Original articleGeneral thoracicMorbidity of Lung Resection After Prior Lobectomy: Results from the Veterans Affairs National Surgical Quality Improvement Program
Section snippets
Patients and Methods
The VA NSQIP methods have been detailed in prior publications [8, 9]. The preoperative, intraoperative, and perioperative variables that are collected can be viewed in prior publications [10]. Institutional Review Board approval for this study was obtained at VA Boston Healthcare System; the need for patient consent was waived.
Patient Demographics and Diagnoses
Average age was 66 years (range, 33 to 87 years) at the time of the second operation, 185 (97%) were men, 163 (85%) were white, and 20 (10%) were African American. The median time interval between lobectomy and repeat resection was 13 months (range, 2 days to 83 months). Of the 191 repeat resections, 164 (86%) were for lung or bronchus malignancy, 15 (8%) were for other neoplasms, and the remaining 12 (6%) were for benign disease. Preoperative comorbidities are listed in Table 1.
Initial Operation
Of the original
Comment
Several recent retrospective series have examined the results of repeat lung resection, mainly from the standpoint of long-term survival. Deschamps and colleagues [11] reported on the surgical treatment of 80 multiple lung cancers. Patients were treated with a variety of initial and repeat operations including pneumonectomy, lobectomy, and lesser resections. Complications occurred in 38%, and the perioperative mortality was 5% [11]. A 1991 report by Rosengart and colleagues [12] examined 107
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2014, Seminars in Thoracic and Cardiovascular SurgeryCitation Excerpt :Morbidity of Lung Resection After Prior Lobectomy: Results from the Veterans Affairs National Surgical Quality Improvement Program11 Morbidity of Lung Resection After Prior Lobectomy: Results from the Veterans Affairs National Surgical Quality Improvement Program11Background Lobectomy is the current standard operation for localized lung cancer.
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