Details

Autor(en) / Beteiligte

• Recuero Díaz, José Luis
• Rivas de Andrés, Juan José
• Embún Flor, Raúl
• Royo Crespo, Íñigo
• Ramírez Gil, Elena

Titel

Outcomes of pulmonary resection in single-lung patients

Ist Teil von

• Cirugia Española, 2015-11, Vol.93 (9), p.589-593

Ort / Verlag

Spain

Erscheinungsjahr

2015

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals

Beschreibungen/Notizen

• After pneumonectomy, the development of a new lung cancer or a recurrence in the residual lung is a challenge. Surgery often is considered contraindicated. The goal of our study is to assess the morbidity and mortality of lung resection on a single lung. All patients who underwent lung resection after pneumonectomy from January 1996 through December 2012 were reviewed. There were 12 patients (10 men and 2 women). Mean age was 71 years (range, 54-81 years). Mean preoperative FEV1 was 1,470 ml (52%) and preoperative FVC 2,153 ml (61,5%). Subsequent pulmonary resection was performed after a median follow-up of 34,5 months. Wedge resection was performed in all patients. Diagnosis was pulmonary mestastatic lung cancer in 2 patients, metachronous lung cancer in 6, metastatic extrathoracic cancer in 3 and benign nodule in one. Complications occurred in 4 patients (33,4%) while operative mortality was nil. Lung resection on a single lung is a safe procedure associated with acceptable morbidity and mortality. Careful patient selection is very important.