Completion pneumonectomy: analysis of operative mortality and survival

Muysoms, Filip; Rivière, Aart Brutel de la; Defauw, Jo J.A.M.; Dossche, Karl M.; Knaepen, Paul J.; Swieten, Henry A. van; Bosch, Jules M.M. van den

doi:10.1016/s0003-4975(98)00599-2

Cited by 43 publications

(32 citation statements)

References 12 publications

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“…[2][3][4][5][6][7][8][9][10][11][12][13][14] In the present study, the actuarial 5-year overall survivals after CP for all malignancy were 49.0%. Accordingly, the good long-term survival of malignancy suggests that CP is one of the treatments of choice for selected patients if complete resection is possible.…”

Section: Discussionmentioning

confidence: 76%

“…2) Maneuvers such as intrapericardial blood vessel ligation, division of the bronchus first, local application of glues and hemostatic agents, and bronchial reinforcement were routinely used to avoid 4,8) Advanced age, preoperative corticosteroid use, or low operative hemoglobin, 11) and renal failure 14) were reported to be the significant risk factors based on the multivariate analysis. In the present study, no patient had preoperative corticosteroid use or renal failure.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, resection of the carina has not been performed in previous studies. [2][3][4][5][6][7][8][9][10][11][12][13][14] Recently, various therapeutic bronchoscopy including laser therapy, electrocautery, brachytherapy, stents, and photodynamic therapy is reported to be useful in retrieving large airway obstruction. 17) Direct intratumoural injection with 5-fluorouracil is reported to reduce the size of tumors in the majority of cases and increase the diameter of the airway lumen.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Results of Completion Pneumonectomy

Haraguchi

Koizumi

Hirata

et al. 2011

Ann Thorac Cardiovasc Surg

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Purpose: We report our experience with completion pneumonectomy (CP). Methods: We report on operative procedure and morbidity, mortality, and survival rates. Results: CP was performed for malignancy in 12 patients and postoperative complications after the first operation in 4 patients. Intrapericardial dissection of vessels was performed in 14 patients (87.5%). Partial vertebrectomy from the second to the fifth vertebrae was performed in 1 patient. Carinal resection was performed in 2 patients. Morbidity including bronchopleural fistula, pulmonary insufficiency, pyothorax, and pulmonary infarction developed in 6 of the 16 patients (37.5%). Mortality rate was 18.8%. The actuarial 1-, 3-, and 5-year overall survival after CP for all malignancy was 80.8%, 49.0%, and 49.0% respectively. Conclusions: The morbidity and mortality rates are high in CP. Combined resection, especially carinal resection, appears to be contraindicated in CP. CP is one of the treatments of choice, even for malignancy, if complete resection is possible because of the good long-term survival.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical Results of Completion Pneumonectomy

Haraguchi

Koizumi

Hirata

et al. 2011

Ann Thorac Cardiovasc Surg

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“…Though Muysoms et al [10] could not find a significant difference between the mortality rates of malignant and benign groups in his series, he found a significant difference (13.2% vs. 37.5%) when he compared the mortality rates of the malignant and the complication groups. Jungraithmayret al, [9] in their special series with a distinct complication group, reported that the complication group had significantly higher mortality rates than both the malignant and benign groups (33% vs. 10% and 0%, respectively).…”

Section: Study No Overall Mortality (%) Malignant (%) Benign (%) Overmentioning

confidence: 74%

“…[2][3][4][5][6][9][10][11][12][13][14][15][16][17] The overall 30-day mortality and late mortality rates of the current series were 14.8% and 22%, respectively, and the non-complication group had a much higher rate of mortality than the other group, although this was not statistically significant.…”

Section: Discussionmentioning

confidence: 96%

Does the indication for completion pneumonectomy affect outcome?

Akin¹,

Olcmen²,

İşgörücü³

et al. 2011

Turkish J Thorac Cardiovasc Surg

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Amaç: Bu çalışmada 20 yıllık deneyimimiz gözden geçi-rildi ve tamamlayıcı pnömonektominin morbidite ve mortalite oranlarını etkileyen faktörler araştırıldı. Ça lış ma pla nı: Haziran 1987 ile Haziran 2008 tarihleri arasında 54 hastaya kliniğimizde tamamlayıcı pnömonek-tomi yapıldı. Hastalar tamamlayıcı pnömonektomi endikasyonları açısından önceki ameliyatın komplikasyonu ya da kalan akciğerde yeni bir hastalık gelişimi nedeni ile iki gruba ayrıldı. Bul gu lar: Genel komplikasyon oranı %42.5 idi ve bu morbidite komplikasyon grubunda anlamlı ölçüde daha yüksek idi (p= 0.04). Genel mortalite oranı %22 idi ve yaş mortalite için tek etkili faktör olarak bulundu (p= 0.03). So nuç: Yirmi yıllık deneyimimiz ve literatürdeki diğer bilgiler ışığında, tamamlayıcı pnömonektomide akıbeti kötü yönde etkileyen faktörün işlemin kendisinden ziyade, girişimin önceki ameliyatın komplikasyonu nedeni ile yapılması olduğu görüldü.Anah tar söz cük ler: Tamamlayıcı pnömonektomi; morbidite; mortalite. Background:In this report, we reviewed our 20-year experience and investigated the factors affecting morbidity and mortality of completion pneumonectomy. Methods: Fifty-four patients underwent completion pneumonectomy in our clinic between June 1987 and June 2008. Patients were divided into two groups according to their indications for completion pneumonectomy, either for a complication of the previous operation or a new disease in the remaining lung. Results: The overall complication rate was 42.5%, and this morbidity was significantly higher in the complication group (p=0.04). The overall mortality rate was 22%, and age was found as the only factor affecting mortality (p= 0.03). Conclusion:The experience that we had over 20 years and the other information from the literature pointed out that the complications in the first operations adversely affected the outcome rather than the procedure itself in completion pneumonectomy.

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