MORTALITY AND PERIOPERATIVE COMPLICATION RATES FOLLOWING PNEUMONECTOMY FOR BENIGN LUNG DISEASES

Hồng Tùng Nguyễn1, , Võ Anh Tú Nguyễn1, Thanh Hiền Nguyễn1, Thanh Thiết Trương1
1 Bệnh viện Phạm Ngọc Thạch

Main Article Content

Abstract

Objective: To determine the mortality and perioperative complication rates following pneumonectomy for benign lung diseases at Pham Ngoc Thach Hospital, Ho Chi Minh City.

Materials and Methods: A retrospective case series study based on medical records from January 1, 2019, to December 31, 2023.

Results: A total of 33 patients met the study criteria. The mean age was 35.7 years, with females comprising the majority (63.6%). Regarding patient history, posttuberculosis sequelae were the most common (78.8%). Left pneumonectomy was performed in 72.7% of cases. The main thoracotomy approaches were posterolateral (87.9%) and anterolateral (12.1%). The average surgery duration was 161 minutes, and the mean intraoperative blood loss was 374 ml. Perioperative complications occurred in 16 patients (48.5%).

Conclusion: Despite a relatively high overall complication rate, the rates of severe complications and mortality were low

Article Details

References

Conlan and Kopec (1999). Indications for pneumonectomy. Pneumonectomy for benign disease. Chest Surg Clin N Am, 9(2),311-26.
Conlan, Lukanich, Shutz and Hurwitz (1995). Elective pneumonectomy for benign lung disease: modern-day mortality and morbidity. J Thorac Cardiovasc Surg, 110(4 Pt 1),1118-24.
Kosif Mısırlıoğlu, Bayram, Kıral, Çoban Ağca, Tokgöz Akyıl, Alpay, Baysungur and Yalçınkaya (2018). Factors affecting complication rates of pneumonectomy in destroyed lung. Turk Gogus Kalp Damar Cerrahisi Derg, 26(2),272-278.
Yang, Ding, Chang, Li, Zhang and Wang (2015). Analysis of Pneumonectomy for Benign Disease: A Single Institution Retrospective Study on 59 Patients. Ann Thorac Cardiovasc Surg, 21(5),440-5.
Kato, Kakizaki, Hangai, Sawafuji, Yamamoto, Kobayashi, Watanabe, Nakayama, Kawamura, Kikuchi and et al. (1993). Bronchoplastic procedures for tuberculous bronchial stenosis. J Thorac Cardiovasc Surg, 106(6),1118-21.
Powell, Pearce, Cook, Davies, Bishay, Bowler and Gao (2009). UK pneumonectomy outcome study (UKPOS): a prospective observational study of pneumonectomy outcome. J Cardiothorac Surg, 4(41.
Hu, Duan, Jiang, Wang, Liu and Chen (2013). Risk factors for early postoperative complications after pneumonectomy for benign lung disease. Ann Thorac Surg, 95(6),1899-904.
Owen, Force, Pickens, Mansour, Miller and Fernandez (2013). Pneumonectomy for benign disease: analysis of the early and late outcomes. Eur J Cardiothorac Surg, 43(2),312-7.