Current morbimortality and one-year survival after pneumonectomy for infectious diseases
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/213702 |
Resumo: | Objective: Identify the one-year survival rate and major complications in patients submitted to pneumonectomy for infectious disease. Methods: Retrospective data from all cases of infectious disease pneumonectomy over the past 10 years were collected from two reference centers. The authors analyzed: patient demographics, etiology, laterality, bronchial stump treatment, presence of previous pulmonary resection, postoperative complications in the first 30 days, the treatment used in pleural complications, and one-year survival rate. Results: 56 procedures were performed. The average age was 44 years, with female predominance (55%). 29 cases were operated on the left side (51%) and the most frequent etiology was post-tuberculosis (51.8%). The overall incidence of complications was 28.6% and the most common was empyema (19.2%). Among empyema cases, 36.3% required pleurostomy, 27.3% required pleuroscopy and 36.3% underwent thoracoplasty for treatment. Bronchial stump fistula was observed in 10.7% of cases. From all cases, 16.1% were completion pneumonectomies and 62.5% of these had some complication, a significantly higher incidence than patients without previous surgery (p = 0.0187). 30-day in-hospital mortality was (7.1%) with 52 cases (92.9%) and 1-year survival. The causes of death were massive postoperative bleeding (1 case) and sepsis (3 cases). Conclusions: Pneumonectomy for benign disease is a high-risk procedure performed for a variety of indications. While morbidity is often significant, once the perioperative risk has passed, the one-year survival rate can be very satisfying in selected patients with benign disease. |
id |
USP-19_53a653bd90c37f15467021e94c2ccef8 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/213702 |
network_acronym_str |
USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Current morbimortality and one-year survival after pneumonectomy for infectious diseasesPneumonectomyInfectious diseaseTuberculosissurvivalmortalityObjective: Identify the one-year survival rate and major complications in patients submitted to pneumonectomy for infectious disease. Methods: Retrospective data from all cases of infectious disease pneumonectomy over the past 10 years were collected from two reference centers. The authors analyzed: patient demographics, etiology, laterality, bronchial stump treatment, presence of previous pulmonary resection, postoperative complications in the first 30 days, the treatment used in pleural complications, and one-year survival rate. Results: 56 procedures were performed. The average age was 44 years, with female predominance (55%). 29 cases were operated on the left side (51%) and the most frequent etiology was post-tuberculosis (51.8%). The overall incidence of complications was 28.6% and the most common was empyema (19.2%). Among empyema cases, 36.3% required pleurostomy, 27.3% required pleuroscopy and 36.3% underwent thoracoplasty for treatment. Bronchial stump fistula was observed in 10.7% of cases. From all cases, 16.1% were completion pneumonectomies and 62.5% of these had some complication, a significantly higher incidence than patients without previous surgery (p = 0.0187). 30-day in-hospital mortality was (7.1%) with 52 cases (92.9%) and 1-year survival. The causes of death were massive postoperative bleeding (1 case) and sepsis (3 cases). Conclusions: Pneumonectomy for benign disease is a high-risk procedure performed for a variety of indications. While morbidity is often significant, once the perioperative risk has passed, the one-year survival rate can be very satisfying in selected patients with benign disease.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2023-02-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/21370210.1016/j.clinsp.2023.100169Clinics; Vol. 78 (2023); 100169Clinics; v. 78 (2023); 100169Clinics; Vol. 78 (2023); 1001691980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/213702/195821Copyright (c) 2023 Clinicsinfo:eu-repo/semantics/openAccessD'Ambrosio, Paula DuarteMariani, Alessandro WasumRocha Júnior, EservalMedeiros, Israel Lopes deOliveira, Leonardo César SilvaNeto, Antero GomesTerra, Ricardo MingariniPêgo-Fernandes, Paulo Manuel2023-07-06T13:05:38Zoai:revistas.usp.br:article/213702Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:05:38Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
title |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
spellingShingle |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases D'Ambrosio, Paula Duarte Pneumonectomy Infectious disease Tuberculosis survival mortality |
title_short |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
title_full |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
title_fullStr |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
title_full_unstemmed |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
title_sort |
Current morbimortality and one-year survival after pneumonectomy for infectious diseases |
author |
D'Ambrosio, Paula Duarte |
author_facet |
D'Ambrosio, Paula Duarte Mariani, Alessandro Wasum Rocha Júnior, Eserval Medeiros, Israel Lopes de Oliveira, Leonardo César Silva Neto, Antero Gomes Terra, Ricardo Mingarini Pêgo-Fernandes, Paulo Manuel |
author_role |
author |
author2 |
Mariani, Alessandro Wasum Rocha Júnior, Eserval Medeiros, Israel Lopes de Oliveira, Leonardo César Silva Neto, Antero Gomes Terra, Ricardo Mingarini Pêgo-Fernandes, Paulo Manuel |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
D'Ambrosio, Paula Duarte Mariani, Alessandro Wasum Rocha Júnior, Eserval Medeiros, Israel Lopes de Oliveira, Leonardo César Silva Neto, Antero Gomes Terra, Ricardo Mingarini Pêgo-Fernandes, Paulo Manuel |
dc.subject.por.fl_str_mv |
Pneumonectomy Infectious disease Tuberculosis survival mortality |
topic |
Pneumonectomy Infectious disease Tuberculosis survival mortality |
description |
Objective: Identify the one-year survival rate and major complications in patients submitted to pneumonectomy for infectious disease. Methods: Retrospective data from all cases of infectious disease pneumonectomy over the past 10 years were collected from two reference centers. The authors analyzed: patient demographics, etiology, laterality, bronchial stump treatment, presence of previous pulmonary resection, postoperative complications in the first 30 days, the treatment used in pleural complications, and one-year survival rate. Results: 56 procedures were performed. The average age was 44 years, with female predominance (55%). 29 cases were operated on the left side (51%) and the most frequent etiology was post-tuberculosis (51.8%). The overall incidence of complications was 28.6% and the most common was empyema (19.2%). Among empyema cases, 36.3% required pleurostomy, 27.3% required pleuroscopy and 36.3% underwent thoracoplasty for treatment. Bronchial stump fistula was observed in 10.7% of cases. From all cases, 16.1% were completion pneumonectomies and 62.5% of these had some complication, a significantly higher incidence than patients without previous surgery (p = 0.0187). 30-day in-hospital mortality was (7.1%) with 52 cases (92.9%) and 1-year survival. The causes of death were massive postoperative bleeding (1 case) and sepsis (3 cases). Conclusions: Pneumonectomy for benign disease is a high-risk procedure performed for a variety of indications. While morbidity is often significant, once the perioperative risk has passed, the one-year survival rate can be very satisfying in selected patients with benign disease. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-02-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/213702 10.1016/j.clinsp.2023.100169 |
url |
https://www.revistas.usp.br/clinics/article/view/213702 |
identifier_str_mv |
10.1016/j.clinsp.2023.100169 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/213702/195821 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 78 (2023); 100169 Clinics; v. 78 (2023); 100169 Clinics; Vol. 78 (2023); 100169 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222767118811136 |