title: [The postoperative management of patients after pluropneumonectomy--influence of the mode of the operation].
abstract: BACKGROUND
  In our hospital, a new mode of operation was introduced in pleuropneumonectomy from 2004. We studied how these changes had affected postoperative management of patients after pleuropneumonectomy.
  
  
  METHODS
  We retrospectively reviewed 22 patients who had undergone pleuropneumonectomy for malignant pleural mesothelioma from 2001 to 2008. They were divided into two groups; those before 2003 (n = 6) and those after 2004 (n = 16).
  
  
  RESULTS
  After 2004, the amount of infusion, amount of blood transfusion and bleeding until POD1 were less, and the amount of urine output was more than that before 2003. But no significant complications were observed.
  
  
  CONCLUSIONS
  The new mode of operation produced great improvement in immediate postoperative management. It is necessary to investigate if the new mode of operation improved prognosis and prevented perioperative complications.
authors.affiliation: Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8055.
authors.forename: Aya
authors.initials: A
authors.lastname: Yamasaki
authors.forename: Megumi
authors.initials: M
authors.lastname: Omori
authors.forename: Motohiko
authors.initials: M
authors.lastname: Hanazaki
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Murakami
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Takaya
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Shimoda
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Tanaka
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000601:surgery; D008875:Middle Aged; D010994:Pleura / Q000601:surgery*; D010997:Pleural Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*; D011182:Postoperative Care / Q000379:methods*; D012189:Retrospective Studies; D019616:Thoracic Surgical Procedures / Q000379:methods