Contralateral Pulmonary Resection after Pneumonectomy
- Author:
Ga Hee JEONG
1
;
Yong Soo CHOI
;
Yeong Jeong JEON
;
Junghee LEE
;
Seong Yong PARK
;
Jong Ho CHO
;
Hong Kwan KIM
;
Jhingook KIM
;
Young Mog SHIM
Author Information
- Publication Type:Clinical Research
- From: Journal of Chest Surgery 2024;57(2):145-151
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Contralateral pulmonary resection after pneumonectomy presents considerable challenges, and few reports in the literature have described this procedure.
Methods:We retrospectively reviewed the medical records of all patients who underwent contralateral lung resection following pneumonectomy for any reason at our institution between November 1994 and December 2020.
Results:Thirteen patients (9 men and 4 women) were included in this study. The median age was 57 years (range, 35–77 years), and the median preoperative forced expiratory volume in 1 second was 1.64 L (range, 1.17–2.12 L). Contralateral pulmonary resection was performed at a median interval of 44 months after pneumonectomy (range, 6–564 months). Surgical procedures varied among the patients: 10 underwent single wedge resection, 2 were treated with double wedge resection, and 1 underwent lobectomy. Diagnoses at the time of contralateral lung resection included lung cancer in 7 patients, lung metastasis from other cancers in 3 patients, and tuberculosis in 3 patients. Complications were observed in 4 patients (36%), including acute kidney injury, pneumothorax following chest tube removal, pneumonia, and prolonged air leak. No cases of operative mortality were noted.
Conclusion:In carefully selected patients, contralateral pulmonary resection after pneumonectomy can be accomplished with acceptable operative morbidity and mortality.
