Relationship between gender and perioperative clinical features in lung cancer patients who underwent VATS lobectomy

作者：Wei Chen, Qiangqiang Zheng, Yi Shen, Min Liang, Yang Yuan, Yanrong Lu, Yunfeng Zhou · 发表于：Journal of Cardiothoracic Surgery · 年份：2024 · DOI：10.1186/s13019-024-03211-x · 被引用次数：3 · 研究领域：Lung Cancer Diagnosis and Treatment、Esophageal Cancer Research and Treatment、Pleural and Pulmonary Diseases

OBJECTIVES: Compare the differences in perioperative clinical characteristics of lung cancer patients of different genders who have undergone VATS lobectomy, and explore the impact of these differences on the short-term prognosis of patients. METHODS: A total of 338 consecutive patients with lung cancer who underwent VATS lobectomy in our hospital from August 2021 to August 2022 were retrospectively analyzed, they were divided into male group and female group. The perioperative characteristics and short-term prognosis of different groups were compared. The multivariate binary logistic regression analysis was used to analyze the risk factors. RESULTS: There were statistically significant differences between male and female patients in age of onset, body surface area (BSA), smoking rate, alcohol consumption rate, hypertension incidence, pulmonary function and clinical stage. There were statistically significant differences between male and female patients in operation time and lymph node dissection. The probability of postoperative complications, such as pulmonary infection, persistent air leakage and severe subcutaneous emphysema, in male patients was significantly higher than that in female patients. The average daily postoperative thoracic drainage volume in male patients was considerably higher than that in female patients, and the postoperative duration of thoracic drainage tube and hospital stay in male patients were significantly longer than those in female patients. Aft...