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Completion Pneumonectomy in Benign Pulmonary Diseases

Year 2011, Volume: 3 Issue: 1, 15 - 20, 01.04.2011

Abstract

Objective: It is certain that surgical management in an infectious disease unavoidable come up with pre and postoperative complications. We aimed to investigate completion pneumonectomies due to benign pulmonary diseases according to indications, complications and overall postoperative outcomes. Methods: The medical records of 27 patients who were underwent completion pneumonectomy in 16 years period were retrospectively analyzed. The primary etiology of those patients was benign pulmonary diseases in 23 patients. Among that group of patients', the etiology, operative techniques and complications were analyzed. Results: The indications for completion pneumonectomies in 23 benign pulmonary disease were; bronchiectasis in 14, tuberculosis in 5, bronchopleural fistula in 2 and parenchymal necrosis in 2 patients. Bronchopleural fistula and empyema occurred in 6 of the patients. No statistical difference was found between tuberculosis, lateralization the disease, and stump coverage in order to create bronchopleural fistula. Thirty day operative mortality was 8.69% 2/23 . Mortality rate was statistically higher in patients with bronchopleural fistula p

References

  • 1) Mc Govern EM, Trastek VF, Pairolero PC, Payne S.: Completion pneumonectomy: Indications, complications, and results. Ann Thorac Surg 1988;46:141-146.
  • 2) Deslauriers J. Indications for completion pneumonectomy. Ann Thorac Surg 1988;46:133.
  • 3) Conlan AA, Lukanich JM, Shutz J, Hurwitz SS.: Elective pneumonectomy for benign lung disease: modernday mortality and morbidity. J Thorac Cardiovasc Surg 1995;110:1118-1124.
  • 4) Miller DL, Deschamps C, Jenkins GD, et al.: Completion pneumonectomy: factors affecting operative mortality and cardiopulmonary morbidity. Ann Thorac Surg. 2002;74:876-884.
  • 5) Guidelines on the selection of patients with lung cancer for surgery. Thorax 2001;56:89-108.
  • 6) Jungraithmayr W, Hasse J, Olschewski M, Stoelben E.: Indications and results of completion pneumonectomy. Eur J Cardiothorac Surg 2004;26:189-196.
  • 7) Verhagen AF, Lacquet LK.: Completion pneumonectomy: a retrospective analysis of indications and results. Eur J Cardiothorac Surg 1996;10:238-241.
  • 8) Shiraishi Y, Katsuragi N, Kurai M, Takahashi N.: Extrapleural completion pneumonectomy combined with chest wall resetion for complex aspergilloma. Kyobu Geka 2004;57:1039-1042.
  • 9) Nishimura Y, Fukai S, Hashizume T.: An operative approach of extrapleural pneumonectomy. Kyobu Geka 2004;57:1043-1049.
  • 10) Massard G, Lyons G, Wihlm JM, Fernoux P, et al.: Early and long term results after completion pneumonectomy Ann Thorac Surg 1995;59:196-200.
  • 11) Muysoms FE, de la Riviere AB, Defauw JJ et al.: Completion pneumonectomy: analysis of operative mortality and survival. Ann Thorac 1998;66:1165-1169.
  • 12) Fujimoto T, Zaboura G, Fechner S, Hillejan L, Schoder T, Marra A, et al.: Completion pneumonectomy: current indications, complications and results. J Thorac Cardiovasc Surg 2001;121:484-490.
  • 13) Al-kattan K, Goldstraw P.: Completion pneumonectomy: indications and outcome. J Thorac Cardiovasc Surg 1995;110:1225-1229.
  • 14) Pomerantz M, Madsen L, gobble M, Iseman M.: Surgical management of resistant mycobacterial pulmonary infections. Ann Thorac Surg 1991;52:1108-1112.
  • 15) Guggino G, Doddoli C, Barlesi F, Acri P, Giudicelli R.: Completion pneumonectomy in cancer patients: experience with 55 cases. Eur J Cardiothorac Surg 2004;25:449-455.
  • 16) Asamura H, Naruke T, Tsuchiya R, Goya T, Kondo H, et al.: Bronchopleural fistulas associated with lung cancer operations. Univariate and multivariate analysis of risk factors, management, and outcome. J Thorac Cardiovasc Surg 1992;104:1456-1464.
  • 17) Reed CE.: Pneumonectomy for chronic infection: fraught with danger? Ann Thorac Surg 1995;59:408-411.
  • 18) Klepetko W, Taghavi S, Pereszlenyi A, Birsan T.: Impact of different coverage techniques on incidence of postpneumonectomy stump fistula. Eur J Cardiovasc Surg 1999;15:758-763.
  • 19) Maniwa T, Saito Y, Kaneda H, Imamura H.: Bronchial stump reinforcement with the intercostal muscle flap without adverse effects. Eur J Cardiovasc Surg 2006;30:652-656.
  • 20) Ginsberg RJ, Hill LD, Eagen RT, et al.: Modern thirty day operative mortality for surgical resections in lung cancer. J Thorac Cardiovasc Surg 1982;86:654-658.
  • 21) Kıral H, Koşar A, Örki A, Temurtürkan K, Ürek Ş, ve ark.: Tamamlayıcı Pnömonektomiler: Endikasyonları, Komplikasyonları ve Sonuçları. Tuberk Toraks 2004; 52: 56-62.

Benign Akciğer Hastalıklarında Tamamlama Pnömonektomileri

Year 2011, Volume: 3 Issue: 1, 15 - 20, 01.04.2011

Abstract

Amaç: Benign akciğer hastalıklarında cerrahi müdahale peroperatif ve postoperatif komplikasyonları da beraberinde getirmektedir. Çalışmanın amacı, bu grup hastalarda uygulanmış tamamlama pnömonektomilerinin; endikasyon, komplikasyon ve postoperatif sonuçlarını incelemektir. Yöntemler: 16 yıllık bir süreçte benign akciğer hastalığı nedeniyle tamamlama pnömonektomisi gerektiren toplam 27 hasta geriye dönük incelendi. Benign etiyoloji nedeniyle 23 hastada tamamlama pnömonektomisi uygulandı. Bu hasta grubunda etiyoloji, ameliyat tekniği ve komplikasyonları etkileyen faktörler araştırıldı. Bulgular: Tamamlayıcı pnömonektomi endikasyonları; 23 hastada benign bronşektazi:14, tüberküloz:5, bronkoplevral fistül:2, akciğer nekrozu:2 hastalıklar idi. Ameliyat sonrası bronkoplevral fistül ve ampiyem 6 olguda gelişti. Bronkoplevral fistül gelişimi açısından; tüberküloz, sağ/sol farkı ve güdük kapama teknikleri arasında istatistiksel bir fark tespit edilemedi. Otuz günlük operatif mortalite %8.69 2/23 idi. Mortalite görülen olgularda BPF oranı anlamlı düzeyde yüksek bulundu p

References

  • 1) Mc Govern EM, Trastek VF, Pairolero PC, Payne S.: Completion pneumonectomy: Indications, complications, and results. Ann Thorac Surg 1988;46:141-146.
  • 2) Deslauriers J. Indications for completion pneumonectomy. Ann Thorac Surg 1988;46:133.
  • 3) Conlan AA, Lukanich JM, Shutz J, Hurwitz SS.: Elective pneumonectomy for benign lung disease: modernday mortality and morbidity. J Thorac Cardiovasc Surg 1995;110:1118-1124.
  • 4) Miller DL, Deschamps C, Jenkins GD, et al.: Completion pneumonectomy: factors affecting operative mortality and cardiopulmonary morbidity. Ann Thorac Surg. 2002;74:876-884.
  • 5) Guidelines on the selection of patients with lung cancer for surgery. Thorax 2001;56:89-108.
  • 6) Jungraithmayr W, Hasse J, Olschewski M, Stoelben E.: Indications and results of completion pneumonectomy. Eur J Cardiothorac Surg 2004;26:189-196.
  • 7) Verhagen AF, Lacquet LK.: Completion pneumonectomy: a retrospective analysis of indications and results. Eur J Cardiothorac Surg 1996;10:238-241.
  • 8) Shiraishi Y, Katsuragi N, Kurai M, Takahashi N.: Extrapleural completion pneumonectomy combined with chest wall resetion for complex aspergilloma. Kyobu Geka 2004;57:1039-1042.
  • 9) Nishimura Y, Fukai S, Hashizume T.: An operative approach of extrapleural pneumonectomy. Kyobu Geka 2004;57:1043-1049.
  • 10) Massard G, Lyons G, Wihlm JM, Fernoux P, et al.: Early and long term results after completion pneumonectomy Ann Thorac Surg 1995;59:196-200.
  • 11) Muysoms FE, de la Riviere AB, Defauw JJ et al.: Completion pneumonectomy: analysis of operative mortality and survival. Ann Thorac 1998;66:1165-1169.
  • 12) Fujimoto T, Zaboura G, Fechner S, Hillejan L, Schoder T, Marra A, et al.: Completion pneumonectomy: current indications, complications and results. J Thorac Cardiovasc Surg 2001;121:484-490.
  • 13) Al-kattan K, Goldstraw P.: Completion pneumonectomy: indications and outcome. J Thorac Cardiovasc Surg 1995;110:1225-1229.
  • 14) Pomerantz M, Madsen L, gobble M, Iseman M.: Surgical management of resistant mycobacterial pulmonary infections. Ann Thorac Surg 1991;52:1108-1112.
  • 15) Guggino G, Doddoli C, Barlesi F, Acri P, Giudicelli R.: Completion pneumonectomy in cancer patients: experience with 55 cases. Eur J Cardiothorac Surg 2004;25:449-455.
  • 16) Asamura H, Naruke T, Tsuchiya R, Goya T, Kondo H, et al.: Bronchopleural fistulas associated with lung cancer operations. Univariate and multivariate analysis of risk factors, management, and outcome. J Thorac Cardiovasc Surg 1992;104:1456-1464.
  • 17) Reed CE.: Pneumonectomy for chronic infection: fraught with danger? Ann Thorac Surg 1995;59:408-411.
  • 18) Klepetko W, Taghavi S, Pereszlenyi A, Birsan T.: Impact of different coverage techniques on incidence of postpneumonectomy stump fistula. Eur J Cardiovasc Surg 1999;15:758-763.
  • 19) Maniwa T, Saito Y, Kaneda H, Imamura H.: Bronchial stump reinforcement with the intercostal muscle flap without adverse effects. Eur J Cardiovasc Surg 2006;30:652-656.
  • 20) Ginsberg RJ, Hill LD, Eagen RT, et al.: Modern thirty day operative mortality for surgical resections in lung cancer. J Thorac Cardiovasc Surg 1982;86:654-658.
  • 21) Kıral H, Koşar A, Örki A, Temurtürkan K, Ürek Ş, ve ark.: Tamamlayıcı Pnömonektomiler: Endikasyonları, Komplikasyonları ve Sonuçları. Tuberk Toraks 2004; 52: 56-62.
There are 21 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Çağatay Tezel This is me

Hakan Kıral This is me

Altuğ Koşar This is me

Alpay Örki This is me

Şenol Ürek This is me

Murat Keleş This is me

Bülent Arman This is me

Publication Date April 1, 2011
Published in Issue Year 2011 Volume: 3 Issue: 1

Cite

Vancouver Tezel Ç, Kıral H, Koşar A, Örki A, Ürek Ş, Keleş M, Arman B. Benign Akciğer Hastalıklarında Tamamlama Pnömonektomileri. Maltepe tıp derg. 2011;3(1):15-20.