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Incidence, Management, and Outcomes of Intraoperative Catastrophes During Robotic Pulmonary Resection

Thursday, October 24, 2019

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Source Name: The Annals of Thoracic Surgery


Christopher Cao, Robert J. Cerfolio, Brian E. Louie, Franca Melfi, Giulia Veronesi, Rene Razzak, Gaetano Romano, Pierluigi Novellis, Savan Shah, Neel Ranganath, Bernard J. Park

This multiinstitutional study including advocates of robotic lung resection identified a 1.9% incidence of intraoperative castrophes, most commonly pulmonary arterial bleeding. Patients at risk had lower FEV1%, higher clinical stage, and more frequent preoperative radiation therapy. Interestingly, they were also undergoing a different surgical approach than what the authors normally used. The hospital mortality in these patients was 10-fold higher than among patients who did not suffer catastrophes.

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