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: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2024-03-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| _version_ | 1827330067437453312 |
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| author | Ga Hee Jeong Yong Soo Choi Yeong Jeong Jeon Junghee Lee Seong Yong Park Jong Ho Cho Hong Kwan Kim Jhingook Kim Young Mog Shim |
| author_facet | Ga Hee Jeong Yong Soo Choi Yeong Jeong Jeon Junghee Lee Seong Yong Park Jong Ho Cho Hong Kwan Kim Jhingook Kim Young Mog Shim |
| author_sort | Ga Hee Jeong |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-07T15:51:24Z |
| format | Article |
| id | doaj.art-74673296b7894e0885cbf84f6a2c1641 |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-03-07T15:51:24Z |
| publishDate | 2024-03-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-74673296b7894e0885cbf84f6a2c16412024-03-05T01:55:41ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142024-03-0157214515110.5090/jcs.23.115Contralateral Pulmonary Resection after PneumonectomyGa Hee Jeong0https://orcid.org/0000-0002-1325-2309Yong Soo Choi1https://orcid.org/0000-0001-8492-7644Yeong Jeong Jeon2https://orcid.org/0000-0001-6745-6131Junghee Lee3https://orcid.org/0000-0002-5070-8248Seong Yong Park4https://orcid.org/0000-0002-5180-3853Jong Ho Cho5https://orcid.org/0000-0003-3362-4621Hong Kwan Kim6https://orcid.org/0000-0002-7815-3336Jhingook Kim7https://orcid.org/0000-0002-3828-0453Young Mog Shim8https://orcid.org/0000-0001-5924-9765Sungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineBackground: 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.contralateral pulmonary resectionpostoperative complicationpneumonectomy |
| spellingShingle | Ga Hee Jeong Yong Soo Choi Yeong Jeong Jeon Junghee Lee Seong Yong Park Jong Ho Cho Hong Kwan Kim Jhingook Kim Young Mog Shim Contralateral Pulmonary Resection after Pneumonectomy Journal of Chest Surgery contralateral pulmonary resection postoperative complication pneumonectomy |
| title | Contralateral Pulmonary Resection after Pneumonectomy |
| title_full | Contralateral Pulmonary Resection after Pneumonectomy |
| title_fullStr | Contralateral Pulmonary Resection after Pneumonectomy |
| title_full_unstemmed | Contralateral Pulmonary Resection after Pneumonectomy |
| title_short | Contralateral Pulmonary Resection after Pneumonectomy |
| title_sort | contralateral pulmonary resection after pneumonectomy |
| topic | contralateral pulmonary resection postoperative complication pneumonectomy |
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