eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
1/2024
vol. 21
 
Share:
Send email
Share:
abstract:
Original paper

Evaluation of the effects of postoperative pleural empyema on survival rates of patients after pneumonectomy due to non-small cell lung cancer

Janusz Wójcik
1
,
Tomasz Grodzki
1
,
Krzysztof Safranow
2
,
Jarosław Pieróg
1
,
Małgorzata Edyta Wojtyś
1
,
Dawid Kordykiewicz
1
,
Norbert Wójcik
1

  1. Department of Thoracic Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland
  2. Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Szczecin, Poland
Kardiochirurgia i Torakochirurgia Polska 2024; 21 (1): 1-7
DOI: https://doi.org/10.5114/kitp.2024.138376
Online publish date: 2024/03/30
View full text Get citation
 
PlumX metrics:
Introduction
Postpneumonectomy empyema (PPE) is a severe and often fatal complication of pneumonectomy, but some benefits of PPE were reported in patients who underwent either lobe or an entire lung resection due to lung cancer.

Aim
To compare the survival outcomes of patients with non-small-cell lung carcinoma (NSCLC), who developed PPE after pneumonectomy with uneventful recoveries available in our center’s database.

Material and methods
Outcomes of 928 pneumonectomies performed due to NSCLC between 1995 and 2009 were evaluated. The selection of the control group took into account the requirements for propensity score matching in terms of follow-up period, age, sex, tumor histopathology, TNM classification and the side of surgery.

Results
Thirty-two patients with a PPE syndrome and 96 patients without complications after pneumonectomy were included. The estimated 5- and 10-year survival rates were 71% and 59%, respectively. The average and median survival was almost two- and three-fold longer compared to the group with uneventful recoveries. A 2-fold lower cancer-related mortality rate and a 1.5-fold higher cancer-unrelated mortality rate were noted in the PPE group as opposed to the group without complications. Having recovered from PPE, the patients had their risk of death reduced by 2.5-fold and 3.5-fold due to all causes and cancer, respectively.

Conclusions
Pleural empyema in NSCLC patients who underwent pneumonectomy seems to improve the survival outcomes compared to patients with uneventful recoveries.

keywords:

lung cancer, pneumonectomy, pleural empyema
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.