초록접수 현황
| 20F-100 | 구연 발표 |
Pattern and cause of the mortality during the first year after pneumonectomy for lung cancer
Jeonghee yun, Jong Ho Cho, Sumin Shin, Hong Kwan Kim, Jhingook Kim, Jae Il Zo, Young Mog Shim, Yong Soo Choi
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Purpose : Pneumonectomy is a high-risk operation with a mortality rate of 5-10 percent within 30 days and a mortality rate of about 20 percent within a year. To understand the pattern of the morbidity and mortality after pneumonectomy, we investigated unexpected re-admission and the cause of death within one year after surgery.
Methods : We retrospectively reviewed 337 patients who underwent curative pneumonectomy for non-small cell lung cancer between January 2009 and December 2018. The causes of death or re-admission were classified into 5 categories (oncologic, infectious, pulmonary, cardiac, or other), and the timing and incidence of complications were analyzed.
Results : Of the 337 patients, 164 (48.7%) patients experienced complications and 17 (5%) patients died during the hospital stay. All patients who died during hospitalization died from pneumonia or ARDS. Of the readmissions that occurred within one year after discharge, 80% occurred within 90 days, and the causes of readmission were in the order of pneumonia, bronchopleural fistula, and empyema. The 90-day mortality rate after surgery was 7.1%, and the 1-year mortality rate was 20.8%. All deaths within 90 days after surgery were due to non-oncologic causes. Of 46 patients who died from 91 days to 1 year after surgery, 17 patients died from non-oncologic causes.
Conclusion : All patients who died within 90 days after pneumonectomy died from non-oncologic causes, and even after 90 days, a significant number of patients died from non-oncologic causes. Efforts are needed to reduce non-oncologic deaths through patient education and close monitoring.
Methods : We retrospectively reviewed 337 patients who underwent curative pneumonectomy for non-small cell lung cancer between January 2009 and December 2018. The causes of death or re-admission were classified into 5 categories (oncologic, infectious, pulmonary, cardiac, or other), and the timing and incidence of complications were analyzed.
Results : Of the 337 patients, 164 (48.7%) patients experienced complications and 17 (5%) patients died during the hospital stay. All patients who died during hospitalization died from pneumonia or ARDS. Of the readmissions that occurred within one year after discharge, 80% occurred within 90 days, and the causes of readmission were in the order of pneumonia, bronchopleural fistula, and empyema. The 90-day mortality rate after surgery was 7.1%, and the 1-year mortality rate was 20.8%. All deaths within 90 days after surgery were due to non-oncologic causes. Of 46 patients who died from 91 days to 1 year after surgery, 17 patients died from non-oncologic causes.
Conclusion : All patients who died within 90 days after pneumonectomy died from non-oncologic causes, and even after 90 days, a significant number of patients died from non-oncologic causes. Efforts are needed to reduce non-oncologic deaths through patient education and close monitoring.
책임저자: Yong Soo Choi
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06531, Republic of Korea
발표자: Jeonghee Yun, E-mail : yjhms08@gmail.com