Cardiothoracic & vascular anesthesia

Intraoperative ventilation risk factors for postoperative pulmonary complications in patients undergoing elective neoplastic esophagectomy: a retrospective cohort study

Anaesth Crit Care Pain MedPublished Retrospective cohort study

Authors' conclusion

Pplat, RR, and DP were associated with PPCs in both ventilation phases. During TLV, duration increased and PEEP decreased PPC risk, whereas during OLV, VTe and MP were associated with PPCs.

Study context

Population
Patients undergoing elective esophagectomy with combined abdominal and thoracic approaches
Participants
454 patients
Outcome
Occurrence of PPCs
Follow-up
Within seven postoperative days
Methodological detailssingle-center
  • Single-center

Main finding

As reported in the abstract

PPCs

Postoperative pulmonary complications (PPCs) occurred (194 patients)

42.7%

Respiratory rate: OR up to

1.62

Positive end-expiratory pressure (PEEP), two-lung ventilation (TLV) (protective): OR

0.73

Model discrimination (acceptable): AUC

0.70-0.76

Observational data: associations, not effects.

Original publication

Intraoperative ventilation risk factors for postoperative pulmonary complications in patients undergoing elective neoplastic esophagectomy: a retrospective cohort study. Anaesth Crit Care Pain Med. Published 17 February 2026. doi:10.1016/j.accpm.2026.101774

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