Motoaki Yasukawa1, Ryosuke Taiji2, Nagaaki Marugami2, Takeshi Kawaguchi3, Norikazu Kawai3, Noriyoshi Sawabata3, Takashi Tojo4, Junko Takahama2, Naoki Hamazaki5, Toshiko Hirai6, Shigeki Taniguchi3. 1. Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Nara, Japan myasukawa@naramed-u.ac.jp. 2. Department of Radiology, Saiseikai Chuwa Hospital, Nara, Japan. 3. Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Nara, Japan. 4. Department of Thoracic Surgery, Saiseikai Chuwa Hospital, Nara, Japan. 5. Shioya Clinic of Internal Medicine, Nara, Japan. 6. Department of Endoscopy and Ultrasound, Nara Medical University School of Medicine, Nara, Japan.
Abstract
BACKGROUND/AIM: Aspirin reduces cardiovascular disease and/or stroke risks. However, perioperative aspirin use remains controversial. We assessed the efficacy of ultrasonography to facilitate video-assisted thoracic surgery (VATS). We analyzed the perioperative management of patients using aspirin and its association with bleeding events during lung cancer surgery. PATIENTS AND METHODS: A total of 38 patients who underwent VATS after continuing or discontinuing aspirin were examined. Ultrasound was performed preoperatively to evaluate the pleural adhesions. Fisher's exact test was used to analyze correlations between the two groups. RESULTS: Dense adhesions were found at VATS ports using ultrasonography (accuracy: 100%). No differences were detected in bleeding, thrombotic events, or operative times between the aspirin and non-aspirin groups. There were differences in bleeding (p=0.009) and operative times (p=0.021) between the dense adhesion and non-dense adhesion groups. CONCLUSION: Preoperative detection of pleural adhesions using ultrasonography was useful in selecting pulmonary resection patients who continued aspirin perioperatively. Copyright
BACKGROUND/AIM: Aspirin reduces cardiovascular disease and/or stroke risks. However, perioperative aspirin use remains controversial. We assessed the efficacy of ultrasonography to facilitate video-assisted thoracic surgery (VATS). We analyzed the perioperative management of patients using aspirin and its association with bleeding events during lung cancer surgery. PATIENTS AND METHODS: A total of 38 patients who underwent VATS after continuing or discontinuing aspirin were examined. Ultrasound was performed preoperatively to evaluate the pleural adhesions. Fisher's exact test was used to analyze correlations between the two groups. RESULTS: Dense adhesions were found at VATS ports using ultrasonography (accuracy: 100%). No differences were detected in bleeding, thrombotic events, or operative times between the aspirin and non-aspirin groups. There were differences in bleeding (p=0.009) and operative times (p=0.021) between the dense adhesion and non-dense adhesion groups. CONCLUSION: Preoperative detection of pleural adhesions using ultrasonography was useful in selecting pulmonary resection patients who continued aspirin perioperatively. Copyright
Authors: Gaetana Messina; Mary Bove; Antonio Noro; Giorgia Opromolla; Giovanni Natale; Francesco Leone; Vincenzo Di Filippo; Beatrice Leonardi; Mario Martone; Mario Pirozzi; Marianna Caterino; Sergio Facchini; Alessia Zotta; Giovanni Vicidomini; Mario Santini; Alfonso Fiorelli; Della Corte Carminia; Fortunato Ciardiello; Morena Fasano Journal: J Cardiothorac Surg Date: 2022-05-04 Impact factor: 1.522