From Jan 1988 to Dec 1993, 196 consecutive patients with various pulmonary diseases underwent pneumonectomy. Mean age was 54.0 years (range:7-74). The underlying diseases were lung cancer (154 cases), destroyed lung (29 cases) with pulmonary
tuberculosis or empyema thoracis and others (13 cases). The overall mortality and complication rate were 5.6% and 14.8%. In the groups of more than and less than 60 years of age, there was significant differences in mortality rate (P=0.004). In
the
group of pneumonectomy and pleuropneumonectomy, there was no significant differences in mortality (P=0.164) and complication rate (P=0.052). In the group of normal and abnormal EKG, there was no significant differences in mortality (P=0.560) and
complication rate (p=0.693). In the preoperative FEV1, preoeperative FVC and predicted postoperative FEV1, prognostic cut-0ff points were 1800cc, 2600cc and 1300cc, and at points, positive predicted value were 12.3%, 10.5%. and 7.7% and negative
predicted value were 97.8%, 98.3% and 96.2% respectively. The preoperative FEV1 is the most reliable indicator in assessment of prognosis of pneumonectomy.
(Korean J Thorac Cardiovasc Surg 1995;28:464-70)
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