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Completion pneumonectomy: indications and outcome

K al-Kattan1, P Goldstraw

  • 1Royal Brompton Hospital, London, United Kingdom.

The Journal of Thoracic and Cardiovascular Surgery
|October 1, 1995
PubMed
Summary
This summary is machine-generated.

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Completion pneumonectomy, a complex thoracic surgery, can achieve acceptable morbidity in carefully selected patients. Careful surgical technique is crucial for minimizing complications, especially in cases involving benign or infective lung diseases.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Completion pneumonectomy is associated with significant morbidity and mortality.
  • Patient selection and indications are critical for successful outcomes.

Purpose of the Study:

  • To evaluate the outcomes of completion pneumonectomy.
  • To identify factors influencing morbidity and mortality in these patients.

Main Methods:

  • Retrospective review of 38 completion pneumonectomies performed between January 1980 and November 1993.
  • Analysis of indications, patient demographics, additional procedures, and postoperative complications.

Main Results:

  • Lung malignancy (26 cases) and benign diseases (12 cases) were primary indications.

Related Experiment Videos

  • Overall morbidity was 18%, with higher rates in benign disease cases (86% of complications).
  • One early postoperative death occurred; no bronchopleural fistulas were observed.

    • Conclusions:

    • Completion pneumonectomy is feasible with acceptable morbidity in selected patients.
    • Meticulous surgical technique is essential for hemostasis and fistula prevention.
    • Infective lung diseases are associated with increased complication rates.