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Related Experiment Video

Updated: Jun 19, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Published on: January 23, 2026

Postoperative pulmonary complications after laparotomy.

Peter R Smith¹, Muhammad A Baig, Veronica Brito

¹Department of Medicine, Long Island College Hospital, Brooklyn, NY, USA. Pesmith @ chpnet.org

Respiration; International Review of Thoracic Diseases

|October 30, 2009

Summary

Postoperative pulmonary complications (PPCs) occurred in 7.0% of laparotomies. Upper abdominal incisions, reoperation, emergency surgery, and nasogastric tubes were key risk factors for PPCs.

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Last Updated: Jun 19, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Published on: January 23, 2026

Area of Science:

General Surgery
Pulmonary Medicine
Critical Care Medicine

Background:

Postoperative pulmonary complications (PPCs) following laparotomy are not well understood.
Existing literature shows variable incidence rates due to differing definitions and patient populations.

Purpose of the Study:

To determine the incidence of PPCs after laparotomy.
To identify independent risk factors associated with PPC development.

Main Methods:

Retrospective study of adult patients undergoing laparotomy in 2004.
Rigorous definition of PPCs focusing on key outcomes like morbidity, mortality, and length of stay.
Medical record review using a template to identify PPCs and their consequences.

Main Results:

25 PPCs (7.0%) occurred in 359 laparotomies.
Independent risk factors included upper abdominal incisions (OR 15.3), reoperation (OR 7.1), emergency surgery (OR 6.3), and nasogastric tubes (OR 5.4).
PPCs significantly increased mortality (OR 6.17), ICU care (OR 13.0), and length of stay.

Conclusions:

The incidence of PPCs was 7.0%, lower than many previous reports due to a relevant definition.
Upper abdominal surgery presented the highest risk; reoperation was a newly identified risk factor.
Emergency surgery and nasogastric tubes were confirmed risks, with PPCs leading to increased morbidity, mortality, and hospital stay.