Factors related to outcome after pneumonectomy: retrospective study of 62 patients.
OBJECTIVE
To find out which risk factors affect outcome after pneumonectomy.


METHODS
Retrospective study.


METHODS
Teaching hospital, The Netherlands.


METHODS
62 patients who were treated for bronchial cancer by pneumonectomy between 1984 and 1995.


METHODS
Hospital mortality and postoperative complications.


RESULTS
Hospital mortality increased with age, being 5/51 (10%) in the 40-69 age group and 4/11 (36%) in patients aged 70 or more. In the American Society of Anesthesiologists (ASA) class I group hospital mortality was 8% (2/26), in class II 12% (3/26) and in class III 40% (4/10). Hospital mortality was highest when the FEV1:FVC-ratio was below 55%. Cardiac arrhythmias developed in 8 (13%), early bronchopleural fistulas in 7 (11%), and postpneumonectomy syndrome in 5 (8%). These major complications had a high mortality.


CONCLUSIONS
Respiratory function, ASA class, and age over 70 years are the main prognostic factors for hospital morbidity and mortality after pneumonectomy.
Groenendijk
R P
RP
Department of Surgery, St. Joseph Hospital, Veldhoven, The Netherlands.
Croiset van Uchelen
F A
FA
Mol
S J
SJ
de Munck
D R
DR
Tan
A T
AT
Roumen
R M
RM
D000328:Adult; D017677:Age Distribution; D000368:Aged; D002277:Carcinoma / Q000145:classification / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D017558:Elective Surgical Procedures / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008175:Lung Neoplasms / Q000145:classification / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D011013:Pneumonectomy / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome