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Current morbimortality and one-year survival after pneumonectomy for infectious diseases

OBJECTIVE: Identify the one-year survival rate and major complications in patients submitted to pneumonectomy for infectious disease. METHODS: Retrospective data from all cases of infectious disease pneumonectomy over the past 10 years were collected from two reference centers. The authors analyzed:...

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Autores principales: D'Ambrosio, Paula Duarte, Mariani, Alessandro Wasum, Júnior, Eserval Rocha, de Medeiros, Israel Lopes, Oliveira, Leonardo César Silva, Neto, Antero Gomes, Terra, Ricardo Mingarini, Pêgo-Fernandes, Paulo Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957743/
https://www.ncbi.nlm.nih.gov/pubmed/36805148
http://dx.doi.org/10.1016/j.clinsp.2023.100169
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author D'Ambrosio, Paula Duarte
Mariani, Alessandro Wasum
Júnior, Eserval Rocha
de Medeiros, Israel Lopes
Oliveira, Leonardo César Silva
Neto, Antero Gomes
Terra, Ricardo Mingarini
Pêgo-Fernandes, Paulo Manuel
author_facet D'Ambrosio, Paula Duarte
Mariani, Alessandro Wasum
Júnior, Eserval Rocha
de Medeiros, Israel Lopes
Oliveira, Leonardo César Silva
Neto, Antero Gomes
Terra, Ricardo Mingarini
Pêgo-Fernandes, Paulo Manuel
author_sort D'Ambrosio, Paula Duarte
collection PubMed
description OBJECTIVE: Identify the one-year survival rate and major complications in patients submitted to pneumonectomy for infectious disease. METHODS: Retrospective data from all cases of infectious disease pneumonectomy over the past 10 years were collected from two reference centers. The authors analyzed: patient demographics, etiology, laterality, bronchial stump treatment, presence of previous pulmonary resection, postoperative complications in the first 30 days, the treatment used in pleural complications, and one-year survival rate. RESULTS: 56 procedures were performed. The average age was 44 years, with female predominance (55%). 29 cases were operated on the left side (51%) and the most frequent etiology was post-tuberculosis (51.8%). The overall incidence of complications was 28.6% and the most common was empyema (19.2%). Among empyema cases, 36.3% required pleurostomy, 27.3% required pleuroscopy and 36.3% underwent thoracoplasty for treatment. Bronchial stump fistula was observed in 10.7% of cases. From all cases, 16.1% were completion pneumonectomies and 62.5% of these had some complication, a significantly higher incidence than patients without previous surgery (p = 0.0187). 30-day in-hospital mortality was (7.1%) with 52 cases (92.9%) and 1-year survival. The causes of death were massive postoperative bleeding (1 case) and sepsis (3 cases). CONCLUSIONS: Pneumonectomy for benign disease is a high-risk procedure performed for a variety of indications. While morbidity is often significant, once the perioperative risk has passed, the one-year survival rate can be very satisfying in selected patients with benign disease.
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spelling pubmed-99577432023-02-26 Current morbimortality and one-year survival after pneumonectomy for infectious diseases D'Ambrosio, Paula Duarte Mariani, Alessandro Wasum Júnior, Eserval Rocha de Medeiros, Israel Lopes Oliveira, Leonardo César Silva Neto, Antero Gomes Terra, Ricardo Mingarini Pêgo-Fernandes, Paulo Manuel Clinics (Sao Paulo) Original Articles OBJECTIVE: Identify the one-year survival rate and major complications in patients submitted to pneumonectomy for infectious disease. METHODS: Retrospective data from all cases of infectious disease pneumonectomy over the past 10 years were collected from two reference centers. The authors analyzed: patient demographics, etiology, laterality, bronchial stump treatment, presence of previous pulmonary resection, postoperative complications in the first 30 days, the treatment used in pleural complications, and one-year survival rate. RESULTS: 56 procedures were performed. The average age was 44 years, with female predominance (55%). 29 cases were operated on the left side (51%) and the most frequent etiology was post-tuberculosis (51.8%). The overall incidence of complications was 28.6% and the most common was empyema (19.2%). Among empyema cases, 36.3% required pleurostomy, 27.3% required pleuroscopy and 36.3% underwent thoracoplasty for treatment. Bronchial stump fistula was observed in 10.7% of cases. From all cases, 16.1% were completion pneumonectomies and 62.5% of these had some complication, a significantly higher incidence than patients without previous surgery (p = 0.0187). 30-day in-hospital mortality was (7.1%) with 52 cases (92.9%) and 1-year survival. The causes of death were massive postoperative bleeding (1 case) and sepsis (3 cases). CONCLUSIONS: Pneumonectomy for benign disease is a high-risk procedure performed for a variety of indications. While morbidity is often significant, once the perioperative risk has passed, the one-year survival rate can be very satisfying in selected patients with benign disease. Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo 2023-02-14 /pmc/articles/PMC9957743/ /pubmed/36805148 http://dx.doi.org/10.1016/j.clinsp.2023.100169 Text en © 2023 HCFMUSP. Published by Elsevier España, S.L.U. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Articles
D'Ambrosio, Paula Duarte
Mariani, Alessandro Wasum
Júnior, Eserval Rocha
de Medeiros, Israel Lopes
Oliveira, Leonardo César Silva
Neto, Antero Gomes
Terra, Ricardo Mingarini
Pêgo-Fernandes, Paulo Manuel
Current morbimortality and one-year survival after pneumonectomy for infectious diseases
title Current morbimortality and one-year survival after pneumonectomy for infectious diseases
title_full Current morbimortality and one-year survival after pneumonectomy for infectious diseases
title_fullStr Current morbimortality and one-year survival after pneumonectomy for infectious diseases
title_full_unstemmed Current morbimortality and one-year survival after pneumonectomy for infectious diseases
title_short Current morbimortality and one-year survival after pneumonectomy for infectious diseases
title_sort current morbimortality and one-year survival after pneumonectomy for infectious diseases
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957743/
https://www.ncbi.nlm.nih.gov/pubmed/36805148
http://dx.doi.org/10.1016/j.clinsp.2023.100169
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