Mortality, complications and loss of pulmonary function after pneumonectomy vs. sleeve lobectomy in patients younger and older than 70 years.

Détails

ID Serval
serval:BIB_C628F265280B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Mortality, complications and loss of pulmonary function after pneumonectomy vs. sleeve lobectomy in patients younger and older than 70 years.
Périodique
Interactive Cardiovascular and Thoracic Surgery
Auteur⸱e⸱s
Melloul E., Egger B., Krueger T., Cheng C., Mithieux F., Ruffieux C., Magnusson L., Ris H.B.
ISSN
1569-9285 (Electronic)
ISSN-L
1569-9285
Statut éditorial
Publié
Date de publication
2008
Volume
7
Numéro
6
Pages
986-989
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
Retrospective single institution analysis of all patients undergoing sleeve lobectomy or pneumonectomy between 2000 and 2005. Seventy-eight patients underwent pneumonectomy (65 patients <70 years, 13 patients >70 years) and 69 sleeve lobectomy (50 patients <70 years, 19 patients >70 years). Pre-existing co-morbidity, surgical indication and induction therapy was similarly distributed between treatment by age-groups. In patients <70 years, pneumonectomy and sleeve lobectomy resulted in a 30-day mortality of 3% vs. 0 and an overall complication rate of 26% vs. 44%, respectively. In patients >70 years, pneumonectomy and sleeve lobectomy resulted in a 30-day mortality of 15% vs. 0 and an overall complication rate of 23% vs. 32%. In both age groups, pneumonectomy was associated with more airway complications (NS) and a significantly higher postoperative loss of FEV(1) than sleeve lobectomy (P<0.0001, P<0.03). Age per se did not influence the loss of FEV(1) and DLCO for a given type of resection. Sleeve lobectomy may have a therapeutic advantage over pneumonectomy in the postoperative course of elderly patients.
Mots-clé
Age Factors, Aged, Forced Expiratory Volume, Hospital Mortality, Humans, Lung/physiopathology, Lung/surgery, Pneumonectomy/adverse effects, Pneumonectomy/mortality, Pulmonary Surgical Procedures/adverse effects, Pulmonary Surgical Procedures/mortality, Respiratory Function Tests, Retrospective Studies, Risk Assessment, Time Factors, Treatment Outcome
Pubmed
Open Access
Oui
Création de la notice
18/02/2009 10:16
Dernière modification de la notice
20/08/2019 15:41
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