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Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients

INTRODUCTION: The mortality of massive hemoptysis is high, and it is important to make quick decisions. Emergency pulmonary resection continues to be a mandatory option when conservative methods cannot prevent massive hemoptysis, as it is life-threatening. AIM: We report our experience with patients...

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Autores principales: Yazgan, Serkan, Ucvet, Ahmet, Ceylan, Kenan Can, Heskiloglu, Canberk, Yoldas, Banu, Sevinc, Serpil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8768852/
https://www.ncbi.nlm.nih.gov/pubmed/35079260
http://dx.doi.org/10.5114/kitp.2021.112185
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author Yazgan, Serkan
Ucvet, Ahmet
Ceylan, Kenan Can
Heskiloglu, Canberk
Yoldas, Banu
Sevinc, Serpil
author_facet Yazgan, Serkan
Ucvet, Ahmet
Ceylan, Kenan Can
Heskiloglu, Canberk
Yoldas, Banu
Sevinc, Serpil
author_sort Yazgan, Serkan
collection PubMed
description INTRODUCTION: The mortality of massive hemoptysis is high, and it is important to make quick decisions. Emergency pulmonary resection continues to be a mandatory option when conservative methods cannot prevent massive hemoptysis, as it is life-threatening. AIM: We report our experience with patients undergoing pulmonary resection for massive hemoptysis. MATERIAL AND METHODS: This study is a retrospective analysis of 39 consecutive patients who were referred to the thoracic surgery intensive care unit of a tertiary hospital for massive hemoptysis and underwent emergency pulmonary resection by thoracotomy between January 2007 and March 2021. RESULTS: Male dominance with an average age of 49.3 (16–70) and a gender ratio of 3.3 were recorded. The most common underlying cause of massive hemoptysis was bronchiectasis (n = 16). Bronchiectasis was followed by aspergilloma (n = 11) and previous tuberculosis (n = 8). Bronchial artery embolization was performed in 20.5% of patients. Twenty-nine (74.4%) lobectomies, 7 (17.9%) pneumonectomies, and 3 (7.7%) segmentectomies were performed. The mean operation duration was 253.6 ±71 minutes. Recurrent hemoptysis was recorded in 7.7% of patients. Postoperative life-threatening complications were seen in 28.2%, while minor complications developed in 28.2% of patients. Postoperative complications were significantly higher in patients with tuberculosis sequelae (p = 0.006). Hospital mortality was observed in 5.1% of patients. CONCLUSIONS: The postoperative period is more problematic in patients with a history of tuberculosis who undergo emergency pulmonary resection due to massive hemoptysis. Despite this, emergency pulmonary resection is a curative method with acceptable postoperative complications and low hospital mortality in all tolerant patients according to their clinical condition.
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spelling pubmed-87688522022-01-24 Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients Yazgan, Serkan Ucvet, Ahmet Ceylan, Kenan Can Heskiloglu, Canberk Yoldas, Banu Sevinc, Serpil Kardiochir Torakochirurgia Pol Original Paper INTRODUCTION: The mortality of massive hemoptysis is high, and it is important to make quick decisions. Emergency pulmonary resection continues to be a mandatory option when conservative methods cannot prevent massive hemoptysis, as it is life-threatening. AIM: We report our experience with patients undergoing pulmonary resection for massive hemoptysis. MATERIAL AND METHODS: This study is a retrospective analysis of 39 consecutive patients who were referred to the thoracic surgery intensive care unit of a tertiary hospital for massive hemoptysis and underwent emergency pulmonary resection by thoracotomy between January 2007 and March 2021. RESULTS: Male dominance with an average age of 49.3 (16–70) and a gender ratio of 3.3 were recorded. The most common underlying cause of massive hemoptysis was bronchiectasis (n = 16). Bronchiectasis was followed by aspergilloma (n = 11) and previous tuberculosis (n = 8). Bronchial artery embolization was performed in 20.5% of patients. Twenty-nine (74.4%) lobectomies, 7 (17.9%) pneumonectomies, and 3 (7.7%) segmentectomies were performed. The mean operation duration was 253.6 ±71 minutes. Recurrent hemoptysis was recorded in 7.7% of patients. Postoperative life-threatening complications were seen in 28.2%, while minor complications developed in 28.2% of patients. Postoperative complications were significantly higher in patients with tuberculosis sequelae (p = 0.006). Hospital mortality was observed in 5.1% of patients. CONCLUSIONS: The postoperative period is more problematic in patients with a history of tuberculosis who undergo emergency pulmonary resection due to massive hemoptysis. Despite this, emergency pulmonary resection is a curative method with acceptable postoperative complications and low hospital mortality in all tolerant patients according to their clinical condition. Termedia Publishing House 2022-01-09 2021-12 /pmc/articles/PMC8768852/ /pubmed/35079260 http://dx.doi.org/10.5114/kitp.2021.112185 Text en Copyright: © 2021 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Yazgan, Serkan
Ucvet, Ahmet
Ceylan, Kenan Can
Heskiloglu, Canberk
Yoldas, Banu
Sevinc, Serpil
Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
title Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
title_full Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
title_fullStr Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
title_full_unstemmed Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
title_short Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
title_sort emergency pulmonary resection in massive hemoptysis: analysis of 39 patients
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8768852/
https://www.ncbi.nlm.nih.gov/pubmed/35079260
http://dx.doi.org/10.5114/kitp.2021.112185
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