Is Smoking a Surgical Risk Multiplier?
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By
June 23, 2025
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3 min
A study on esophageal squamous cell carcinoma patients who underwent surgery revealed higher rates of major postoperative complications, particularly pulmonary issues, among smokers compared to nonsmokers. Smokers had a higher incidence of pulmonary complications, including pneumonia and acute respiratory distress syndrome, with active smokers facing a significantly higher 30-day mortality rate. However, smoking did not independently impact long-term outcomes when other clinical factors were considered.
1. Study focused on esophageal squamous cell carcinoma patients undergoing surgery2. Smokers had higher rates of major postoperative complications, particularly pulmonary issues3. Active smokers had significantly higher 30-day mortality rates compared to former smokers4. Smoking did not independently impact long-term outcomes when other clinical factors were considered5. Lack of data on smoking behavior after surgery was a key limitation6. Previous studies have shown that quitting smoking following a cancer diagnosis may improve survival7. Smoking cessation remains crucial in preoperative care for these patients
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