Objective To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China.Methods From January 1988 to December 2007,92 patients underwent completion pneumonectomy for the treatm...Objective To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China.Methods From January 1988 to December 2007,92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n=51),Local recurrence (n=37) and Lung metastasis (n=4).The median interval between the primary operation and completion pneumonectomy was 24 months ( 2~145 months ).Results There was no intraoperative deaths. The median duration of the surgical procedure was 4 hours and 18 minutes (2~6 hours). Blood loss in this performance was 1 854.5 ml (200~9 100 ml). Nine (9.78%) patients died in the postoperative period:pulmonary embolism(n=2) ,diffuse intravascular clotting(DIC) after multisystem failure (n=1) ,respiratory failure after contralateral pneumonia(n=5),and bronchopleural fistula(BPF) with acute respiratory distress syndrome( ARDS) (n=1). Thirty-one(33.7%) patients had at least one major nonfatal complication.1,3 and 5 year survival rates were 81%,26% and 14%,respectively.Conclusion Completion pneumonectomy for lung cancer is a safe surgical procedure for skilled surgeon though it has relatively more complications.展开更多
文摘Objective To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China.Methods From January 1988 to December 2007,92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n=51),Local recurrence (n=37) and Lung metastasis (n=4).The median interval between the primary operation and completion pneumonectomy was 24 months ( 2~145 months ).Results There was no intraoperative deaths. The median duration of the surgical procedure was 4 hours and 18 minutes (2~6 hours). Blood loss in this performance was 1 854.5 ml (200~9 100 ml). Nine (9.78%) patients died in the postoperative period:pulmonary embolism(n=2) ,diffuse intravascular clotting(DIC) after multisystem failure (n=1) ,respiratory failure after contralateral pneumonia(n=5),and bronchopleural fistula(BPF) with acute respiratory distress syndrome( ARDS) (n=1). Thirty-one(33.7%) patients had at least one major nonfatal complication.1,3 and 5 year survival rates were 81%,26% and 14%,respectively.Conclusion Completion pneumonectomy for lung cancer is a safe surgical procedure for skilled surgeon though it has relatively more complications.
