Document Detail


Pneumonectomy for chronic infection is a high-risk procedure.
MedLine Citation:
PMID:  8823086     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to estimate operative risk, and to identify indicators of adverse prognosis, in patients undergoing pneumonectomy for chronic infection. METHODS: Twenty-five patients aged 41 +/- 15 years underwent pneumonectomy (three completions) for chronic infection: sequelae of tuberculosis, 15; cystic bronchiectasis, 9; and radiation pneumonitis, 1. Eight patients had aspergilloma (7 after tuberculosis, 1 with radiation pneumonitis). RESULTS: Operative mortality was 4%. Operative blood loss was estimated at 1,983 +/- 1,424 mL, ranging from 150 to 5,600 mL. A single patient required reexploration. Eight patients (32%) had empyema, and a further 3 (12%) had bronchopleural fistula; thoracoplasty was required for 10 (40%). Sequelae of tuberculosis heralded increased operative bleeding (t = 2.884; p < 0.005). Incidence of empyema or bronchopleural fistula was increased in patients with sequelae of tuberculosis (chi 2 = 3.896; p < 0.05), patients with aspergilloma (chi 2 = 4.588; p < 0.05), patients in whom the parenchymal cavities were entered (chi 2 = 11.5; p < 0.001), and those in whom blood loss was in excess of 1,000 mL (chi 2 = 4.911; p < 0.05). CONCLUSIONS: We conclude that pneumonectomy is a high-risk procedure, especially in patients with sequelae of tuberculosis.
Authors:
G Massard; A Dabbagh; J M Wihlm; R Kessler; P Barsotti; N Roeslin; G Morand
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  62     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-10-31     Completed Date:  1996-10-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1033-7; discussion 1037-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Thoracic Surgery, University Hospital of Strasbourg, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bronchial Fistula / etiology
Child
Chronic Disease
Empyema, Pleural / etiology,  surgery
Female
Fistula / surgery
Humans
Lung Diseases, Fungal / complications,  surgery*
Male
Middle Aged
Pleural Diseases / etiology,  surgery
Pneumonectomy / adverse effects*
Postoperative Complications
Prognosis
Retrospective Studies
Risk Factors
Tuberculosis, Pulmonary / complications,  surgery*
Comments/Corrections
Comment In:
Ann Thorac Surg. 1997 Jun;63(6):1825-6   [PMID:  9205205 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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