Are routine chest X-rays necessary following thoracic surgery?

• Verfasst von: Galata, Christian [VerfasserIn]
• Verfasst von: Cascant Ortolano, Lorena [VerfasserIn]
• Verfasst von: Shafiei, Saeed [VerfasserIn]
• Verfasst von: Hetjens, Svetlana [VerfasserIn]
• Verfasst von: Müller, Lukas [VerfasserIn]
• Verfasst von: Stauber, Roland H. [VerfasserIn]
• Verfasst von: Stamenovic, Davor [VerfasserIn]
• Verfasst von: Roessner, Eric D. [VerfasserIn]
• Verfasst von: Karampinis, Ioannis [VerfasserIn]
• Titel: Are routine chest X-rays necessary following thoracic surgery?
• Titelzusatz: a systematic literature review and meta-analysis
• Verf.angabe: Christian Galata, Lorena Cascant Ortolano, Saeed Shafiei, Svetlana Hetjens, Lukas Müller, Roland H. Stauber, Davor Stamenovic, Eric D. Roessner and Ioannis Karampinis
• E-Jahr: 2022
• Jahr: 7 September 2022
• Umfang: 9 S.
• Fussnoten: Dieser Artikel gehört zum Special issue: Advances in lung cancer therapy ; Gesehen am 25.09.2023
• Titel Quelle: Enthalten in: Cancers
• Ort Quelle: Basel : MDPI, 2009
• Jahr Quelle: 2022
• Band/Heft Quelle: 14(2022), 18 vom: Sept., Artikel-ID 4361, Seite 1-9
• ISSN Quelle: 2072-6694
• DOI: doi:10.3390/cancers14184361
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: lobectomy
• Sach-SW: lung surgery
• Sach-SW: perioperative care
• Sach-SW: thoracic surgery
• Sach-SW: X-ray
• K10plus-PPN: 186020421X

Abstract

(1) Background: The number of chest X-rays that are performed in the perioperative window of thoracic surgery varies. Many clinics X-ray patients daily, while others only perform X-rays if there are clinical concerns. The purpose of this study was to assess the evidence of perioperative X-rays following thoracic surgery and estimate the clinical value with regard to changes in patient care. (2) Methods: A systematic literature research was conducted up until November 2021. Studies reporting X-ray outcomes in adult patients undergoing general thoracic surgery were included. (3) Results: In total, 11 studies (3841 patients/4784 X-rays) were included. The X-ray resulted in changes in patient care in 488 cases (10.74%). In patients undergoing mediastinoscopic lymphadenectomy or thoracoscopic sympathectomy, postoperative X-ray never led to changes in patient care. (4) Conclusions: There are no data to recommend an X-ray before surgery or to recommend daily X-rays. X-rays immediately after surgery seem to rarely have any consequences. It is probably reasonable to keep requesting X-rays after drain removal since they serve multiple purposes and alter patient care in 7.30% of the cases.