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[Pneumonectomy for benign disease].

S Altobelli1, T Iarussi, R Sacco

  • 1Università degli Studi G. D'Annunzio, Chieti.

Chirurgia Italiana
|March 30, 2000
PubMed
Summary
This summary is machine-generated.

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Pneumonectomy for benign lung disease is rare, with this study finding significant complications and a 20% intra-operative mortality. This procedure for non-neoplastic lung conditions presents serious challenges.

Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Oncology

Context:

  • Pneumonectomy, the surgical removal of an entire lung, is infrequently performed for benign lung conditions.
  • A retrospective analysis of 1900 pulmonary resections identified 15 cases of pneumonectomy for non-neoplastic disease between 1998 and 2023.
  • Indications included chronic infections, congenital malformations, bronchial stenosis from trauma, and gunshot wounds.

Purpose:

  • To evaluate the outcomes and complications associated with pneumonectomy for benign lung diseases.
  • To assess the safety and efficacy of this extensive surgical intervention in non-cancerous conditions.

Summary:

  • Fifteen patients underwent pneumonectomy for benign lung disease via postero-lateral thoracotomy.
  • Five required intra-pericardial ligature, and one had an extrapleural pneumonectomy.

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  • Intra-operative mortality was 20%, average hospitalization was 27 days, and one patient developed a broncopleural fistula.

    • Impact:

    • Pneumonectomy for benign lung disease is associated with substantial risks and significant complications.
    • The findings suggest careful consideration and alternative strategies may be warranted for non-neoplastic lung conditions requiring extensive resection.