Selection of Pulmonary Resection Procedures to Avoid Postoperative Complications

Abstract

This method for determining a pulmonary resection procedure avoided postoperative deaths and severe cardiopulmonary complications, while achieving a good outcome.

Predictors of atelectasis after pulmonary lobectomy

“…1,2 The overall incidence of postoperative pulmonary complications after pulmonary resection is approximately 30%, but ranges from 7% to 49%. [3][4][5][6] The most common complications are prolonged air leak (1%-15%), bacterial pneumonia (4.8%-15%), acute respiratory failure (2.4%-10%), and postoperative atelectasis (1%-20%).…”

Selection of pulmonary resection procedures to reduce postoperative complications in 200 patients

“…Lobectomy was not excluded as a surgical option for our patients solely based on the results of the UPAO, and the performance of lobectomy was decided by considering other screening test results. In our previous study, 16 UPAO was performed in 78% of all patients. In the present study, the reference values for screening tests were reviewed and the FEV 1.0 /m 2 value for the intact side was reduced from 800 ml/m 2 to 600 ml/m 2 .…”

“…[13][14][15] We observed no severe operative morbidity or severe cardiopulmonary complications, and the long-term postoperative patient outcome and recovery of postoperative exercise capacity were satisfactory. 16,17 However, our previous data were obtained using a small patient series, and 78% of the patients underwent UPAO, which is an invasive test. Therefore, the present study was performed in 200 patients who underwent the planned extent of pulmonary resection in order to prospectively assess whether our new screening method with reduced UPAO use could select the appropriate surgical procedures.…”

Neutrophil elastase activity in pulmonary venous blood during lung resection

“…We have obtained a favourable outcome in our patients by selecting a safe pulmonary resection procedure through a battery of preoperative cardiopulmonary function tests [2,3]. Nonetheless, it remains impossible to completely avoid death after lung cancer surgery.…”