Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2025; 17(9): 109631
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.109631
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.109631
Epidemiology and risk of pulmonary complications following hepatobiliary surgical procedures: A retrospective study
Hui-Jie Meng, Zhao-Shuai Ji, Jing Tang, Department of Pharmacy, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China
Zhong-Hao Chen, THiFLY Research, Tsinghua University, Beijing 102218, China
Guang-Meng Nie, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China
Yu-Jie Wang, Medical Data Science Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China
Yong-Fang Hu, Department of Clinical Pharmacy, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
Co-corresponding authors: Yong-Fang Hu and Jing Tang.
Author contributions: Meng HJ drafted manuscript; Meng HJ and Chen ZH collected data; Nie GM and Ji ZS guide research development and revised the manuscript; Wang YJ analyzed data; Hu YF designed the study and revised the article; Tang J performed the research and revised the manuscript; Hu YF and Tang J contributed equally to this manuscript as co-corresponding authors; and all authors have reviewed and approved the final manuscript.
Supported by the Beijing Tsinghua Changgung Hospital Fund, China, No. 12023C01005.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Beijing Tsinghua Changgung Hospital, Affiliated with Tsinghua University, No. 23643-0-01.
Informed consent statement: The need for patient consent was waived due to the retrospective nature of the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data to support the findings of this study are available from the corresponding author upon request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing Tang, Department of Pharmacy, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing 102218, China. tja00149@btch.edu.cn
Received: May 19, 2025
Revised: June 6, 2025
Accepted: August 1, 2025
Published online: September 27, 2025
Processing time: 131 Days and 3.1 Hours
Revised: June 6, 2025
Accepted: August 1, 2025
Published online: September 27, 2025
Processing time: 131 Days and 3.1 Hours
Core Tip
Core Tip: This study identifies two independent risk factors for postoperative pulmonary complications (PPCs) following hepatobiliary surgery: Age ≥ 75 years and prolonged anesthesia. Conducted in a large Chinese hepatobiliary center, the retrospective analysis of 1941 patients revealed an incidence rate of PPCs at 4.02%. Patients with PPCs experienced significantly higher hospitalization costs, medication expenses, and longer lengths of stay compared to those without complications. These findings underscore the need for targeted interventions to mitigate PPCs in high-risk populations and improve surgical outcomes.