Famiglietti Amber, Memoli Jessica Wang, Khaitan Puja Gaur
Department of Surgery, Georgetown University School of Medicine, MedStar Washington Hospital Center, Washington, D.C., USA.
Division of Interventional Pulmonology, Georgetown University School of Medicine, MedStar Washington Hospital Center, Washington, D.C., USA.
J Thorac Dis. 2021 Jan;13(1):384-395. doi: 10.21037/jtd-20-2529.
The rising popularity of e-cigarettes and vaping, particularly in youth populations, has prompted the scientific community to ocassionally recommend their use as alternative to smoking or as a modality for smoking cessation. Media also tends to portray them as stylish, smoking cessation tools. We first studied the current literature to better understand whether they are viable options for surgeons to use prior to surgery as part of their armamentarium and their efficacy in attaining smoking abstinence. Next, we performed a comprehensive review of the literature to study the impact of e-cigarette and vaping on lung pathophysiology, surgical outcomes, and postoperative complications. After a thorough search, we found limited evidence suggesting that e-cigarettes and vaping are effective smoking cessation tools, and indeed may increase the propensity of dual smoking, contrary to e-cigarette advertisements. Many potential biases and limitations exist due to self-reporting when investigating e-cigarettes and vaping. While there is controversial data in the literature about e-cigarettes and vaping not leading to lung cancer, there are chemicals in these products that compromise lung hemostasis, negatively affect the immune system, and have detrimental inflammatory effects on wound healing. Studies are warranted to elucidate objective data regarding short and long-term effects of these products on surgical outcomes, and given the current data, they should not be utilized as viable smoking cessation tools.
电子烟和雾化产品的日益流行，尤其是在青少年人群中，促使科学界偶尔建议将其作为吸烟的替代品或作为戒烟的一种方式。媒体也倾向于将它们描绘成时尚的戒烟工具。我们首先研究了当前的文献，以更好地了解它们是否是外科医生在手术前作为其装备的一部分使用的可行选择，以及它们在实现戒烟方面的效果。接下来，我们对文献进行了全面综述，以研究电子烟和雾化产品对肺部病理生理学、手术结果和术后并发症的影响。经过全面搜索，我们发现有限的证据表明电子烟和雾化产品是有效的戒烟工具，而且实际上可能会增加双重吸烟的倾向，这与电子烟广告宣传相反。在调查电子烟和雾化产品时，由于自我报告的原因，存在许多潜在的偏差和局限性。虽然文献中有关于电子烟和雾化产品不会导致肺癌的有争议的数据，但这些产品中的化学物质会损害肺部止血功能，对免疫系统产生负面影响，并对伤口愈合产生有害的炎症影响。有必要进行研究以阐明这些产品对手术结果的短期和长期影响的客观数据，并且鉴于目前的数据，它们不应被用作可行的戒烟工具。
