Key result
Perioperative aspirin continuation during video-assisted thoracic surgery showed no differences in bleeding, thrombotic events, or operative times compared to discontinuation.
Why the study?
Aspirin reduces cardiovascular disease and stroke risks, but perioperative aspirin use remains controversial.
Does perioperative aspirin continuation increase bleeding events in patients undergoing VATS for lung cancer?
Observational (n=38)
Does perioperative aspirin continuation increase bleeding events in patients undergoing VATS for lung cancer?
Continuing aspirin perioperatively during VATS for lung cancer appears safe, especially when preoperative ultrasonography is used to detect pleural adhesions.
Answers are grounded in this paper and cite their sources.
Supports aspirin continuation in selected VATS patients; leaves open need for randomized confirmation.
BACKGROUND/AIM: Aspirin reduces cardiovascular disease and/or stroke risks. However, perioperative aspirin use remains controversial. We assessed the efficacy of ultrasonography to facilitate video-assisted thoracic surgery (VATS). We analyzed the perioperative management of patients using aspirin and its association with bleeding events during lung cancer surgery. PATIENTS AND METHODS: A total of 38 patients who underwent VATS after continuing or discontinuing aspirin were examined. Ultrasound was performed preoperatively to evaluate the pleural adhesions. Fisher's exact test was used to analyze correlations between the two groups. RESULTS: Dense adhesions were found at VATS ports using ultrasonography (accuracy: 100%). No differences were detected in bleeding, thrombotic events, or operative times between the aspirin and non-aspirin groups. There were differences in bleeding (p=0.009) and operative times (p=0.021) between the dense adhesion and non-dense adhesion groups. CONCLUSION: Preoperative detection of pleural adhesions using ultrasonography was useful in selecting pulmonary resection patients who continued aspirin perioperatively.
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Yasukawa et al. (2019) conducted an observational in Lung cancer (n=38). Aspirin continuation vs. Aspirin discontinuation was evaluated on Bleeding, thrombotic events, or operative times. Perioperative aspirin continuation during video-assisted thoracic surgery showed no differences in bleeding, thrombotic events, or operative times compared to discontinuation.
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