Radiological evidence of pulmonary complications following abdominal surgery


Ulusal Akciğer Sağlığı Kongresi 2016, Antalya, Turkey, 16 - 20 March 2016, pp.118

  • Publication Type: Conference Paper / Full Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.118
  • Van Yüzüncü Yıl University Affiliated: Yes


INTRODUCTION: Pathophysiological changes after surgical interventions and anesthesia facilitate the development of postoperative pulmonary complications (PPCs). The purpose of this study was to evaluate radiological evidence of such complications occurring after abdominal surgery. Patients and METHODS: This was a retrospective study of pulmonology consultations requested for 619 patients who had undergone abdominal surgery under general anesthesia between January 2010 and November 2014. We included only patients in whom there was radiological evidence of PPCs. RESULTS: Among the 619 abdominal surgery patients, PPCs were detected in 128 (20.7%). The mean age of the patients was 57.28 ± 11.2 years. Of the 128 patients evaluated, 68 (53.1%) were female and 81 (63.2%) had undergone upper abdominal surgery, the remaining 47 (36.7%) having undergone lower abdominal surgery. Of the 81 patients who had undergone upper abdominal surgery, 51 (62.9%) were ≥ 60 years of age. The most common PPCs were pleural effusion (in 32.8% of the cases), pneumonia (in 26.5%), and atelectasis (in 17.9%). Among the patients who had undergone upper abdominal surgery, the most common PPCs were atelectasis and pleural effusion (seen in 69.5% and 66.0%, respectively), whereas pneumonia was the most common PPC among (seen in 76.0% of) those who had undergone lower abdominal surgery. However, in relation to patient age, gender, body mass index, the rate of comorbidity, smoking status, and American Society of Anesthesiologists physical status classification, there were no significant differences among pleural effusion, pneumonia, and atelectasis (p> 0.05 for all). CONCLUSION: Pleural effusion, pneumonia and atelectasis were the most common PPCs after abdominal surgery. In particular, atelectasis and pleural effusion were the most common PPCs after upper abdominal surgery, whereas pneumonia was more common after lower abdominal surgery. However, none of the risk factors evaluated correlated significantly with any such complications. Anahtar Kelimeler: Pleural effusion, pneumonia, atelectasis, abdomen/surgery.