Research progress of measures of postoperative pulmonary complications after abdominal surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Zhiqiang ,  ZHANG Weihui

Department of Minimally Invasive Biliary Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, P. R. China;

Corresponding?author：

ZHANG Weihui, Email: zhangweihui626@hotmail.com

Keywords：

postoperative pulmonary complication; perioperative period; abdominal surgery; general surgery

DOI：

10.7507/1007-9424.202012008

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the methods to prevent pulmonary complications in patients underwent abdominal surgery during perioperative period and provide reference for the prevention of postoperative pulmonary complications.Method Literatures on the prevention of pulmonary complications after abdominal surgery were searched and reviewed.Results The prevention of pulmonary complications after abdominal surgery included preoperative measures, intraoperative measures, and postoperative measures. Preoperative measures included preoperative education, patient risk assessment, smoking cessation, and so on. Intraoperative measures included anesthetic measures and surgical measures. Postoperative measures included atomization treatment, elimination of bad feelings, early postoperative activities, and so on. In view of the different basic conditions of patients underwent abdominal surgery, the selection and emphasis of preventive measures were also different.Conclusion The prevention of postoperative pulmonary complications after general abdominal surgery should not only take preventive measures in perioperative period, but also should carry out individual management according to the patient’s condition and general conditions.

Citation： YANG Zhiqiang, ZHANG Weihui. Research progress of measures of postoperative pulmonary complications after abdominal surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(10): 1390-1395. doi: 10.7507/1007-9424.202012008 Copy

1.	Yang CK, Teng A, Lee DY, et al. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res, 2015, 198(2): 441-449.
2.	Chandler D, Mosieri C, Kallurkar A, et al. Perioperative strategies for the reduction of postoperative pulmonary complications. Best Pract Res Clin Anaesthesiol, 2020, 34(2): 153-166.
3.	多學科圍手術期氣道管理中國專家共識 (2018 版) 專家組. 多學科圍手術期氣道管理中國專家共識 (2018 版). 中國胸心血管外科臨床雜志, 2018, 25(7): 545-549.
4.	中華醫學會外科學分會, 中華醫學會麻醉學分會. 加速康復外科中國專家共識及路徑管理指南 (2018 版). 中國實用外科雜志, 2018, 38(1): 1-20.
5.	Gupta A, Ravaliya V, Mishra D, et al. Assessment of knowledge, attitude, and behavior about the disease process and physiotherapy management in patients with chronic obstructive pulmonary disease: A qualitative study. J Educ Health Promot, 2019, 8: 15.
6.	Boden I, El-Ansary D, Zalucki N, et al. Physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity: a nested mixed-methods randomised-controlled study. Physiotherapy, 2018, 104(2): 194-202.
7.	Lakshminarasimhachar A, Smetana GW. Preoperative evaluation: estimation of pulmonary risk. Anesthesiol Clin, 2016, 34(1): 71-88.
8.	Kara S, Küpeli E, Y?lmaz HEB, et al. Predicting pulmonary complications following upper and lower abdominal surgery: ASA vs. ARISCAT risk index. Turk J Anaesthesiol Reanim, 2020, 48(2): 96-101.
9.	Fernandes A, Rodrigues J, Lages P, et al. Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: a retrospective observational cohort study. Patient Saf Surg, 2019, 13: 40.
10.	Bevacqua BK. Pre-operative pulmonary evaluation in the patient with suspected respiratory disease. Indian J Anaesth, 2015, 59(9): 542-549.
11.	Turan A, Mascha EJ, Roberman D, et al. Smoking and perioperative outcomes. Anesthesiology, 2011, 114(4): 837-846.
12.	Wong J, Lam DP, Abrishami A, et al. Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Can J Anaesth, 2012, 59(3): 268-279.
13.	魏詩晴, 賴曉全, 韓穎, 等. 術前戒煙時間對術后肺部并發癥影響的 Meta 分析. 中華健康管理學雜志, 2018, 12(1): 32-37.
14.	沈季香, 楊麗玉. 探討胸腔物理治療對肺部感染病人住院天數、醫療費用之影響. 護理雜志, 2020, 67(2): 58-64.
15.	Kubo T, Osuka A, Kabata D, et al. Chest physical therapy reduces pneumonia following inhalation injury. Burns, 2021, 47(1): 198-205.
16.	Longhini F, Bruni A, Garofalo E, et al. Chest physiotherapy improves lung aeration in hypersecretive critically ill patients: a pilot randomized physiological study. Crit Care, 2020, 24(1): 479.
17.	Kaur R, Dass B, Ejaz AA, et al. Chest physiotherapy in acute muco-obstructive lung disease. Cureus, 2020, 12(2): e7056.
18.	中華醫學會麻醉學分會老年人麻醉學組. 慢性阻塞性肺疾病患者非肺部手術麻醉及圍手術期管理專家共識. 中華醫學雜志, 2017, 97(40): 3128-3139.
19.	Croitoru A, Bogdan MA. Respiratory muscle training in pulmonary rehabilitation. Pneumologia, 2013, 62(3): 166-171.
20.	Hoffman M, Augusto VM, Eduardo DS, et al. Inspiratory muscle training reduces dyspnea during activities of daily living and improves inspiratory muscle function and quality of life in patients with advanced lung disease. Physiother Theory Pract, 2021, 37(8): 895-905.
21.	Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. Clin Rehabil, 2015, 29(5): 426-438.
22.	Abid N, Rao AR, Babar MN, et al. Effect of deep breathing exercises in healthy smokers: A pilot study. J Pak Med Assoc, 2020, 70(7): 1209-1213.
23.	秦新裕, 劉鳳林. 圍手術期靜脈血栓栓塞癥預防和管理幾個關鍵問題. 中國實用外科雜志, 2017, 37(2): 97-102.
24.	中華醫學會外科學分會. 中國普通外科圍手術期血栓預防與管理指南. 中國實用外科雜志, 2016, 36(5): 469-474.
25.	Lee CZ, Kao LT, Lin HC, et al. Comparison of clinical outcome between laparoscopic and open right hemicolectomy: a nationwide study. World J Surg Oncol, 2015, 13: 250.
26.	Bablekos GD, Michaelides SA, Analitis A, et al. Effects of laparoscopic cholecystectomy on lung function: a systematic review. World J Gastroenterol, 2014, 20(46): 17603-17617.
27.	Jiang L, Yang KH, Guan QL, et al. Laparoscopy-assisted gastrectomy versus open gastrectomy for resectable gastric cancer: an update meta-analysis based on randomized controlled trials. Surg Endosc, 2013, 27(7): 2466-2480.
28.	Matsuo Y, Nomi T, Hokuto D, et al. Pulmonary complications after laparoscopic liver resection. Surg Endosc, 2021, 35(4): 1659-1666.
29.	Jeong JS, Wi W, Chung YJ, et al. Comparison of perioperative outcomes between pure laparoscopic surgery and open right hepatectomy in living donor hepatectomy: Propensity score matching analysis. Sci Rep, 2020, 10(1): 5314.
30.	Young CC, Harris EM, Vacchiano C, et al. Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations. Br J Anaesth, 2019, 123(6): 898-913.
31.	McLean DJ, Diaz-Gil D, Farhan HN, et al. Dose-dependent association between intermediate-acting neuromuscular-blocking agents and postoperative respiratory complications. Anesthesiology, 2015, 122(6): 1201-1213.
32.	Borghardt JM, Kloft C, Sharma A. Inhaled therapy in respiratory disease: the complex interplay of pulmonary kinetic processes. Can Respir J, 2018, 2018: 2732017.
33.	中華醫學會臨床藥學分會《霧化吸入療法合理用藥專家共識》編寫組. 霧化吸入療法合理用藥專家共識 (2019 年版). 醫藥導報, 2019, 38(2): 135-146.
34.	潘永良. 慢性阻塞性肺病患者應用氨溴索聯合布地奈德及復方異丙托溴銨治療的臨床研究. 當代醫學, 2020, 26(23): 100-102.
35.	Miskovic A, Lumb AB. Postoperative pulmonary complications. Br J Anaesth, 2017, 118(3): 317-334.
36.	Venara A, Hamel JF, Cotte E, et al. Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database. Surg Endosc, 2020, 34(12): 5583-5592.
37.	Smith PR, Baig MA, Brito V, et al. Postoperative pulmonary complications after laparotomy. Respiration, 2010, 80(4): 269-274.
38.	Nobili C, Marzano E, Oussoultzoglou E, et al. Multivariate analysis of risk factors for pulmonary complications after hepatic resection. Ann Surg, 2012, 255(3): 540-550.
39.	Ichida H, Imamura H, Yoshimoto J, et al. Randomized controlled trial for evaluation of the routine use of nasogastric tube decompression after elective liver surgery. J Gastrointest Surg, 2016, 20(7): 1324-1330.
40.	Bergeat D, Merdrignac A, Robin F, et al. Nasogastric decompression vs no decompression after pancreatico- duodenectomy: The randomized clinical IPOD Trial. JAMA Surg, 2020, 155(9): e202291.
41.	Daryaei P, Vaghef Davari F, Mir M, et al. Omission of nasogastric tube application in postoperative care of esophagectomy. World J Surg, 2009, 33(4): 773-777.
42.	陳鈳, 牟一平, 徐曉武, 等. 胃癌根治術后常規留置胃管必要性的薈萃分析. 中華醫學雜志, 2012, 92(26): 1841-1844.
43.	Vinay HG, Raza M, Siddesh G. Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial. J Surg Tech Case Rep, 2015, 7(2): 37-41.
44.	Bauer VP. The evidence against prophylactic nasogastric intubation and oral restriction. Clin Colon Rectal Surg, 2013, 26(3): 182-185.
45.	Tinsley MH, Barone CP. Preventing postoperative nausea and vomiting: refresh your knowledge of how to recognize and respond to this common complication. Plast Surg Nurs, 2012, 32(3): 106-111.
46.	Barnes J. Postoperative nausea and vomiting. Br J Hosp Med (Lond), 2020, 81(1): 1-3.
47.	Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
48.	中華醫學會麻醉學分會. 成人手術后疼痛處理專家共識. 臨床麻醉學雜志, 2017, 33(9): 911-917.
49.	Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain, 2016, 17(2): 131-157.
50.	Haines KJ, Skinner EH, Berney S, et al. Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study. Physiotherapy, 2013, 99(2): 119-125.
51.	van der Leeden M, Huijsmans R, Geleijn E, et al. Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes. Physiotherapy, 2016, 102(1): 103-110.
52.	Castelino T, Fiore JF, Niculiseanu P, et al. The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: A systematic review. Surgery, 2016, 159(4): 991-1003.
53.	Balvardi S, Pecorelli N, Castelino T, et al. Impact of facilitation of early mobilization on postoperative pulmonary outcomes after colorectal surgery: A randomized controlled trial. Ann Surg, 2021, 273(5): 868-875.
54.	Scharfenberg M, Raue W, Junghans T, et al. “Fast-track” rehabilitation after colonic surgery in elderly patients—is it feasible? Int J Colorectal Dis, 2007, 22(12): 1469-1474.

1. Yang CK, Teng A, Lee DY, et al. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res, 2015, 198(2): 441-449.
2. Chandler D, Mosieri C, Kallurkar A, et al. Perioperative strategies for the reduction of postoperative pulmonary complications. Best Pract Res Clin Anaesthesiol, 2020, 34(2): 153-166.
3. 多學科圍手術期氣道管理中國專家共識 (2018 版) 專家組. 多學科圍手術期氣道管理中國專家共識 (2018 版). 中國胸心血管外科臨床雜志, 2018, 25(7): 545-549.
4. 中華醫學會外科學分會, 中華醫學會麻醉學分會. 加速康復外科中國專家共識及路徑管理指南 (2018 版). 中國實用外科雜志, 2018, 38(1): 1-20.
5. Gupta A, Ravaliya V, Mishra D, et al. Assessment of knowledge, attitude, and behavior about the disease process and physiotherapy management in patients with chronic obstructive pulmonary disease: A qualitative study. J Educ Health Promot, 2019, 8: 15.
6. Boden I, El-Ansary D, Zalucki N, et al. Physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity: a nested mixed-methods randomised-controlled study. Physiotherapy, 2018, 104(2): 194-202.
7. Lakshminarasimhachar A, Smetana GW. Preoperative evaluation: estimation of pulmonary risk. Anesthesiol Clin, 2016, 34(1): 71-88.
8. Kara S, Küpeli E, Y?lmaz HEB, et al. Predicting pulmonary complications following upper and lower abdominal surgery: ASA vs. ARISCAT risk index. Turk J Anaesthesiol Reanim, 2020, 48(2): 96-101.
9. Fernandes A, Rodrigues J, Lages P, et al. Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: a retrospective observational cohort study. Patient Saf Surg, 2019, 13: 40.
10. Bevacqua BK. Pre-operative pulmonary evaluation in the patient with suspected respiratory disease. Indian J Anaesth, 2015, 59(9): 542-549.
11. Turan A, Mascha EJ, Roberman D, et al. Smoking and perioperative outcomes. Anesthesiology, 2011, 114(4): 837-846.
12. Wong J, Lam DP, Abrishami A, et al. Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Can J Anaesth, 2012, 59(3): 268-279.
13. 魏詩晴, 賴曉全, 韓穎, 等. 術前戒煙時間對術后肺部并發癥影響的 Meta 分析. 中華健康管理學雜志, 2018, 12(1): 32-37.
14. 沈季香, 楊麗玉. 探討胸腔物理治療對肺部感染病人住院天數、醫療費用之影響. 護理雜志, 2020, 67(2): 58-64.
15. Kubo T, Osuka A, Kabata D, et al. Chest physical therapy reduces pneumonia following inhalation injury. Burns, 2021, 47(1): 198-205.
16. Longhini F, Bruni A, Garofalo E, et al. Chest physiotherapy improves lung aeration in hypersecretive critically ill patients: a pilot randomized physiological study. Crit Care, 2020, 24(1): 479.
17. Kaur R, Dass B, Ejaz AA, et al. Chest physiotherapy in acute muco-obstructive lung disease. Cureus, 2020, 12(2): e7056.
18. 中華醫學會麻醉學分會老年人麻醉學組. 慢性阻塞性肺疾病患者非肺部手術麻醉及圍手術期管理專家共識. 中華醫學雜志, 2017, 97(40): 3128-3139.
19. Croitoru A, Bogdan MA. Respiratory muscle training in pulmonary rehabilitation. Pneumologia, 2013, 62(3): 166-171.
20. Hoffman M, Augusto VM, Eduardo DS, et al. Inspiratory muscle training reduces dyspnea during activities of daily living and improves inspiratory muscle function and quality of life in patients with advanced lung disease. Physiother Theory Pract, 2021, 37(8): 895-905.
21. Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. Clin Rehabil, 2015, 29(5): 426-438.
22. Abid N, Rao AR, Babar MN, et al. Effect of deep breathing exercises in healthy smokers: A pilot study. J Pak Med Assoc, 2020, 70(7): 1209-1213.
23. 秦新裕, 劉鳳林. 圍手術期靜脈血栓栓塞癥預防和管理幾個關鍵問題. 中國實用外科雜志, 2017, 37(2): 97-102.
24. 中華醫學會外科學分會. 中國普通外科圍手術期血栓預防與管理指南. 中國實用外科雜志, 2016, 36(5): 469-474.
25. Lee CZ, Kao LT, Lin HC, et al. Comparison of clinical outcome between laparoscopic and open right hemicolectomy: a nationwide study. World J Surg Oncol, 2015, 13: 250.
26. Bablekos GD, Michaelides SA, Analitis A, et al. Effects of laparoscopic cholecystectomy on lung function: a systematic review. World J Gastroenterol, 2014, 20(46): 17603-17617.
27. Jiang L, Yang KH, Guan QL, et al. Laparoscopy-assisted gastrectomy versus open gastrectomy for resectable gastric cancer: an update meta-analysis based on randomized controlled trials. Surg Endosc, 2013, 27(7): 2466-2480.
28. Matsuo Y, Nomi T, Hokuto D, et al. Pulmonary complications after laparoscopic liver resection. Surg Endosc, 2021, 35(4): 1659-1666.
29. Jeong JS, Wi W, Chung YJ, et al. Comparison of perioperative outcomes between pure laparoscopic surgery and open right hepatectomy in living donor hepatectomy: Propensity score matching analysis. Sci Rep, 2020, 10(1): 5314.
30. Young CC, Harris EM, Vacchiano C, et al. Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations. Br J Anaesth, 2019, 123(6): 898-913.
31. McLean DJ, Diaz-Gil D, Farhan HN, et al. Dose-dependent association between intermediate-acting neuromuscular-blocking agents and postoperative respiratory complications. Anesthesiology, 2015, 122(6): 1201-1213.
32. Borghardt JM, Kloft C, Sharma A. Inhaled therapy in respiratory disease: the complex interplay of pulmonary kinetic processes. Can Respir J, 2018, 2018: 2732017.
33. 中華醫學會臨床藥學分會《霧化吸入療法合理用藥專家共識》編寫組. 霧化吸入療法合理用藥專家共識 (2019 年版). 醫藥導報, 2019, 38(2): 135-146.
34. 潘永良. 慢性阻塞性肺病患者應用氨溴索聯合布地奈德及復方異丙托溴銨治療的臨床研究. 當代醫學, 2020, 26(23): 100-102.
35. Miskovic A, Lumb AB. Postoperative pulmonary complications. Br J Anaesth, 2017, 118(3): 317-334.
36. Venara A, Hamel JF, Cotte E, et al. Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database. Surg Endosc, 2020, 34(12): 5583-5592.
37. Smith PR, Baig MA, Brito V, et al. Postoperative pulmonary complications after laparotomy. Respiration, 2010, 80(4): 269-274.
38. Nobili C, Marzano E, Oussoultzoglou E, et al. Multivariate analysis of risk factors for pulmonary complications after hepatic resection. Ann Surg, 2012, 255(3): 540-550.
39. Ichida H, Imamura H, Yoshimoto J, et al. Randomized controlled trial for evaluation of the routine use of nasogastric tube decompression after elective liver surgery. J Gastrointest Surg, 2016, 20(7): 1324-1330.
40. Bergeat D, Merdrignac A, Robin F, et al. Nasogastric decompression vs no decompression after pancreatico- duodenectomy: The randomized clinical IPOD Trial. JAMA Surg, 2020, 155(9): e202291.
41. Daryaei P, Vaghef Davari F, Mir M, et al. Omission of nasogastric tube application in postoperative care of esophagectomy. World J Surg, 2009, 33(4): 773-777.
42. 陳鈳, 牟一平, 徐曉武, 等. 胃癌根治術后常規留置胃管必要性的薈萃分析. 中華醫學雜志, 2012, 92(26): 1841-1844.
43. Vinay HG, Raza M, Siddesh G. Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial. J Surg Tech Case Rep, 2015, 7(2): 37-41.
44. Bauer VP. The evidence against prophylactic nasogastric intubation and oral restriction. Clin Colon Rectal Surg, 2013, 26(3): 182-185.
45. Tinsley MH, Barone CP. Preventing postoperative nausea and vomiting: refresh your knowledge of how to recognize and respond to this common complication. Plast Surg Nurs, 2012, 32(3): 106-111.
46. Barnes J. Postoperative nausea and vomiting. Br J Hosp Med (Lond), 2020, 81(1): 1-3.
47. Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
48. 中華醫學會麻醉學分會. 成人手術后疼痛處理專家共識. 臨床麻醉學雜志, 2017, 33(9): 911-917.
49. Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain, 2016, 17(2): 131-157.
50. Haines KJ, Skinner EH, Berney S, et al. Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study. Physiotherapy, 2013, 99(2): 119-125.
51. van der Leeden M, Huijsmans R, Geleijn E, et al. Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes. Physiotherapy, 2016, 102(1): 103-110.
52. Castelino T, Fiore JF, Niculiseanu P, et al. The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: A systematic review. Surgery, 2016, 159(4): 991-1003.
53. Balvardi S, Pecorelli N, Castelino T, et al. Impact of facilitation of early mobilization on postoperative pulmonary outcomes after colorectal surgery: A randomized controlled trial. Ann Surg, 2021, 273(5): 868-875.
54. Scharfenberg M, Raue W, Junghans T, et al. “Fast-track” rehabilitation after colonic surgery in elderly patients—is it feasible? Int J Colorectal Dis, 2007, 22(12): 1469-1474.

Previous Article
Application of pancreatic duct stent in common pancreas diseases
Next Article
Progress of gene research for chronic venous ulcer

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research progress of measures of postoperative pulmonary complications after abdominal surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content