforcement at the stump was performed in 9 lobectomies, of which 6 involved bronchial calcification. postoperative complications were detected in 21 (49%

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Author

Watanabe, Yukio; Hattori, Aritoshi; Fukui, Mariko; Matsunaga, Takeshi; Takamochi, Kazuya; Oh, Shiaki; Suzuki, Kenji

Publisher

Springer Japan; Springer-Verlag; Springer Verlag; Nihon Kyobu Geka Gakkai; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1863-6705)

Published

2020

Language

EN

Field

Medicine (Health Sciences)