ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Gilbert Massard
Jean-Marie Wihlm
Norbert Roeslin
Georges Morand
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Massard, G.
Right arrow Articles by Morand, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Massard, G.
Right arrow Articles by Morand, G.
Related Collections
Right arrowRelated Article

Ann Thorac Surg 1996;62:1033-1037
© 1996 The Society of Thoracic Surgeons

Original Articles: General Thoracic

Pneumonectomy for Chronic Infection Is a High-Risk Procedure

Gilbert Massard, MD, Ahmad Dabbagh, MD, Jean-Marie Wihlm, MD, Romain Kessler, MD, Pierre Barsotti, MD, Norbert Roeslin, MD, Georges Morand, MD

Department of Thoracic Surgery, University Hospital of Strasbourg, Strasbourg, France

Accepted for publication May 21, 1996.

Background. The purpose of this study was to estimate operative risk, and to identify indicators of adverse prognosis, in patients undergoing pneumonectomy for chronic infection.

Methods. Twenty-five patients aged 41 ± 15 years underwent pneumonectomy (three completions) for chronic infection: sequelae of tuberculosis, 15; cystic bronchiectasis, 9; and radiation pneumonitis, 1. Eight patients had aspergilloma (7 after tuberculosis, 1 with radiation pneumonitis).

Results. Operative mortality was 4%. Operative blood loss was estimated at 1,983 ± 1,424 mL, ranging from 150 to 5,600 mL. A single patient required reexploration. Eight patients (32%) had empyema, and a further 3 (12%) had bronchopleural fistula; thoracoplasty was required for 10 (40%). Sequelae of tuberculosis heralded increased operative bleeding (t = 2.884; p < 0.005). Incidence of empyema or bronchopleural fistula was increased in patients with sequelae of tuberculosis ({chi}2 = 3.896; p < 0.05), patients with aspergilloma ({chi}2 = 4.588; p < 0.05), patients in whom the parenchymal cavities were entered ({chi}2 = 11.5; p < 0.001), and those in whom blood loss was in excess of 1,000 mL ({chi}2 = 4.911; p < 0.05).

Conclusions. We conclude that pneumonectomy is a high-risk procedure, especially in patients with sequelae of tuberculosis.


Related Article

Invited Commentary
Marvin Pomerantz
Ann. Thorac. Surg. 1996 62: 1037-1038. [Extract] [Full Text]



This article has been cited by other articles:


Home page
 ThoraxHome page
J. G Somocurcio, A. Sotomayor, S. Shin, S. Portilla, M. Valcarcel, D. Guerra, and J. Furin
Surgery for patients with drug-resistant tuberculosis: report of 121 cases receiving community-based treatment in Lima, Peru
Thorax, May 1, 2007; 62(5): 416 - 421.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
R. Naidoo
Active Pulmonary Tuberculosis: Experience with Resection in 106 Cases
Asian Cardiovasc Thorac Ann, April 1, 2007; 15(2): 134 - 138.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. Shiraishi, N. Katsuragi, Y. Nakajima, M. Hashizume, N. Takahashi, and Y. Miyasaka
Pneumonectomy for complex aspergilloma: is it still dangerous?
Eur. J. Cardiothorac. Surg., January 1, 2006; 29(1): 9 - 13.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
J. M Gimferrer and C. A Mestres
Role of Surgery in Drug-Resistant Pulmonary Tuberculosis
Asian Cardiovasc Thorac Ann, September 1, 2005; 13(3): 201 - 202.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. Olgac, M. A. Yilmaz, M. G. Ortakoylu, and C. A. Kutlu
Decision-making for lung resection in patients with empyema and collapsed lung due to tuberculosis
J. Thorac. Cardiovasc. Surg., July 1, 2005; 130(1): 131 - 135.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. T. Sherwood, J. D. Mitchell, and M. Pomerantz
Completion pneumonectomy for chronic mycobacterial disease
J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1258 - 1265.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S.-i. Takeda, H. Maeda, M. Hayakawa, N. Sawabata, and R. Maekura
Current Surgical Intervention for Pulmonary Tuberculosis
Ann. Thorac. Surg., March 1, 2005; 79(3): 959 - 963.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Guggino, C. Doddoli, F. Barlesi, P. Acri, B. Chetaille, P. Thomas, R. Giudicelli, and P. Fuentes
Completion pneumonectomy in cancer patients: experience with 55 cases
Eur. J. Cardiothorac. Surg., March 1, 2004; 25(3): 449 - 455.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. T. Kim, H. K. Kim, S.-W. Sung, and J. H. Kim
Long-term outcomes and risk factor analysis after pneumonectomy for active and sequela forms of pulmonary tuberculosis
Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 833 - 839.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. L. Miller, C. Deschamps, G. D. Jenkins, A. Bernard, M. S. Allen, and P. C. Pairolero
Completion pneumonectomy: factors affecting operative mortality and cardiopulmonary morbidity
Ann. Thorac. Surg., September 1, 2002; 74(3): 876 - 884.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
D. Schneiter, P. Kestenholz, A. Dutly, S. Korom, U. Giger, D. Lardinois, and W. Weder
Prevention of recurrent empyema after pneumonectomy for chronic infection
Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 644 - 648.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Furak, I. Trojan, T. Szoke, L. Tiszlavicz, Z. Morvay, E. Csada, and A. Balogh
Surgical intervention for pulmonary tuberculosis: analysis of indications and perioperative data relating to diagnostic and therapeutic resections
Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 722 - 727.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. Deschamps, A. Bernard, F. C. Nichols III, M. S. Allen, D. L. Miller, V. F. Trastek, G. D. Jenkins, and P. C. Pairolero
Empyema and bronchopleural fistula after pneumonectomy: factors affecting incidence
Ann. Thorac. Surg., July 1, 2001; 72(1): 243 - 248.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
D. F. Blyth
Pneumonectomy for inflammatory lung disease
Eur. J. Cardiothorac. Surg., October 1, 2000; 18(4): 429 - 434.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Shiraishi, Y. Nakajima, A. Koyama, K. Takasuna, N. Katsuragi, and S. Yoshida
Morbidity and mortality after 94 extrapleural pneumonectomies for empyema
Ann. Thorac. Surg., October 1, 2000; 70(4): 1202 - 1206.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J.-F. Regnard, P. Icard, M. Nicolosi, L. Spagiarri, P. Magdeleinat, B. Jauffret, and P. Levasseur
Aspergilloma: a series of 89 surgical cases
Ann. Thorac. Surg., March 1, 2000; 69(3): 898 - 903.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Chatzimichalis, G. Massard, R. Kessler, P. Barsotti, B. Claudon, J. Ojard-Chillet, and J.-M. Wihlm
Bronchopulmonary Aspergilloma: A Reappraisal
Ann. Thorac. Surg., April 1, 1998; 65(4): 927 - 929.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. De Groot, J. O. Fulton, C. E. Reed, G. Massard, and J.-M. Wihlm
Pneumonectomy for Inflammatory Lung Disease
Ann. Thorac. Surg., June 1, 1997; 63(6): 1825 - 1826.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.