Rare and frequent postoperative complications after combined pneumonectomy for nonsmall-cell lung cancer

N Lyas,S Pushkin,A Benyan,V Khurnin

doi:10.1186/1749-8090-8-s1-p134

Abstract

Methods The study includes 686 patients who underwent pneumonectomy for primary non-small cell lung cancer (NSCLC) from 2003 through 2012. There were male – 609 (88, 8%), female – 77 (11,2%). Squamous cell and adenocarcinoma were found in 492 (72%) and 145 (21%) patients, respectively. Right side pneumonectomy was performed at 337 patients, left side – at 349 patients. The combined pneumonectomy was performed at 144 patients (21%): with pericardial resection – 75, wedge carinal resection – 40, circular carinal resection – 12, resection of upper cava vein – 13, of esophagus – 7, of vagus 7, of costa – 5, of left atrium – 3, of diaphragm – 2, pleurectomy – 2, resection of aortic wall – 1.

Highlights

The rate and structure of postoperative complications after combined pneumonectomy for non small-cell lung cancer depends from character of disease, and because of features of performing operations.occurred after intrapericardial right pneumonectomy with extended pericardioectomy (1 patient), chylothorax (1 patient), mesenteric thrombosis (1 patient), and spontaneous rupture of the esophagus (1 patient)
Right side pneumonectomy was performed at 337 patients, left side – at 349 patients
The combined pneumonectomy was performed at 144 patients (21%): with pericardial resection – 75, wedge carinal resection – 40, circular carinal resection – 12, resection of upper cava vein – 13, of esophagus – 7, of vagus - 7, of costa – 5, of left atrium – 3, of diaphragm – 2, pleurectomy – 2, resection of aortic wall – 1

Summary

Background

The rate and structure of postoperative complications after combined pneumonectomy for non small-cell lung cancer depends from character of disease, and because of features of performing operations. Occurred after intrapericardial right pneumonectomy with extended pericardioectomy (1 patient), chylothorax (1 patient), mesenteric thrombosis (1 patient), and spontaneous rupture of the esophagus (1 patient). The general rate of complications was 9,5%, mortality – 4,2%

Methods

Results

Conclusions