title: Pneumonectomy for lung cancer: technical and general aspects.
abstract: The current role and technical aspects of pneumonectomy for the treatment of lung cancer are evaluated based on the personal experience and on the review of the international literature. Over a four-year period 669 operations for lung cancer were performed. Fifty-nine were pneumonectomies 11 of which were completion pneumonectomies and 7 tracheal sleeve right pneumonectomies 5 of which performed with the anesthesiological tube always kept in trachea. Overall postoperative mortality was about 10% for pneumonectomy, and about 16,6 % for completion pneumonectomy with a median survival rate of 21 and 26 months respectively. In agreement with reports of the international literature, it is confirmed that pneumonectomy is a high-risk thoracic surgical procedure and an accurate cardiovascular and respiratory evaluation is very important for patient selection.
authors.affiliation: U.O. di Clinica Chirurgica-Università degli Studi "G. D'Annunzio"-Chieti, Italy. pcample@tin.it
authors.forename: Pierpaolo
authors.initials: P
authors.lastname: Camplese
authors.forename: Rocco
authors.initials: R
authors.lastname: Sacco
mesh_terms: D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D018579:Patient Selection; D011013:Pneumonectomy / Q000379:methods*; D011183:Postoperative Complications; D015996:Survival Rate; D016896:Treatment Outcome