Pathologie vasculaire pulmonaire non tumorale de l’adulte

Orsini, Bastien; Doddoli, Christophe; Brioude, Geoffrey; D’Journo, X B; Trousse, Delphine; Gaubert, Jean-Yves; Thomas, Philippe

doi:10.1016/j.pneumo.2012.01.012

Cited by 2 publications

(1 citation statement)

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“…[11] Even though pneumonectomy for malignant disease is associated with significant morbidity and mortality, it is more challenging in patients necessitating pneumonectomy for infectious lung disease. [12][13][14] It is believed that chronic inflammation and fibrosis cause deterioration in the nature of the surrounding tissues which makes the surgery technically demanding. In addition to that, changes in the anatomy and neovascularization make the surgery more challenging by increasing proclivity to intraoperative complications, especially bleeding.…”

Section: Discussionmentioning

confidence: 99%

Pneumonectomies for Infectious Diseases: Predictors of Morbidity and Mortality in a Multicenter Study

Ermerak

2023

EJMI

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E varts A. Graham performed the first successful pneumonectomy at Barnes Hospital in St. Louis, MO on April 5, 1933. [1] Pneumonectomy is primarily indicated for the surgical treatment of non-small cell lung cancers when parenchymal-sparing resections are not feasible due to tumor anatomy and extension. [2] It is associated with higher mortality and morbidity rates compared to other pulmonary anatomical resections. [3] Complication and mortality rates showed a diverse pattern in the literature with a rate between 38-59% and 3-12%, respectively. [4][5][6] Older age, cardiopulmonary diseases, right pneumonectomy, limited pulmonary functions and smoking status are the major risk factors for postoperative complications. Occasionally, a pneumonectomy is indicated to treat patients with infectious lung disease. [7,8] Classical indications for pneumonectomy of the infectious diseases can be listed as; tuberculosis, cystic bronchiectasis, suppurative lung diseases and opportunistic infections in immunosuppressed patients. [9] Pneumonectomy for infec-Objectives: Pneumectomy is associated with a higher risk of adverse outcomes compared with other types of pulmonary resections. The objective of this study is to identify the risk factors for post-operative complications in patients who undergo a pneumonectomy for infectious lung diseases. Methods: This is a multicenter cross-sectional study that includes 61 patients who were operated on by the Thoracic Surgeons from

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