Factors Affecting Postoperative Complication in Pneumonectomy for Chronic Complicated Inflammatory Lung Disease.
- Author:
Pil Jo CHOI
1
;
Chong Su WOO
Author Information
1. Departmt of Thoracic and Cardiovasculat Surgery, Dong-A medical college, Dong-A University.
- Publication Type:Original Article
- Keywords:
Pneumonectomy;
lung disease;
Risk factor;
Infection
- MeSH:
Empyema;
Humans;
Lung Diseases*;
Lung*;
Mortality;
Pneumonectomy*;
Postoperative Complications*;
Prevalence;
Risk Factors
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2000;33(1):73-78
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: this study was designed to estimate whether specific risk factors could increase the postoperative complication rate of pneumonectomy for chronic complicated inflammatory lung disease. MATERIAL AND METHOD: Eighty-five patients underwent pneumonectomy for chronic complicated inflammatory lung disease(tuberculosis, 67 ; bronchiecasis 11; aspergiolosis, 4; others, 3) between January 1991 and August 1998. We performed a univariated statistical analysis to identify preoperative and intraoperative risk factors associated with postoperative complications, RESULT: There was no operative mortality. There were a total of 18 postoperative complications(22.2%) Bronchopleural fistula(BPF) and empyema occurred in 5(5.9%) and 2(2.4%) respectively. General complication rate was significantly higher in patients with right-sided pneumonectomy(p=.029) extrapleural pneumonectomy(p=.009) and intraoperative pleural spillage due to cavity or lesion perforation (p=.004). The prevalence of BPF and empyema was higher in patients with right sided pneumonectomy(p=.007) extrapleural pneumonectomy(p=.015) and intraoperative pleural spillage due to cavity or lesion perforation(p=.003) which is as the same results as general complication rate. CONCLUSIONS: The postoperative complication rate of pneumonectomy for chronic complicated lung disease is accptably low. But it is increase in patients with right sided pneumonectomy extrapleural pneumonectomy and intraoperative pleural spillage due to cavity or lesion perforation. therefore more careful and meticulous intra-operatve management are needed in right sided extrapleural pneumonectomy without intra-pleural spillage.
