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Related Experiment Videos

Completion pneumonectomy: indications, complications, and results.

E M McGovern1, V F Trastek, P C Pairolero

  • 1Department of Surgery, Mayo Clinic, Rochester, MN.

The Annals of Thoracic Surgery
|August 1, 1988
PubMed
Summary

Completion pneumonectomy (CP) for benign lung disease carries high mortality and morbidity. However, CP for lung cancer and pulmonary metastases demonstrates acceptable outcomes and survival rates.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Completion pneumonectomy (CP) is a significant surgical procedure.
  • Indications for CP include lung cancer (LC), pulmonary metastases (PM), and benign lung disease (BLD).

Purpose of the Study:

  • To evaluate the outcomes of completion pneumonectomy based on the indication for the procedure.
  • To assess operative mortality, morbidity, and long-term survival following CP.

Main Methods:

  • Retrospective analysis of 113 consecutive patients undergoing CP between 1958 and 1985.
  • Data collected on indications, operative mortality, major complications, and 5-year actuarial survival.

Main Results:

  • Overall operative mortality was 12.4%.

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  • Mortality varied significantly by indication: LC (9.4%), PM (0%), BLD (27.6%).
  • Five-year survival rates were 26.4% for LC, 40.8% for PM, and 27.2% for BLD.

    • Conclusions:

    • CP for benign lung disease is associated with high operative mortality and morbidity.
    • CP for lung cancer and pulmonary metastases can be performed with lower mortality and acceptable morbidity.
    • CP offers gratifying long-term survival for patients with lung cancer and pulmonary metastases.