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Completion pneumonectomy for lung cancer treatment: early and long term outcomes
BACKGROUND: To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China. METHODS: From January 1988 to December 2007, 92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n = 51),...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3493293/ https://www.ncbi.nlm.nih.gov/pubmed/23046489 http://dx.doi.org/10.1186/1749-8090-7-107 |
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author | Zhang, Peng Jiang, Chao He, Wenxin Song, Nan Zhou, Xiao Jiang, Gening |
author_facet | Zhang, Peng Jiang, Chao He, Wenxin Song, Nan Zhou, Xiao Jiang, Gening |
author_sort | Zhang, Peng |
collection | PubMed |
description | BACKGROUND: To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China. METHODS: From January 1988 to December 2007, 92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n = 51), Local metastasis (n = 37) and Lung metastasis (n = 4). The median interval between the primary operation and CP was 24.4 months (1.5-145 m). RESULTS: There was no intraoperative deaths. The CP procedure lasted 4.3 h (1.5-8 h). Blood loss in the CP performance was 1854.5 ml (200-9100 ml) 9 (9.78%) patients died in the postoperative period: pulmonary embolism (n = 2), disseminated intravascular coagulation (DIC) after the multisystem failure (n = 1), respiratory failure after contralateral pneumonia (n = 5), bronchopleural fistula (BPF) with acute respiratory distress syndrome (ARDS) (n = 1) 31(33.7%) patients had at least one major nonfatal complication. The 1, 3 and 5 year survival rates were 81%, 26% and 14% respectively. CONCLUSIONS: Completion pneumonectomy for lung cancer is a safe surgical procedure for the skilled surgeon though it has a relatively higher complications and the long-term survival is acceptable. |
format | Online Article Text |
id | pubmed-3493293 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34932932012-11-09 Completion pneumonectomy for lung cancer treatment: early and long term outcomes Zhang, Peng Jiang, Chao He, Wenxin Song, Nan Zhou, Xiao Jiang, Gening J Cardiothorac Surg Research Article BACKGROUND: To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China. METHODS: From January 1988 to December 2007, 92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n = 51), Local metastasis (n = 37) and Lung metastasis (n = 4). The median interval between the primary operation and CP was 24.4 months (1.5-145 m). RESULTS: There was no intraoperative deaths. The CP procedure lasted 4.3 h (1.5-8 h). Blood loss in the CP performance was 1854.5 ml (200-9100 ml) 9 (9.78%) patients died in the postoperative period: pulmonary embolism (n = 2), disseminated intravascular coagulation (DIC) after the multisystem failure (n = 1), respiratory failure after contralateral pneumonia (n = 5), bronchopleural fistula (BPF) with acute respiratory distress syndrome (ARDS) (n = 1) 31(33.7%) patients had at least one major nonfatal complication. The 1, 3 and 5 year survival rates were 81%, 26% and 14% respectively. CONCLUSIONS: Completion pneumonectomy for lung cancer is a safe surgical procedure for the skilled surgeon though it has a relatively higher complications and the long-term survival is acceptable. BioMed Central 2012-10-09 /pmc/articles/PMC3493293/ /pubmed/23046489 http://dx.doi.org/10.1186/1749-8090-7-107 Text en Copyright ©2012 zhang et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Zhang, Peng Jiang, Chao He, Wenxin Song, Nan Zhou, Xiao Jiang, Gening Completion pneumonectomy for lung cancer treatment: early and long term outcomes |
title | Completion pneumonectomy for lung cancer treatment: early and long term outcomes |
title_full | Completion pneumonectomy for lung cancer treatment: early and long term outcomes |
title_fullStr | Completion pneumonectomy for lung cancer treatment: early and long term outcomes |
title_full_unstemmed | Completion pneumonectomy for lung cancer treatment: early and long term outcomes |
title_short | Completion pneumonectomy for lung cancer treatment: early and long term outcomes |
title_sort | completion pneumonectomy for lung cancer treatment: early and long term outcomes |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3493293/ https://www.ncbi.nlm.nih.gov/pubmed/23046489 http://dx.doi.org/10.1186/1749-8090-7-107 |
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