Title: Completion pneumonectomy for recurrent lung cancer (Report of 32 cases)
Abstract: Objective: To study the prognosis, complication related risk factors and corresponding strategies of completion pneumonectomy for recurrent lung cancer. Methods: Thirty-two patients with recurrent lung cancer underwent completion pneumonectomy. The 1,2,5-year survival rates were calculated by means of life table. T-mean comparison was executed to select the prominent risk factors due to different complication groups. Results: There were 17 cases of intrapericardial ligation of the pulmonary vessels, and 8 cases of extrapleural dissection. Blood loss during the operation was 400 to 8700 ml (averaging 1516 ml). Postoperative cardiovascular complications were seen in 12 cases (3 hypotension, 9 arrhythmia), bronchopleural fistula and stress related gastric ulcer was seen in 4 and 2 cases, respectively. The 1,2,5-year survival rates were 88.89%,72.80% and 18.45%. The risk factors for complications were age, operation time, preoperative MVV, and the existing shortness of breath or ECG abnormalities. Conclusions: Completion pneumonectomy is a relatively safe and effective method for recurrent lung cancer. Thoracic surgeons should assume an aggressive attitude toward completion pneumonectomy for recurrent lung cancer.
Publication Year: 2000
Publication Date: 2000-01-01
Language: en
Type: article
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