Laparoskopik Obezite Cerrahisinde Preoperatif Solunum Fonksiyon Testi Parametreleri ile Postoperatif Pulmoner Komplikasyonlar Arasındaki İlişki

Abstract

Amaç: Laparoskopik obezite cerrahisinde preoperatif spirometrinin değeri tartışmalı bir konudur. Çalışmamızın amacı, preoperatif solunum fonksiyon testleri (SFT) ile postoperatif pulmoner komplikasyonlar arasındaki ilişkiyi araştırmaktır. Araçlar ve Yöntem: Çalışmaya İzmir'deki bir eğitim ve araştırma hastanesinde bariatrik cerrahi öncesinde göğüs hastalıkları bölümünde değerlendirilen 73 hasta dahil edildi. Demografik veriler, SFT verileri ve postoperatif pulmoner komplikasyonlar retrospektif olarak analiz edildi. Bulgular: On yedi hastanın (%23.3) preoperatif SFT'sinde anormal pulmoner fonksiyon paterni saptandı ve 7 hastada ise (%9.6) postoperatif pulmoner komplikasyon izlendi. Yaş, cinsiyet, cerrahi süresi ve anormal pulmoner fonksiyon paternlerinin komplikasyon gelişiminde anlamlı faktörler olduğu bulundu (sırasıyla, p=0.026, 0.047, 0.004 ve 0.024). Çok değişkenli analizde, cerrahi süresi komplikasyonlarla ilişkili bulundu (p=0.009). Sonuç: Bu bulgular, preoperatif SFT'de anormal pulmoner fonksiyon paternine sahip hastaların postoperatif komplikasyon riskinin artabileceğini göstermektedir. Bu bağlamda, bariatrik cerrahide preoperatif SFT değerlendirmesi, özellikle komplikasyon riski daha yüksek olan hastalar için cerrahi ve postoperatif izleme kararlarını etkileyebilir.

Keywords

• laparoskopik bariatrik cerrah
• pulmoner komplikasyonlar
• preoperatif
• spirometri

Relationship between Preoperative Pulmonary Function Test Parameters and Postoperative Pulmonary Complications in Laparoscopic Obesity Surgery

Abstract

Purpose: The value of preoperative spirometry in laparoscopic obesity surgery is a subject of debate. The aim of our study is to investigate the relationship between preoperative pulmonary function tests (PFT) and postoperative pulmonary complications. Materials and Methods: The study included 73 patients who were evaluated in the pulmonology department before bariatric surgery at a training and research hospital in Izmir, Turkey. Demographic data, pulmonary function, and postoperative complications were retrospectively analyzed. Results: Seventeen patients (23.3%) had abnormal preoperative PFT results, while postoperative complications occurred in 7 patients (9.6%). Age, gender, surgery duration, and abnormal pulmonary function patterns were found to be significant factors in the development of complications (p=0.026, 0.047, 0.004, and 0.024, respectively). In multivariate analysis, surgery duration was identified as statistically significant in relation to complications (p=0.009). Conclusion: These findings suggest that patients with abnormalities in preoperative PFT may have an increased risk of postoperative complications. In this context, preoperative PFT assessment in bariatric surgery could influence surgical and postoperative monitoring decisions, especially for patients at higher risk of complications.

Keywords

• laparoscopic bariatric surgery
• preoperative
• pulmonary complications
• spirometry

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