Zhang Boyou, Xia Lilong, Zhu Xinhai, Zhang Lei, Li Chuanchuan, Wang Lijia, He Zhengfu
Department of Thoracic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China.
Department of Thoracic Surgery, Zhejiang Hospital, Hangzhou, People's Republic of China.
Ann Surg Oncol. 2025 Apr;32(4):2710-2711. doi: 10.1245/s10434-024-16733-4. Epub 2024 Dec 29.
We highlight the potential for further analysis and investigation of the article by Sirakaya and colleagues. Specifically, we note that the authors failed to evaluate diaphragm mobility, which is essential for a comprehensive assessment of respiratory function, as well as diaphragm thickness. Assessing diaphragm mobility could enrich our understanding of the impact of surgical approaches on respiratory mechanics and postoperative pulmonary complications. Additionally, we note the absence of socioeconomic status (SES) as a confounding factor in the study. Recognizing the influence of SES on surgical outcomes and patient recovery, we suggest its inclusion in future research. We also emphasize the importance of integrating a multidisciplinary team, including physiotherapists and social workers, to address the physical and socioeconomic challenges faced by patients post-surgery.
我们强调了对Sirakaya及其同事的文章进行进一步分析和研究的潜力。具体而言,我们注意到作者未能评估膈肌活动度,而膈肌活动度对于全面评估呼吸功能以及膈肌厚度至关重要。评估膈肌活动度可以丰富我们对手术方式对呼吸力学和术后肺部并发症影响的理解。此外,我们注意到该研究中未将社会经济地位(SES)作为一个混杂因素。认识到SES对手术结果和患者康复的影响,我们建议在未来的研究中纳入这一因素。我们还强调了整合多学科团队的重要性,包括物理治疗师和社会工作者,以应对患者术后面临的身体和社会经济挑战。