Early and Late Outcome, Mortality and Major Morbidity After Lung Cancer Surgery for Primary Carcinoma
AJTES Vol 2, No 2, July 2018
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Keywords

outcome
complications
lung cancer
thoracic surgery

How to Cite

Gradica, F., Lisha, L., Argjiri, D., Cani, A., Kokici, F., Gradica, F. S., Rexha, V., Lala, D., Xhemalaj, D., Vata, Y., Shpataraku, L., & Vyshka, A. (2018). Early and Late Outcome, Mortality and Major Morbidity After Lung Cancer Surgery for Primary Carcinoma. Albanian Journal of Trauma and Emergency Surgery, 2(2), 14-149. https://doi.org/10.32391/ajtes.v2i2.12

Abstract

Background: Radical surgical resection of lung cancer with or without adjuvant treatment is still a prerequisitefor cure. Advances in operative and postoperative care led to a decline in complications and mortality rates during the last decades. In spite of different additional modes of treatment, survival is still poor.
The aim of study: To examine the operative mortality and morbidity after lung cancer surgery and to identify factors associated with an adverse outcome.
Material and methods: The study comprised 968 consecutive patients referred to University Hospital of Lung Disease, “Shefqet Ndroqi” Tirana, Albania, for lung carcinoma, during a 13-years period (January 2004-December 2017). All patients underwent routine laboratory examinations spirometry and preoperative CT- scan of the thorax and upper abdomen. PET-CT, EBUS–EUS, Mediastinotomy or Mediastinoscopy wasn’t performed as routine.
Results: Of 968 patients, 690 (70.5%) were male and 278 (28.7%) female. Mean age 65.5±9.4 years (range 15 - 87 years). Lobectomy was the most used surgical modality in 566 (58.5%) patients, meanwhile pneumonectomy was performed in 112 (11.6%) of patients. Minor complications during surgery occurred in 45 (11.7%) ofpatients. Continuous air leakage was the most complication after surgery in 25.3%, followed by lung atelectasis in 21.3% and cardiovascular complications in 17%.
Conclusion: our results show low mortality and morbidity after lung cancer surgery. However, patients with reduced lung capacity, older age and those undergoing pneumonectomy should be treated with great care.

https://doi.org/10.32391/ajtes.v2i2.12
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