55 patients in the period 1975 to 1981 who underwent chest surgery were studied to evaluate preventive measures for postoperative pulmonary complications. They included 39 patients in a prone position during the operation and 16 cases with postoperative tracheostomy. The evaluation of these procedures was carried out using such parameters as the results of preoperative lung function, morbidity and mortality after the operation, and results of pre- and postoperative bacteriologic examinations of sputum. Onset of postoperative pulmonary complications was determined by postoperative serial chest X-ray films showing newly developed atelectasis, pneumonia, pneumothorax, pleural effusion and wet lung. The latter three findings were observed in the contralateral lung field. Results obtained were: The majority of patients were bronchogenic carcinoma cases. The majority of patients in this series had chronic inflammatory changes in the lung such as chronic bronchitis and pneumonitis. They had similar or poorer lung function compared to patients who showed postoperative pulmonary complications after chest surgery in a lateral position during operation. There were quite few fatal cases after chest surgery in a prone position and/or postoperative tracheostomy patients, who died of postoperative pulmonary complications. It is postulated that the indications of chest surgery or thoracotomy for the patient with poorer preoperative lung function have been increased by these preventive procedures described in this series.
|Number of pages||5|
|Journal||Japanese Journal of Thoracic Diseases|
|Publication status||Published - 1982|
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine