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The 30-day mortality and hospital mortality after chest surgery described in the annual reports published by the Japanese Association for Thoracic and Cardiovascular Surgery

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Abstract

Objectives

The Japanese Association for Thoracic and Cardiovascular Surgery has conducted annual surveys of thoracic surgery throughout Japan.

Methods

The purpose of this study was to examine the 30-day mortality and hospital mortality after chest surgery per year to confirm the surgical outcomes of modern medical care in the area of respiratory surgery.

Results

The mean of the 30-day mortality/hospital mortality over a period of 16 years for the patients with lung cancer, metastatic pulmonary tumors, mediastinal tumors, inflammatory pulmonary disease, empyema, and spontaneous pneumothorax was 0.60/1.20, 0.26/0.41, 0.26/0.45, 0.32/0.50, 1.77/4.15, and 0.07/0.10, respectively. Undergoing thoracic surgery is therefore relatively safe in Japan. The death rates associated with lung cancer and mediastinal tumors have gradually decreased owing to therapeutic improvements in recent years. However, this tendency was not true of empyema. The 30-day mortality/hospital mortality rates for empyema were particularly high.

Conclusions

These data suggest that the rates for empyema might have reached the limit for the current surgical techniques, and that there might be room for improvement by developing new techniques or management strategies. These data from the nationwide surveys can be useful for surgeons, because they can provide a better understanding of the present problems, as well as future prospects.

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Abbreviations

SP:

Spontaneous pneumothorax

VATS:

Video-assisted thoracic surgery

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Acknowledgments

We are grateful for the support from all of the members of the Association and for their valuable contributions.

Conflict of interest

The authors have no competing interests and conflict of interest or financial ties to disclose.

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Authors and Affiliations

  1. Divisions of Thoracic Surgery, Saitama Cancer Center, 780 Komuro, Ina, Kita-adachi-gun, Saitama, 362-0806, Japan

    Hidetaka Uramoto

  2. Departments of General Thoracic Surgery and Pathology, Osaka University Graduate School of Medicine, Osaka, Japan

    Meinoshin Okumura

  3. Department of General Thoracic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

    Shunsuke Endo

  4. Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Japan

    Fumihiro Tanaka

  5. Department of General Thoracic Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan

    Hiroyasu Yokomise

  6. Department of Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan

    Munetaka Masuda

Authors
  1. Hidetaka Uramoto
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  2. Meinoshin Okumura
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  3. Shunsuke Endo
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  4. Fumihiro Tanaka
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  5. Hiroyasu Yokomise
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  6. Munetaka Masuda
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Corresponding author

Correspondence to Hidetaka Uramoto.

Additional information

M. Okumura, S. Endo, F. Tanaka, H. Yokomise, M. Masuda are members of the JATS Committee for Scientific Affairs.

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Uramoto, H., Okumura, M., Endo, S. et al. The 30-day mortality and hospital mortality after chest surgery described in the annual reports published by the Japanese Association for Thoracic and Cardiovascular Surgery. Gen Thorac Cardiovasc Surg 63, 279–283 (2015). https://doi.org/10.1007/s11748-015-0524-0

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  • DOI: https://doi.org/10.1007/s11748-015-0524-0

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