Abstract
Objective
The aim of this study was to elucidate the characteristics and predictors of postoperative atrial fibrillation (POAF) from the standpoint of surgical mode.
Methods
Retrospective analysis was carried out on 607 patients who underwent lobectomy or segmentectomy for clinical stage IA lung cancer. We investigated the clinical factors to determine the predictors of the development of POAF.
Results
Of the 607 patients, 443 underwent lobectomy, and 164 underwent segmentectomy. POAF developed in 37 patients. Of these, 34 (7.7%) were in the lobectomy group, and 3 (1.8%) in the segmentectomy group. In the univariate analysis for predictors of POAF, age (p < 0.01), history of ischemic heart disease (p = 0.03), FEV1.0% (p < 0.01) and surgical mode (p = 0.01) showed significant differences between the groups. The multivariate analysis revealed that increasing age (p < 0.01, HR 1.059, CI 1.015–1.106), surgical mode (p = 0.02, HR 5.734, CI 1.350–24.361) and FEV1.0% < 70% (p = 0.03, HR 2.182, CI 1.067–4.461) were independent predictors of POAF.
Conclusion
POAF was significantly less following segmentectomy compared with lobectomy.
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Change history
05 December 2017
In the original publication of this article, the Table 1 was published incorrectly with missing data.
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The original version of this article was revised: The missing data in Table 1 was added.
A correction to this article is available online at https://doi.org/10.1007/s11748-017-0876-8.
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Ueda, T., Suzuki, K., Matsunaga, T. et al. Postoperative atrial fibrillation is less frequent in pulmonary segmentectomy compared with lobectomy. Gen Thorac Cardiovasc Surg 66, 95–100 (2018). https://doi.org/10.1007/s11748-017-0858-x
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DOI: https://doi.org/10.1007/s11748-017-0858-x