Respiratory failure in resected cases of lung cancer: Choice and modified surgical approach

S. Nitta, K. Ohkada, T. Ohnuki, K. Koike, M. Ishiki, T. Tanita, T. Sakuma, Y. Sagara, S. Ono, Hiroki Saito

Research output: Contribution to journalArticlepeer-review

Abstract

Among 730 lung resections in patients with lung cancer, performed during the last decade in our department, the ratios of pneumonectomies, bilobectomies, single lobectomies and partial resections were 22, 10, 67 and 0.4% respectively. Among 75 patients (9.6%) involving obstructive airway disturbances with FEV 1.0 % less than 55% and in 56 (7.7%) cases of hypoxia with PaO 2 less than 70 torr a total of 19 (25%) and 15 (27%) pneumonectomies, 10 (13%) and 9 (16%) bilobectomies, and 46 (61%) and 32 (57%) single lobectomies, respectively were performed. Five of the 17 overlapping patients (2%) underwent pneumonectomies. In these, the early post-operative mortality was 2.6%, which was equivalent to that in patients with better lung functions. Our choice of surgical approach in patients with lung cancer was subject to limitations of the morphological development, regardless of the apparently poor lung function when the predicted postoperative pulmonary vascular reserve satisfied our criteria.

Original languageEnglish
Pages (from-to)1283-1285
Number of pages3
JournalJapanese Journal of Thoracic Diseases
Volume23
Issue number11
Publication statusPublished - 1985 Dec 1

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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