RT Journal Article
SR Electronic
T1 Safety and risk factors for the morbidity and mortality of pneumonectomies: a retrospective 10-year study in a single institution
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 3124
DO 10.1183/13993003.congress-2020.3124
VO 56
IS suppl 64
A1 Joana Cristina Ferreira Rei
A1 Susana Lareiro
A1 Patrícia Castro
A1 Pedro Fernandes
A1 Miguel Guerra
A1 Luís Vouga
A1 José Miranda
YR 2020
UL http://erj.ersjournals.com/content/56/suppl_64/3124.abstract
AB Pneumonectomy is a major lung surgery with a high incidence of post-operative morbidity and mortality. This study aims to identify risk factors that affect post-operative outcome, therefore determining the safety of pneumonectomy in specific groups.A total of 63 patients submitted to pneumonectomy, from February 2008 to 2018 were included in our retrospective study. Age, gender, side of surgical intervention, underlying disease, pre-operative symptoms, tobacco and alcohol abuse and history of respiratory and cardiovascular disease were assessed. Early and late post-operative complications, as well as death were our major analysed outcomes. We have performed logistic regression analysis on preoperative variables in order to determine their impact on major adverse outcomes.We found a 9,8% surgery-related mortality and 1-year survival rate of 76,2% in our patients. The incidence of early complications in our population was of 35% while eleven patients (17,4%) developed late post-operative complications. No statistical difference was found when comparing survival time between genders or age groups. Right sided pneumonectomies’ seem to be associated with an higher mortality, while smoking increases early post-operative complications.Pneumonectomy is a viable option regardless of age whenever the patient has a good functional and cardiopulmonary status. While gender and diagnostic group do not seem to influence adverse event risk after a pneumonectomy, benign disease might increase post-surgical adverse outcome risk. Smoking increases post-operative complications and pre-operative cessation should be encouraged.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3124.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).