Factors Affecting Postoperative Complication in Pneumonectomy for Chronic Complicated Inflammatory Lung Disease / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 73-78, 2000.
Article
Dans Coréen
| WPRIM
| ID: wpr-45759
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 ANDMETHOD:
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pneumonectomie
/
Complications postopératoires
/
Prévalence
/
Facteurs de risque
/
Mortalité
/
Empyème
/
Poumon
/
Maladies pulmonaires
Type d'étude:
Etude d'étiologie
/
Étude de prévalence
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2000
Type:
Article
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