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Ann Thorac Surg 2007;83:2258
© 2007 The Society of Thoracic Surgeons

Correspondence

Pulmonary Complications After Lung Resection are Increased in Patients With Previous Head and Neck Cancer

Gilbert Massard, MD, Evgenia A. Kochetkova, MD, PhD, Jean-Marie Wihlm, MD

Department of Thoracic Surgery, University Hospital of Strasbourg, 1 place de l’Hopital, Strasbourg, F-67091 France

(Email: gilbert.massard@chru-strasbourg.fr).

The first 20% of the full text of this article appears below.

To the Editor:

Herrera and colleagues [1] address the prevalence of pulmonary complications after lung resection in patients with previous head and neck cancer. This study is remarkable because we believe it is the first to compare 76 of these patients with the remaining cohort of 1,557 patients operated on during the same timeframe. It highlights an increased risk for aspiration pneumonia (9.2% vs 0.6%), pneumonia (17.1% vs 10%), and bronchopleural fistula (3.9% vs 0.8%). Aspiration pneumonia led to an increased 30-day mortality (5.9% vs 2.2%). Univariate analysis identified five risk factors for aspiration pneumonitis: . . . [Full Text of this Article]






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Copyright © 2007 by The Society of Thoracic Surgeons.