Browse > Article

Prognostic Factors Affecting Postoperative Morbidity and Mortality in Destroyed Lung  

홍기표 (국민건강보험공단 일산병원 흉부외과)
정경영 (연세대학교 의과대학 흉부외과학 교실)
이진구 (연세대학교 의과대학 흉부외과학 교실)
강경훈 (국민건강보험공단 일산병원 흉부외과)
강면식 (국민건강보험공단 일산병원 흉부외과)
Publication Information
Journal of Chest Surgery / v.35, no.5, 2002 , pp. 387-391 More about this Journal
Abstract
Background: Postoperative morbidity and mortality in destroyed lung are relatively high. We tried to identify the prognostic factors affecting postoperative morbidity and mortality in destroyed lung through a retrospective study. Material and method: The retrospective study was undertaken in 112 patients who had undergone pneumonectomy or pleuropneumonectomy for destroyed lung at Severance Hospital from 1970 to 2000. We analyzed the correlation between postoperative morbidity and mortality and etiology, duration of disease, preoperative FEV1, presence or absence of peroperative empyema, operation timing, the side of operation, duration of operation, and operation type. Result: There were 55 men and 57 women, aged 20 to 81 years (mean 44 years). Etiologic diseases were tuberculosis in 86 patients(76.8%) including tuberculos empyema in 20 and tuberculous bronchiectasis in 4, pyogenic empyema in 12(10,7%), bronchiectasis in 12(10.7%), and lung abscess in 2(1.8%). Postoperative morbidity were 25%(n=28) and postoperative mortality was 6%(n=7). The presence of preoperative empyema(p=0.016), pleuropneumonectomy(p=0.037) and preoperative FEV1 of less than 1.75 L(P=0.048) significantly increased the postoperative morbidity, If operation time was less than 300min, postoperative morbidity(p=0.002) and mortality(p=0.03) were significantly low. Conclusion: Postoperative morbidity and mortality in destroyed lung were acceptable. Postoperative morbidity and mortality were significantly low when operation time was less than 300 min. Preoperative existence of empyema, pleuropneumonectomy and preoperative FEV1 of less than 1.75 L significantly increased postoperative morbidity.
Keywords
Tuberculosis; Pneumonectomy; Morbidity;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Pneumonectomy through an empyema /
[ Odell JA;Henderson BJ ] / J Thorac Cardiovasc Surg
2 Prospective Analysis of pneumonectomy: risk factors for major morbidity and cardiac dysrhythmias /
[ Harpole DH Jr;Liptay MJ;Decamp MM Jr;Mentzer SJ;Swanson SJ;Sugarbaker DJ ] / Ann Thorac Surg   DOI   ScienceOn
3 Factors affecting postoperative morbidity and mortality in destroyed lung /
[ Halezeroglu S;Keles M;Uysal A(et al.) ] / Ann Thorac Surg   DOI   ScienceOn
4 Elective pneumonectomy for benign lung disease: modern-day mortality and morbidity /
[ Conlan AA;Lukanich JM;Shutz J;Hurwitz SS ] / J Thorac Cardiovasc Surg   DOI   ScienceOn
5 Pleuropulmonary resection in chronic empyema complicated by bronchopleural fistula /
[ Jiaan D;Tinghaui X ] / Cluin Med J
6 Unilateral posttuberculous lung destruction: The left bronchus syndrome /
[ Ashour M;Pandya L;Meraqii A(et al.) ] / Thorax   DOI   ScienceOn
7 전폐절세술에 있어서 수술위험인자의 평가 /
[ 정경영;김길동 ] / 대흉외지   과학기술학회마을
8 Pneumonectomy for chronic infection is a high-risk procedure /
[ Massard G;Dabbagh A;Wihlm JM(et al.) ] / Ann Thorac Surg   DOI   ScienceOn
9 결핵성 파괴폐의 수술적 치료에 대한 술후 이환률과 사망률에 영향을 미치는 위험 인자에 대한 임상고찰 /
[ 신성호;정원상;지행옥;강성호;김영학;김혁 ] / 대흉외지   과학기술학회마을
10 Pneumonectomy for inflammatory lung disease /
[ Blyth DF ] / Eur J Cardiothorac Surg   DOI   ScienceOn
11 Pneumonectomy for chronic infection: fraught with danger? /
[ Reed CE ] / Ann Thorac Surg   DOI   ScienceOn
12 Modern-day operative mortality for surgical resection in lung cancer /
[ Ginsberg RJ;Hill LD;Eagan RT(et al.) ] / J Thorac Cardiovasc Surg
13 Analysis of risk factors in bronchopleural fistula after pulmonary resection for primary lung cancer /
[ Sonobe M;Nakagawa M;Ichinose M;Ikegami N;Nagasawa M;Shindo T ] / Eur J Cardiothorac Surg   DOI   ScienceOn
14 Pneumonectomy for severe inflammatory lung disease: results in sixty-four consecutive cases /
[ Stevens MS;Devillers SJ;Stanton JJ;Steyn FJS ] / Eur J Cardiothorac Surg   DOI   ScienceOn
15 Elective pneumonectomy: factors associated with morbidity and operative mortality /
[ Patel RL;Townsend ER;Fountain WS ] / Ann Thorac Surg   DOI   ScienceOn
16 Pulmonary tuberculosis /
[ Pomerantz M;Scannell JG;Ginsberg RJ;Pulmonary tuberculosis;Pearson FG(ed.);Deslauriers J(ed.);Ginsberg RJ(ed.);Hiebert CA(ed.);Mckneally MF(ed.);Urschel HC Jr(ed.) ] / Thoracic surgery
17 Pneumonectomy for tuberculosis /
[ Ashour M ] / Eur J Cardio thorac Surg   DOI   ScienceOn