Completion pneumonectomy: analysis of operative mortality and survival
| Autor: | J. Defauw, Filip E Muysoms, Jules M.M. van den Bosch, Henry A. van Swieten, Aart Brutel de la Rivière, Paul J. Knaepen, Karl M Dossche |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Lung Diseases
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Lung Neoplasms Time Factors medicine.medical_treatment Hospital mortality Pneumonectomy Postoperative Complications Actuarial Analysis Humans Medicine Hospital Mortality Completion Pneumonectomy Lung cancer business.industry Respiratory disease Operative mortality Middle Aged medicine.disease Early complication Surgery Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 66:1165-1169 |
| ISSN: | 0003-4975 |
| Popis: | Background . A single-institution experience with completion pneumonectomy was analyzed to assess operative mortality and late outcome. Methods . A consecutive series of 138 completion pneumonectomies from 1975 to 1995 was reviewed, and compared with single-stage pneumonectomies performed during the same period. Results . Hospital mortality was 13.8%, including 4 intraoperative and 15 postoperative deaths. Hospital mortality was the same for lung cancer (13.2%) as for benign disease (15.5%). It was 37.5% if an early complication of the primary operation was the indication ( p = 0.01). If infection of the pleural space was the indication for completion pneumonectomy, hospital mortality was 23.3% ( p > 0.05). In 760 single-stage pneumonectomies hospital mortality was 8.7% ( p > 0.05). Five-year actuarial survival after completion pneumonectomy was 42.5% for all patients, 32.3% for those with lung cancer, and 58.8% for those with benign disease. Conclusions . Hospital mortality for completion pneumonectomy was the same for malignant as for benign indications. It was significantly higher if completion pneumonectomy was done for an early complication of the primary operation. Results at long term of lung cancer patients were the same for single-stage pneumonectomy and completion pneumonectomy. |
| Databáze: | OpenAIRE |
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