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KMID : 0364019930260110851
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 11 p.851 ~ p.855
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Clinical Analysis of Completion Pneumonectomy _report 11 Cases-
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허용
박재홍/문준호/차경태/안욱수/김병열/이정호/유희성
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Abstract
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Among elevn consecutive case having undergone Completion Pueumonectomy (CP) between 1958 and Aug. 1993 a the Dep. Of Thoracic & Cardiovascular Surgery in National Medical Center.
The patient's mean age was 43 years (range 28 yrs, to 68yrs.), & they consisted with 10 males and 1 female. The indications for CP were benign diseases in 9 cases & 2 cases of lung cancer. The mean interval between the first operation & CP was
62.3
months (from 17 days to 288 months).
The several special intraoperative procedures such as intra pericardial pulmonary vesselsdivision & suture ligation, reinforcement of bronchial stumpmargin, & applied the Fibrin glue & hemostatics.
The mean intra operative bleeding was 3582ml. (1500ml. To 6500ml.)
The post orerative complication were developed in 5 cases(45.5%) they were empyema with BPF in 2 cases, empyema in 2 cases, & 1 case of repiratoy insufficiency which leading to death.
We concluded that the CP noted high morbidity & mortality compared with ordinary first pulmonary resectional surgery.
But, it will be a challenge to improved the morbidity because of increasing trend of completion pneumonectomy in a furture time. (Korean J Thoracic Cardiovas Surg 1993;26:851-5)
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