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Related Experiment Videos

Completion pneumonectomy: current indications, complications, and results.

T Fujimoto1, G Zaboura, S Fechner

  • 1Department of Thoracic Surgery and Endoscopy, Ruhrlandklinik, Essen-Heidhausen, Germany. NanakoFjmt@aol.com

The Journal of Thoracic and Cardiovascular Surgery
|March 10, 2001
PubMed
Summary

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Completion pneumonectomy shows acceptable outcomes for both benign and malignant conditions. Despite common complications, this procedure can be managed effectively with proper understanding and care.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Cardiothoracic Surgery

Background:

  • Completion pneumonectomy is a complex procedure often associated with high morbidity and mortality.
  • Existing data on outcomes, particularly for benign disease indications, are limited.
  • Understanding postoperative results and long-term survival is crucial for patient management.

Purpose of the Study:

  • To evaluate the postoperative outcomes and long-term results of completion pneumonectomy.
  • To assess the safety and efficacy of this procedure across various indications, including benign and malignant diseases.
  • To identify factors influencing outcomes and complications.

Main Methods:

  • Retrospective review of 66 consecutive completion pneumonectomy cases between January 1990 and December 1998.

Related Experiment Videos

  • Patients were categorized by indication: benign disease (17) and malignant disease (49).
  • Analysis included postoperative mortality, complication rates, and actuarial 5-year survival.

    • Main Results:

    • The postoperative mortality rate was 7.6%, with no intraoperative deaths.
    • Overall complication rate was 53%, with no significant difference between benign (71%) and malignant (47%) indications.
    • Actuarial 5-year survival was 57% for all patients, with similar rates for benign (65%) and malignant (54%) indications.

    Conclusions:

    • Completion pneumonectomy can be performed with acceptable mortality and morbidity, even for benign conditions.
    • Effective management strategies exist for complications like bronchopleural fistula and empyema.
    • Preoperative infection can be managed with bronchial stump covering and adequate drainage, leading to successful outcomes.