Related Experiment Videos
[Completion pneumonectomy--a review of 29 cases]
H Oizumi1, T Naruke, H Watanabe
1Department of Surgery, National Cancer Center Hospital, Tokyo, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|January 1, 1990
Summary
Completion pneumonectomy (CP) is a complex procedure with significant risks, but offers a survival benefit for select lung cancer patients. Careful patient selection is crucial for successful outcomes in this challenging surgery.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Context:
- Completion pneumonectomy (CP) is a rare and complex surgical procedure.
- Indications for CP include lung cancer recurrence, metastasis, or complications from prior surgeries.
- Severe adhesions and anatomical challenges increase operative difficulty.
Purpose:
- To evaluate the outcomes and indications for completion pneumonectomy (CP).
- To analyze operative complications, mortality, and survival rates.
- To identify optimal patient selection criteria for CP.
Summary:
- A total of 29 patients underwent CP between 1962 and 1988.
- Indications were primarily lung cancer (27 patients) and post-operative complications (7 patients).
- Operative mortality was 13.8%, with a 5-year survival of 32.9% for lung cancer patients.
Impact:
- CP is indicated for resectable lung cancer and bronchial stenosis with residual pulmonary changes.
- Postoperative bronchopleural fistulas require alternative management strategies.
- This study highlights the challenges and potential benefits of CP in complex thoracic cases.