Postoperative complications after bronchoplastic procedures in the treatment of bronchial malignancies

Objective: The purpose of this study was to determine the frequency of postoperative complications after bronchoplastic procedures in the treatment of pulmonary malignant tumors and to analyze the factors influencing the complication rate. Methods: During a 5-year-period (1992–1996) 79 patients (68...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 1998-07, Vol.14 (1), p.46-53
Main Authors: Krüger, Marcus, Uschinsky, Klaus, Häßler, Kathrin, Engelmann, Claus
Format: Article
Language:English
Subjects:
Anastomotic coverage
Biological and medical sciences
Bronchi - surgery
Bronchial Neoplasms - surgery
Bronchoplastic resections
Bronchoplasty
Carcinoma, Squamous Cell - surgery
Complications
Female
Humans
Male
Medical sciences
Middle Aged
NSCLC
Postoperative Complications
Sleeve-lobectomy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Treatment Outcome
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Summary:Objective: The purpose of this study was to determine the frequency of postoperative complications after bronchoplastic procedures in the treatment of pulmonary malignant tumors and to analyze the factors influencing the complication rate. Methods: During a 5-year-period (1992–1996) 79 patients (68 male, 11 female, mean age 57 years) underwent reconstructive operations for bronchial malignancies. We performed 58 bronchoplastic procedures and 21 combined broncho- and angioplastic procedures. Among the bronchoplastic procedures the number of sleeve resections (n=44) and wedge resections (n=35) were comparable. Results: Fifty-nine patients (74,7%) showed a regular postoperative course; 12 patients (15,2%) had severe postoperative complications (death, re-operation). Concerning the primary operation the operative 30-day mortality was 5.1% (n=4) and including the two deaths after re-operation it was 7.6% (n=6). After subdividing the patients into three groups (severe, less severe and no complications) we tried to determine predictors for occurrence of postoperative complications. There was a higher rate of severe complications in the age group 61–70 years (6/25=24%) as compared with younger patients between 51 and 60 years (4/38=10,5%; P
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(98)00143-2