Publications by authors named "Alejandro Witte Pfister"
Diagnostic value of systematic bronchial aspirate on postoperative pneumonia after pulmonary resection surgery for lung cancer: a monocentre retrospective study.
Interdiscip Cardiovasc Thorac Surg
February 2024
Article Synopsis
- Intraoperative bacterial airway colonization is linked to a higher chance of developing postoperative pneumonia (POP), which can be evaluated through a bronchial aspirate (BA).
- A study conducted over 10 years included 1006 patients undergoing lung cancer surgery, examining the relationship between BA results and the incidence of POP.
- The findings indicated that a positive BA significantly increases the risk of POP (odds ratio of 6.57), with a specificity of 95% but lower sensitivity (31%), suggesting the need for further research to confirm the BA's role in early POP diagnosis.
Clinical presentation and mortality of patients treated with extracorporeal membrane oxygenation (ECMO) for COVID-19 acute respiratory distress syndrome (CARDS) were different during the French epidemic waves. The management of COVID-19 patients evolved through waves as much as knowledge on that new viral disease progressed. We aimed to compare the mortality rate through the first three waves of CARDS patients on ECMO and identify associated risk factors.
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- Study evaluated the morbidity and mortality rates in lung cancer surgeries, comparing video-assisted thoracoscopic surgery (VATS) with conversions to thoracotomy and traditional open thoracotomy.
- * The research analyzed data from 610 patients who underwent either surgical technique from 2011 to 2017, focusing on 90-day mortality and possible risk factors.
- * Results showed similar early postoperative morbidity and mortality rates for both VATS with conversion and open thoracotomy, suggesting VATS is preferable when possible, even if conversion is needed.*
Background And Objective: Laryngeal pathology following lung cancer surgery is associated with post-operative morbidity and mortality. The aim of our study was to evaluate the usefulness of routine endoscopic assessment.
Methods: We prospectively evaluated vocal cord pathology using laryngeal endoscopy within 24 h post-surgery.
[Surgical results of type III and IV hiatal hernia with left thoracotomy].
Acta Gastroenterol Latinoam
March 2011
Article Synopsis
- The study aimed to evaluate the outcomes of using a left transthoracic approach for treating type III and IV hiatal hernias.
- Sixty-five patients were analyzed, and while type III hernias were more common, surgical methods resulted in low morbidity and no hospital deaths, with significant symptom improvement observed over an average follow-up of 42 months.
- The procedure proved effective for certain indications, showing positive long-term functional results and healing of mucosal damage while reducing the need for anti-acid medication.