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The Annals of Thoracic Surgery, Vol 46, 141-146, Copyright © 1988 by The Society of Thoracic Surgeons
EM McGovern, VF Trastek, PC Pairolero and WS Payne
From 1958 through 1985, a total of 113 consecutive patients had completion
pneumonectomy (CP). Indications for pulmonary resection resulting in CP
were lung cancer (LC) in 64 patients, pulmonary metastases (PM) in 20, and
benign lung disease (BLD) in 29. Operative mortality was 12.4% (14 deaths)
but varied according to the indication for CP. Mortality was 9.4% for LC,
0% for PM, and 27.6% for BLD. Forty- three patients (38.1%) had major
complications (26 of 64 with LC, 40.6%; 1 of 20 with PM, 5.0%; and 16 of 29
with BLD, 55.2%). Five-year actuarial survival for patients with LC was
26.4% but varied according to stage. Five-year survival for patients with
PM was 40.8% and with BLD was 27.2%. We conclude that CP for BLD carries
marked operative mortality and morbidity, usually due to intense reaction
around hilar structures and concurrent active infection or fistula. In
contrast, CP for LC and PM can be performed with low mortality, acceptable
morbidity, and gratifying long-term survival.
ARTICLES
Completion pneumonectomy: indications, complications, and results
Department of Surgery, Mayo Clinic, Rochester, MN.
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