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Early and long-term results after completion pneumonectomy
G Massard1, G Lyons, J M Wihlm
1Department of Thoracic Surgery, Hôpitaux Universitaires de Strasbourg, France.
The Annals of Thoracic Surgery
|January 1, 1995
Summary
Completion pneumonectomy following lobectomy is a complex procedure with significant perioperative risks, including bleeding and complications. However, it can be a necessary intervention for lung cancer patients, offering a chance for long-term survival.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Completion pneumonectomy after prior lobectomy is a rare but critical surgical procedure.
- This study examines outcomes in patients undergoing this procedure between 1978 and 1992.
Purpose of the Study:
- To evaluate the operative results and long-term survival of completion pneumonectomy.
- To assess the safety and efficacy of this procedure in patients with bronchogenic cancer.
Main Methods:
- Retrospective analysis of 37 patients who underwent completion pneumonectomy after lobectomy.
- Data collected on perioperative outcomes, complications, and survival.
Main Results:
- 32 of 37 patients had completion pneumonectomy for bronchogenic cancer.
- Perioperative mortality was 10.8% (4 patients), with bleeding being a major concern (51% >1000 mL blood loss).
- Nonfatal complications occurred in 24% of patients, including hemothorax and empyema.
Conclusions:
- Completion pneumonectomy is associated with substantial perioperative risks, particularly bleeding and infectious complications.
- Despite risks, it can be a viable option for selected patients with lung cancer requiring further resection.