TITLE

Lung cancer surgery: the first 60 days.: A population-based study

AUTHOR(S)
Rostad, Hans; Strand, Trond-Eirik; Naalsund, Anne; Talleraas, Olaug; Norstein, Jarle
PUB. DATE
May 2006
SOURCE
European Journal of Cardio-Thoracic Surgery;May2006, Vol. 29 Issue 5, p824
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Objective: The postoperative mortality following lung cancer surgery is relatively high. The purpose of the present study was to identify preoperative risk factors as well as fatal complications in 27 Norwegian hospitals. Methods: In Norway, all clinical and pathologic departments submit reports on cancer patients to the Cancer Registry of Norway. The Registry also has a law-regulated authority to collect supplemental information regarding diagnosis, treatment, and outcome for all cancer patients from the hospitals in charge. This investigation included all patients who died within 30 and 60 days after resection of lung cancer in the period 1993–2002. Results: During the investigation lung cancer was diagnosed in 19,582 patients, 3224 (16.5%) were treated by surgery. The resection rate was almost similar in the two sexes, but postoperative mortality in women was less than half compared to men. Total mortality was 5% and 8% after 30 and 60 days, respectively. Bilobectomy and pneumonectomy were most risky with a mortality rate of about 10% within 60 days. In patients more than 70 years of age, there was a considerably higher frequency of pneumonectomy in men compared to women. Dominating causes of death were pneumonia with respiratory failure and cardiac events. Other identifiable causes were surgical hemorrhage and bronchopleural fistula. Conclusions: In this population-based, unselected series, the postoperative mortality was relatively high, and increased markedly in patients older than 70 years. Pneumonectomy in patients older than 70 years should only be performed when heart–lung function is found to be acceptable following full pulmonary function testing and thorough preoperative assessment of cardiovascular risk factors.
ACCESSION #
20623245

 

Related Articles

  • Airways colonizations in patients undergoing lung cancer surgery. D’Journo, Xavier Benoit; Rolain, Jean Marc; Doddoli, Christophe; Raoult, Didier; Thomas, Pascal Alexandre // European Journal of Cardio-Thoracic Surgery;Aug2011, Vol. 40 Issue 2, p309 

    Summary: Lung cancer remains the main leading cancer-related cause of death in the world. For early-stage tumor, surgery stands out as the best curative option offering the greatest chance for cure. Despite improvement of per- and postoperative management, surgery continues to carry a high...

  • Variance analysis of a clinical pathway of video-assisted single lobectomy for lung cancer. Atsushi Okita; Motohiro Yamashita; Keiko Abe; Chizuru Nagai; Akiko Matsumoto; Mika Akehi; Ryoko Yamashita; Naomi Ishida; Mikiko Seike; Shigeko Yokota; Nami Umekawa; Yumiko Matsumoto; Yoshiko Kishimoto; Aiko Okazaki; Eisaku Komori; Shigeki Sawada; Shigemitsu Takashima // Surgery Today;Feb2009, Vol. 39 Issue 2, p104 

    Abstract Purpose  Clinical pathways have contributed to standardized postoperative management, but analyzing variance is also important to maintain quality control. To evaluate the validity of our own clinical pathway for managing video-assisted lobectomy for lung cancer, we...

  • The importance of intraoperative fluid balance for the prevention of postoperative acute exacerbation of idiopathic pulmonary fibrosis after pulmonary resection for primary lung cancer. Mizuno, Yoshimasa; Iwata, Hisashi; Shirahashi, Koyo; Takamochi, Kazuya; Oh, Shiaki; Suzuki, Kenji; Takemura, Hirofumi // European Journal of Cardio-Thoracic Surgery;Jun2012, Vol. 41 Issue 6, pe161 

    OBJECTIVES Postoperative acute exacerbation (PAE) of idiopathic pulmonary fibrosis (IPF) is a serious complication that is hard to treat. Therefore, it is important to manage IPF patients in such a way as to avoid PAE. Conversely, the relationship between postoperative acute lung injury and...

  • Cardiac Herniation after Intrapericardial Pneumonectomy and Subsequent Cardiac Tamponade. Kiev, Jon; Parker, Mark; Xian Zhao; Kasirajan, Vigneshwar // American Surgeon;Sep2007, Vol. 73 Issue 9, p906 

    The first case of postpneumonectomy cardiac herniation was described in 1948. Despite advances in surgical technique and patient care, this very rare, potential surgical catastrophe may still be seen today. We present a similar case to that of the original description, but furthermore...

  • Late pulmonary artery stump thrombosis with post embolic pulmonary hypertension after pneumonectomy. Thomas, P. A.; Doddoli, C.; Barlesi, F.; Reynaud-Gaubert, M.; Giudicelli, R.; Fuentes, P.; Barlési, F // Thorax;Feb2006, Vol. 61 Issue 2, p177 

    Ten years after right pneumonectomy for primary lung cancer, a 51 year old man developed a pulmonary artery stump thrombosis which produced microemboli in the remaining lung and, in turn, led to chronic pulmonary hypertension. This case strongly suggests that prolonged postoperative...

  • Pulmonary radiofrequency ablation in a single lung patient. M. C. Ambrogi; Fanucchi, O.; Lencioni, R.; Cioni, R.; Mussi, A. // Thorax;Sep2006, Vol. 61 Issue 9, p828 

    Recurrence in the contralateral lung of patients who have undergone pneumonectomy for lung cancer is often not surgically treatable. Percutaneous radiofrequency ablation (RFA) of tumours is an emerging minimally invasive technique which has recently been used in the treatment of lung cancer. The...

  • EORTC Elderly Task Force and Lung Cancer Group and International Society for Geriatric Oncology (SIOG) experts’ opinion for the treatment of non-small-cell lung cancer in an elderly population. Pallis, A. G.; Gridelli, C.; van Meerbeeck, J. P.; Greillier, L.; Wedding, U.; Lacombe, D.; Welch, J.; Belani, C. P.; Aapro, M. // Annals of Oncology;Apr2010, Vol. 21 Issue 4, p692 

    Non-small-cell lung cancer (NSCLC) represents a common health issue in the elderly population. Nevertheless, the paucity of large, well-conducted prospective trials makes it difficult to provide evidence-based clinical recommendations for these patients. The present paper reviews the currently...

  • The Current Concepts of Closed Chest Drainage in Lobectomy of Lung Cancer. Hui Shi; Longyong Mei; Guowei Che // Chinese Journal of Lung Cancer;Nov2010, Vol. 13 Issue 11, p999 

    It is widely accepted by most thoracic surgeons that a complete control on fluid and air in the pleural space could only be maintained by conventional closed chest drainage (two chest tubes). With the development of medical models and devices in pneumonectomy, the validity of this concept is...

  • The impact of preoperative body mass index on respiratory complications after pneumonectomy for non-small-cell lung cancer. Results from a series of 154 consecutive standard pneumonectomies. Petrella, Francesco; Radice, Davide; Borri, Alessandro; Galetta, Domenico; Gasparri, Roberto; Solli, Piergiorgio; Veronesi, Giulia; Spaggiari, Lorenzo // European Journal of Cardio-Thoracic Surgery;May2011, Vol. 39 Issue 5, p738 

    Abstract: Objective: Although it may seem intuitive that obesity is an additional risk factor for surgical patients, few studies have correlated this condition with lung cancer resection. The only data currently available suggest that obesity does not increase the rate of complications after...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics