Other Thoracic Complications

Complications: Pleural Surgeries, 2009-2013

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Pleural Surgery: Operations within chest cavity without lung removal.

  • Surgery for infections & fluid collections
  • Biopsy (removal of small piece of tissue for microscopic examination)
  • Surgery for collapsed lung

Complications: Mediastinal Surgeries, 2009-2013

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Mediastinal Surgery: surgery of the middle of the chest between the lungs usually involving the thymus gland or lymph nodes. Procedures include:

  • Lymph node (LN) biopsy
  • LN dissection
  • Biopsy / resect mass
  • Thymectomy
  • Mediastinoscopy is a procedure in which a tube (a mediastinoscope) is inserted through the neck to examine the area between the lungs (the mediastinum) and biopsy LNs.

Complications: Esophagectomy, 2009-2013

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Esophagectomy: Surgical removal of all or part of the esophagus (organ connecting the mouth to stomach)

  • Minimally Invasive – thoracoscopy, laparoscopy
  • Open – thoracotomy, laparotomy (incision is abdomen)

Complications: Other Surgeries, 2009-2013

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The category of "Other Surgeries" is diverse, including: chest wall (rib and muscles) procedures; interventional bronchoscopy (tumor obliteration or stenting); tracheal (main wind pipe) procedures; pericardial (heart sac) procedures; and diaphragm procedures.

Complications Definitions:

Pulmonary (lung)

  • Respiratory failure
  • Empyema (infection in chest cavity)
  • Pneumonia (infection in lung tissue)
  • Tracheostomy
  • Pulmonary embolism (blood clot to lung)
  • ARDS (acute respiratory distress syndrome) – fluid in lung tissue
  • Bronchopleural fistula – windpipe leak
  • Reintubation (unplanned) – breathing tube in windpipe
  • Prolonged ventilation (>48 hours post op)

Gastrointestinal (GI tract)

  • Prolonged ileus (intestinal paralysis) > 3 days
  • Mechanical bowel obstruction
  • Anastomotic leak (site of reconstruction) requiring surgery (re-op)

Wound

  • Deep infection – involving deep soft tissue layers such as fascia and muscle
  • Organ space infection – involving body cavity, such as empyema or mediastinitis (see STS for more info)

Other (inclusive)

  • New renal failure
  • Stroke
  • Thrombophlebitis (blood clot in limb vein)
  • Septicemia (infection in blood stream)
  • Reoperation
  • Infection requiring IV antibiotics
  • Unexpected admission to ICU

Additional Outcomes Data

Case Mix | Risk & Length of Stay | Mortality | Lung Resection | Complication Overview
Pulmonary Resection Complications | Other Thoracic Complications | Advanced Procedures