Korean J Thorac Cardiovasc Surg.  2000 Jan;33(1):73-78.

Factors Affecting Postoperative Complication in Pneumonectomy for Chronic Complicated Inflammatory Lung Disease

• Choi PJ
• Woo CS

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 AND METHOD: 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.

Keyword

Pneumonectomy; lung disease; Risk factor; Infection

MeSH Terms

Empyema
Humans
Lung Diseases*
Lung*
Mortality
Pneumonectomy*
Postoperative Complications*
Prevalence
Risk Factors