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Related Experiment Videos

Completion pneumonectomy: experience with 47 cases

A Terzi1, G Furlan, A Terrini

  • 1Division of Thoracic and Cardiovascular Surgery, Civile Maggiore Hospital, Verona, Italy.

The Thoracic and Cardiovascular Surgeon
|February 1, 1995
PubMed
Summary
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Completion pneumonectomy is a viable option for recurrent lung cancer and some benign lung diseases. However, it carries significant risks, especially when treating complications from sleeve resections.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Completion pneumonectomy is a complex procedure.
  • Indications include recurrent lung cancer, metastases, complications, and benign lung diseases.

Purpose of the Study:

  • To evaluate the outcomes of completion pneumonectomy.
  • To assess operative mortality and long-term survival.

Main Methods:

  • Retrospective analysis of 47 patients undergoing completion pneumonectomy between 1982 and 1994.
  • Kaplan-Meier method for survival analysis.

Main Results:

  • Overall operative mortality was 14.9%, with variations based on indication.
  • Mortality was 3.6% for lung cancer, 20% for benign disease/late complications, and 57% for early sleeve resection complications.

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  • Three- and five-year survival for lung cancer patients were 43.8% and 28.7% respectively.

    • Conclusions:

    • Completion pneumonectomy is indicated for recurrent lung cancer and potentially for benign diseases when less invasive options are unavailable.
    • The procedure has a very high mortality for early sleeve resection complications but may be the only option.