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92, P = 0.014], pulmonary complications (OR 0.27, P = 0.019), ICU admission (OR 0.76, P = 0.031), hospitalization for 6 days (OR 0.90, P = 0.008) and readmission (OR 0.93, P = 0.029). Low TMMI obtained from the preoperative thoracic CT is an independent predictor of postoperative adverse outcomes in patients following lobectomy via thoracotomy for lung cancer. TMMI measurements may contribute to the development of preoperative risk stratification studies in the future. Low TMMI obtained from the preoperative thoracic CT is an independent predictor of po