Contralateral Pulmonary Resection after Pneumonectomy
Background: Contralateral pulmonary resection after pneumonectomy presents considerable challenges, and few reports in the literature have described this procedure. Methods: We retrospectively reviewed the medical records of all patients who underwent contralateral lung resection following pneumo...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2024-03-01
|
| Series: | Journal of Chest Surgery |
| Subjects: |
| Summary: | Background: Contralateral pulmonary resection after pneumonectomy presents considerable
challenges, and few reports in the literature have described this procedure.
Methods: We retrospectively reviewed the medical records of all patients who underwent
contralateral lung resection following pneumonectomy for any reason at our institution
between November 1994 and December 2020.
Results: Thirteen patients (9 men and 4 women) were included in this study. The median
age was 57 years (range, 35–77 years), and the median preoperative forced expiratory
volume in 1 second was 1.64 L (range, 1.17–2.12 L). Contralateral pulmonary resection
was performed at a median interval of 44 months after pneumonectomy (range, 6–564
months). Surgical procedures varied among the patients: 10 underwent single wedge resection,
2 were treated with double wedge resection, and 1 underwent lobectomy. Diagnoses
at the time of contralateral lung resection included lung cancer in 7 patients, lung
metastasis from other cancers in 3 patients, and tuberculosis in 3 patients. Complications
were observed in 4 patients (36%), including acute kidney injury, pneumothorax following
chest tube removal, pneumonia, and prolonged air leak. No cases of operative mortality
were noted.
Conclusion: In carefully selected patients, contralateral pulmonary resection after pneumonectomy
can be accomplished with acceptable operative morbidity and mortality. |
|---|---|
| ISSN: | 2765-1606 2765-1614 |