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Updated: Jul 6, 2026
07:27
Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
Published on: January 23, 2026
Factors affecting early and long-term outcomes after completion pneumonectomy
Olivier Chataigner1, Elie Fadel, Bedrettin Yildizeli
1Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Hôpital Marie-Lannelongue, Paris-Sud University, 133, Avenue de la Resistance, 92350 Le Plessis Robinson, France.
Summary
Completion pneumonectomy has high mortality and morbidity, with preoperative renal failure being a key risk factor. Despite challenges, this procedure offers a chance for prolonged survival in select patients.
Area of Science:
- Cardiothoracic Surgery
- Thoracic Oncology
- Surgical Outcomes Research
Background:
- Completion pneumonectomy is a complex surgical procedure.
- Understanding factors influencing outcomes is crucial for patient management.
Purpose of the Study:
- To identify factors affecting operative mortality, morbidity, and long-term survival after completion pneumonectomy.
- To evaluate the risk factors associated with postoperative complications such as bronchopleural fistula.
Main Methods:
- Retrospective review of 69 patients undergoing completion pneumonectomy between January 1996 and December 2005.
- Analysis of patient demographics, comorbidities, surgical details, and postoperative outcomes.
Main Results:
- Postoperative mortality was 12% and morbidity 41%.
- Obesity, coronary artery disease, right lung removal, advanced age, and renal failure were associated with mortality.
- Preoperative renal failure was the sole significant independent risk factor for mortality.
- Bronchopleural fistula occurred in 10% of patients, linked to right lung removal and mechanical stump closure.
Conclusions:
- Completion pneumonectomy remains a high-risk procedure with significant postoperative mortality and morbidity.
- Comorbidities, particularly renal failure, and right lung removal are major risk factors for mortality.
- Improved patient selection and preoperative management, especially for renal failure, may enhance outcomes and offer prolonged survival.
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