Does chemotherapy increase the risk of respiratory complications after pneumonectomy

作者: Francesco Leo , PierGiorgio Solli , Giulia Veronesi , Davide Radice , Antonio Floridi

DOI: 10.1016/J.JTCVS.2006.05.012

关键词:

摘要: Objective The impact of induction chemotherapy on postoperative complications after pneumonectomy remains unclear. aim the study was to test hypothesis that may increase risk respiratory complications. Methods Data from 202 consecutive standard pneumonectomies performed for lung cancer were collected and analyzed. Postoperative 90-day mortality, overall morbidity, complication rates evaluated in patients who had no treatment (group A, n = 103) as well those received it (n 99, group B). Preoperative inserted a variable together with 12 other variables (age, sex, smoking status, body mass index, previous cardiac event, American Society Anesthesiologists score, preoperative forced expiratory volume 1 second [percent], diffusion capacity carbon monoxide adjusted alveolar side pneumonectomy, perfusion removed lung, operating time, blood transfusion) into univariate multivariate logistic regression. Results No difference terms mortality recorded between A (4.9%) B (3%, P > .05). Respiratory more frequent than (19 cases, 19.2%, vs 7 6.8%, .008). Univariate regression has demonstrated pulmonary over age 70 aged or less (25.7% 10.2, .02), lower (18.3% 5.95%, .06), (19.2% 6.8, Logistic confirmed role (odds ratio 6.3), 4.4), 0.33) factors Conclusions Standard is safe procedure even chemotherapy, rate order 5%, but this increases years. In case significantly increased, apparently not affecting rate.

参考文章(20)
Fell Sc, A history of pneumonectomy. Chest Surgery Clinics of North America. ,vol. 9, pp. 267- ,(1999)
Robert J. Ginsberg, Lucius D. Hill, Robert T. Eagan, Paul Thomas, Clifton F. Mountain, Jean Deslauriers, Willard A. Fry, Ralph O. Butz, Melvyn Goldberg, Paul F. Waters, Donald P. Jones, Peter Pairolero, Lawrence Rubinstein, F. Griffith Pearson, Modern thirty-day operative mortality for surgical resections in lung cancer. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 86, pp. 654- 658 ,(1983) , 10.1016/S0022-5223(19)39080-4
Evarts A. Graham, Successful Removal of an Entire Lung for Carcinoma of the Bronchus JAMA: The Journal of the American Medical Association. ,vol. 251, pp. 257- 260 ,(1984) , 10.1001/JAMA.1984.03340260061031
Alina Dulu, Stephen M. Pastores, Bernard Park, Neil A. Halpern, Valerie Rusch, PREVALENCE AND MORTALITY OF ACUTE LUNG INJURY AND ACUTE RESPIRATORY DISTRESS SYNDROME AFTER LUNG RESECTION Chest. ,vol. 128, pp. 2- 7 ,(2005) , 10.1378/CHEST.128.4_MEETINGABSTRACTS.207S-A
Jocelyne Martin, Robert J Ginsberg, Amir Abolhoda, Manjit S Bains, Robert J Downey, Robert J Korst, Tracey L Weigel, Mark G Kris, Ennapadam S Venkatraman, Valerie W Rusch, Morbidity and mortality after neoadjuvant therapy for lung cancer: the risks of right pneumonectomy The Annals of Thoracic Surgery. ,vol. 72, pp. 1149- 1154 ,(2001) , 10.1016/S0003-4975(01)02995-2
Fumio Nagasaki, Betty J. Flehinger, Nael Martini, Complications of Surgery in the Treatment of Carcinoma of the Lung Chest. ,vol. 82, pp. 25- 29 ,(1982) , 10.1378/CHEST.82.1.25
Robert J. Cerfolio, Mark S. Allen, Victor F. Trastek, Claude Deschamps, Paul D. Scanlon, Peter C. Pairolero, Lung resection in patients with compromised pulmonary function The Annals of Thoracic Surgery. ,vol. 62, pp. 348- 351 ,(1996) , 10.1016/0003-4975(96)00231-7
Yutaka Mizushima, Hirofumi Noto, Shigeki Sugiyama, Yoshinori Kusajima, Ryouhei Yamashita, Tatsuhiko Kashii, Masashi Kobayashi, Survival and Prognosis After Pneumonectomy for Lung Cancer in the Elderly The Annals of Thoracic Surgery. ,vol. 64, pp. 193- 198 ,(1997) , 10.1016/S0003-4975(97)82827-5
N Novoa, G Varela, MF Jimenez, Morbidity after surgery for non-small cell lung carcinoma is not related to neoadjuvant chemotherapy. European Journal of Cardio-Thoracic Surgery. ,vol. 20, pp. 700- 704 ,(2001) , 10.1016/S1010-7940(01)00876-4