Clinical analysis of completion pneumonectomy; report of 11 cases

Completion pneumonectomy의 임상적 고찰;11례 임상보고

  • Hur, Yong (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Park, Jae-Hong (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Moon, Joon-Ho (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Cha, Kyong-Tae (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Ahn, Wook-Soo (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Kim, Byung-Yul (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Lee, Jung-Ho (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
  • Yu, Hoe-Sung (Department of Thoracic & cardiovascular Surgery, National Medical Center)
  • 허용 (국립의료원 흉부외과) ;
  • 박재홍 (국립의료원 흉부외과) ;
  • 문준호 (국립의료원 흉부외과) ;
  • 차경태 (국립의료원 흉부외과) ;
  • 안욱수 (국립의료원 흉부외과) ;
  • 김병열 (국립의료원 흉부외과) ;
  • 이정호 (국립의료원 흉부외과) ;
  • 유회성 (국립의료원 흉부외과)
  • Published : 1993.11.01

Abstract

Among elevn consecutive cases having undergone Completion Pueumonectomy[CP]between 1958 and Aug. 1993 at the Dep. of Thoracic & Cardiovascular Surgery in National Medical Center. The patient`s mean age was 43 years[range 28 yrs, to 68yrs.],& they consisted with 10 males and 1 female. The indications for CP were benign diseases in 9 cases & 2 cases of lung cancer. The mean interval between the first operation & CP was 62.3 months[from 17 days to 288 months]. The several special intraoperative procedures such as intrapericardial pulmonary vesselsdivision & suture ligation, reinforcement of bronchial stumpmargin, & applied the Fibrin glue & hemostatics. The mean intra operative bleeding was 3582ml.[1500ml. to 6500ml.] The post orerative complication were developed in 5 cases[45.5%] they were empyema with BPF in 2 cases, empyema in 2 cases, & 1 case of repiratoy insufficiency which leading to death. We concluded that the C P noted high morbidity & mortality compared with ordinary first pulmonary resectional surgery. But, it will be a challenge to improved the morbidity because of increasing trend of completion pneumonectomy in a furture time.

Keywords

References

  1. Ann Thorac Surg v.46 Indications for Compiction Pneumonectomy Jean,D.
  2. J Thorac Cardiovasc Surg v.105 Indications, Risksn, and results of completion pneumonectomy Jocelyn,G.;Jean,D.G.;Jacques,R.
  3. Ann Thorac Surg v.53 Complection pneumonectomy after bronchial sleeve resection : Incidence, Indications, and Results Paul,E.S.;Abart,B.R.;Paul,J.K.;Henry,A.S.;Jo,J.D.;Jules,M.B.
  4. Ann Thorac Surg v.46 Completion peumonectomy : Indications, Complications and Results Ellis,M.M.;Victor,F.T.;Peter,C.P.;Spenceer,W.P.
  5. 日胸外會誌 v.38 Completion pneumonectomy (A review of 29 cases) Oizumi,H.;Naruke,T.;Watanabe,H.(et al.)
  6. Scand J Thora Cardiovasc Surg v.18 Reoperation for recurrent brourrent bronchogenic carcinoma Ole,S.N.;Janne,B.;Svend,B.
  7. J Thorac Cardiovasc Surg v.41 Second primary bronchogenic carcinoma Yvon,L.G.;Walter,C.B.
  8. 胸部外科 v.43 A case of ccompletion pneumonectomy of adenoid cystic carcinoma which recurred 10 years after sleeve lobectomy Watanabe,S.(et al.)
  9. J Thorac Cardiovasc Surg v.88 Survival following resection for second and third primary lung cancers Douglas,J.M.;Robert,J.J.;Penfield,F.;Frederick,C.K.
  10. J Thorac Cardiovasc Surg v.82 Survival following resection for second primary bronchogenic carcinoma Robert,J.J.;Penfield,F.;Frederick,C.K.;Ronald,L.M.
  11. Thorax v.35 Reoperation for bronchial carcinoma Gablerr,A.;Liedig,S.
  12. J Thorac Cardiovasc Surg v.52 Reoperation for bronchogenic carcinoma Wilford,B.N.;Francis,M.W.;Richard,H.O.
  13. Surg Gynecol Obstet v.169 Managing the difficult pulmnary artery during completion pneumonetomy Kamal,A.M.;Richard,S.D.