115 237

Cited 8 times in

Early and Long-term Outcomes of Pneumonectomy for Treating Sequelae of Pulmonary Tuberculosis

DC Field Value Language
dc.contributor.author남경식-
dc.contributor.author이진구-
dc.contributor.author이창영-
dc.contributor.author정경영-
dc.date.accessioned2018-05-10T06:39:07Z-
dc.date.available2018-05-10T06:39:07Z-
dc.date.issued2012-
dc.identifier.issn2233-601X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/158376-
dc.description.abstractBackground : Pneumonectomy remains the ultimate curative treatment modality for destroyed lung caused by tuberculosis despite multiple risks involved in the procedure. We retrospectively evaluated patients who underwent pneumonectomy for treatment of sequelae of pulmonary tuberculosis to determine the risk factors of early and long-term outcomes. Materials And Methods : Between January 1980 and December 2008, pneumonectomy or pleuropneumonectomy was performed in 73 consecutive patients with destroyed lung caused by tuberculosis. There were 48 patients with empyema (12 with bronchopleural fistula [BPF]), 11 with aspergilloma and 7 with multidrug resistant tuberculosis. Results : There were 5 operative mortalities (6.8%). One patient had intraoperative uncontrolled arrhythmia, one had a postoperative cardiac arrest, and three had postoperative respiratory failure. A total of 29 patients (39.7%) suffered from postoperative complications. Twelve patients (16.7%) were found to have postpneumonectomy empyema (PPE), 4 patients had wound infections (5.6%), and 7 patients required re-exploration due to postoperative bleeding (9.7%). The prevalence of PPE increased in patients with preoperative empyema (p=0.019). There were five patients with postoperative BPF, four of which occurred in right-side operation. The only risk factor for BPF was the right-side operation (p=0.023). The 5- and 10-year survival rates were 88.9% and 76.2%, respectively. The risk factors for late deaths were old age (≥50 years, p=0.02) and low predicted postoperative forced expiratory volume in one second (FEV1) (<1.2 L, p=0.02). Conclusion : Although PPE increases in patients with preoperative empyema and postoperative BPF increases in right-side operation, the mortality rates and long-term survival rates were found to be satisfactory. However, the follow-up care for patients with low predicted postoperative FEV1 should continue for prevention and early detection of pulmonary complication related to impaired pulmonary function.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Society for Thoracic and Cardiovascular Surgery-
dc.relation.isPartOfKorean Journal of Thoracic and Cardiovascular Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleEarly and Long-term Outcomes of Pneumonectomy for Treating Sequelae of Pulmonary Tuberculosis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery-
dc.contributor.googleauthorChun Sung Byun-
dc.contributor.googleauthorKyung Young Chung-
dc.contributor.googleauthorKyoung Sik Narm-
dc.contributor.googleauthorJin Gu Lee-
dc.contributor.googleauthorDaejin Hong-
dc.contributor.googleauthorChang Young Lee-
dc.identifier.doi10.5090/kjtcs.2012.45.2.110-
dc.contributor.localIdA04924-
dc.contributor.localIdA03225-
dc.contributor.localIdA03245-
dc.contributor.localIdA03571-
dc.relation.journalcodeJ02126-
dc.identifier.eissn2093-6516-
dc.identifier.pmid22500281-
dc.subject.keywordBronchopleural fistula-
dc.subject.keywordEmpyema-
dc.subject.keywordLung function-
dc.subject.keywordPneumonectomy-
dc.subject.keywordTuberculosis-
dc.contributor.alternativeNameNarm, Kyoung Shik-
dc.contributor.alternativeNameLee, Jin Gu-
dc.contributor.alternativeNameLee, Chang Young-
dc.contributor.alternativeNameChung, Kyung Young-
dc.contributor.affiliatedAuthorNarm, Kyoung Shik-
dc.contributor.affiliatedAuthorLee, Jin Gu-
dc.contributor.affiliatedAuthorLee, Chang Young-
dc.contributor.affiliatedAuthorChung, Kyung Young-
dc.citation.volume45-
dc.citation.number2-
dc.citation.startPage110-
dc.citation.endPage115-
dc.identifier.bibliographicCitationKorean Journal of Thoracic and Cardiovascular Surgery, Vol.45(2) : 110-115, 2012-
dc.identifier.rimsid40735-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.