Kardiochirurgia i Torakochirurgia Polska

Full text

2/2026 vol. 23
Original paper

Body mass index as a predictor of postoperative complications after anatomical lung resection

Gizem Özçıbık Işık 1
,
Didem Gülhan 2
,
Işıl Kazgı 2
,
Burcu Kilic 3
,
Ezel Ersen 3
,
Hasan V. Kara 3
,
Mehmet K. Kaynak 3
,
Akif Turna 3

  1. Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey

  2. Cerrahpasa Medical School, Istanbul University Cerrahpasa, Istanbul, Turkey

  3. Department of Thoracic Surgery, School of Medicine, Istanbul University Cerrahpasa, Istanbul, Turkey

Kardiochirurgia i Torakochirurgia Polska 2026; 23 (2): 93-97

DOI: https://doi.org/10.5114/kitp.2026.163335
Data publikacji online: 2026/07/21
Article file
Body mass index.pdf
Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
  1. Siddiqui F, Vaqar S, Siddiqui AH. Lung Cancer. 2023 May 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29493979.
  2. Cancer Stat Facts: Lung and Bronchus Cancer. https://seer.cancer.gov/statfacts/html/lungb.html. Accessed: August 10, 2020.
  3. Smolarz B, £ukasiewicz H, Samulak D, Piekarska E, Ko³aciñski R, Romano-wicz H. Lung cancer-epidemiology, pathogenesis, treatment and molecular aspect (review of literature). Int J Mol Sci 2025; 26: 2049.
  4. Re Cecconi E, Mangiameli G, De Simone M, Cioffi U, Marulli G, Testori A. Vats lobectomy for lung cancer. What has been the evolution over the time? Front Oncol 2024; 13: 1268362.
  5. Sbeih D, Idkedek M, Abu Akar F. Video-assisted vs. robotic-assisted thoracoscopic surgery in lung cancer: a comprehensive review of techniques and outcomes. J Clin Med 2025; 14: 1598.
  6. Asemota N, Maraschi A, Lampridis S, Pilling J, King J, Le Reun C, Bille A. Comparison of quality of life after robotic, video-assisted, and open surgery for lung cancer. J Clin Med 2023; 12: 6230.
  7. Batchelor TJP, Ljungqvist O. A surgical perspective of ERAS guidelines in thoracic surgery. Curr Opin Anaesthesiol 2019; 32: 17-22.
  8. GBD 2021 Adult BMI Collaborators. Global, regional, and national prevalence of adult overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet 2025; 405: 813-838. Erratum in: Lancet 2025; 406: 810.
  9. Emmerich SD, Fryar CD, Stierman B, Ogden CL. Obesity and severe obesity prevalence in adults: United States, August 2021-August 2023. NCHS Data Brief 2024; 508: 10.15620/cdc/159281.
  10. Kovesdy CP, Furth SL, Zoccali C; World Kidney Day Steering Committee. Obesity and Kidney Disease: Hidden Consequences of the Epidemic. Can J Kidney Health Dis 2017; 4: 2054358117698669.
  11. Held C, Hadziosmanovic N, Aylward PE, Hagström E, Hochman JS, Stewart RAH, White HD, Wallentin L. Body mass index and association with cardiovascular outcomes in patients with stable coronary heart disease – a STABILITY substudy. J Am Heart Assoc 2022; 11: 023667.
  12. Tian Y, Li Q, Pan Y. Prospective study of the effect of ERAS on postoperative recovery and complications in patients with gastric cancer. Cancer Biol Med 2021; 19: 1274-1281.
  13. Belladelli F, Montorsi F, Martini A. Metabolic syndrome, obesity and cancer risk. Curr Opin Urol 2022; 32: 594-597.
  14. Nitsche LJ, Mukherjee S, Cheruvu K, Krabak C, Rachala R, Ratnakaram K, Sharma P, Singh M, Yendamuri S. Exploring the impact of the obesity paradox on lung cancer and other malignancies. Cancers 2022; 14: 1440.
  15. Sanchez A, Furberg H. Obesity paradox in patients with non-small cell lung cancer treated with immunotherapy. JAMA Oncol 2020; 6: 940-941.
  16. Ardesch FH, Ruiter R, Mulder M, Lahousse L, Stricker BHC, Kiefte-de Jong JC. The obesity paradox in lung cancer: associations with body size versus body shape. Front Oncol 2020; 10: 591110.
  17. Rizzo S, Petrella F, Bardoni C, Bramati L, Cara A, Mohamed S, Radice D, Raia G, Del Grande F, Spaggiari L. CT-derived body composition values and complications after pneumonectomy in lung cancer patients: time for a sex-related analysis? Front Oncol 2022; 12: 826058.
  18. Tsai LL, Elliott IA. Modern preoperative evaluation for lung cancer treatment. Surg Oncol Clin N Am 2025; 34: 501-512.
  19. Jiang M, Fares AF, Shepshelovich D, Yang P, Christiani D, Zhang J, Shiraishi K, Ryan BM, Chen C, Schwartz AG, Tardon A, Shete S, Schabath MB, Teare MD, Le Marchand L, Zhang ZF, Field JK, Brenner H, Diao N, Xie J, Kohno T, Harris CC, Wenzlaff AS, Fernandez-Tardon G, Ye Y, Taylor F, Wilkens LR, Davies M, Liu Y, Barnett MJ, Goodman GE, Morgenstern H, Holleczek B, Thomas S, Brown MC, Hung RJ, Xu W, Liu G. The relationship between body-mass index and overall survival in non-small cell lung cancer by sex, smoking status, and race: a pooled analysis of 20,937 International lung Cancer consortium (ILCCO) patients. Lung Cancer 2021; 152: 58-65.
  20. Pierce RJ, Copland JM, Sharpe K, Barter CE. Preoperative risk evaluation for lung cancer resection: predicted postoperative product as a predictor of surgical mortality. Am J Respir Crit Care Med 1994; 150: 947-955.
  21. Busch E, Verazin G, Antkowiak JG, Driscoll D, Takita H. Pulmonary complications in patients undergoing thoracotomy for lung carcinoma. Chest 1994; 105: 760-766.
  22. Liu X, Wang S, Chen X, Zhang Y, Zhang K, Tian C, Dong B. The correlation between serum albumin, exercise endurance, and pulmonary complications after lobectomy. Minerva Surg 2025; 80: 207-213.
  23. Jermihov A, Tsalatsanis A, Kulkarni S, Velez FO, Moodie CC, Garrett JR, Fontaine JP, Toloza EM. Effect of lowest postoperative pre-albumin on outcomes after robotic-assisted pulmonary lobectomy. JSLS 2021; 25: e2021.00043.
  24. Okada S, Shimada J, Kato D, Tsunezuka H, Inoue M. Prolonged air leak following lobectomy can be predicted in lung cancer patients. Surg Today 2017; 47: 973-979.
  25. Shin HD, Rodriguez AM, Abraham JT, Cargile JC, Brown CN, Altman AM, Saint-Cyr MH. Does ERAS benefit higher BMI patients? A single institutional review. J Plast Reconstr Aesthet Surg 2021; 74: 475-479.
Copyright: © 2026 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
SUBMIT YOUR PAPER
Share
without publication fees
without publication fees
Coverage in
Indexed in
pubmed
Integrated with
plagiat pl
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications