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J Chest Surg

Published online February 7, 2024

Copyright © Journal of Chest Surgery.

Contralateral Pulmonary Resection after Pneumonectomy

Ga Hee Jeong , M.D., Yong Soo Choi , M.D., Ph.D., Yeong Jeong Jeon , M.D., Ph.D., Junghee Lee , M.D., Ph.D., Seong Yong Park , M.D., Ph.D., Jong Ho Cho , M.D., Ph.D., Hong Kwan Kim , M.D., Ph.D., Jhingook Kim , M.D., Ph.D., Young Mog Shim , M.D., Ph.D.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Correspondence to:Yong Soo Choi
Tel 82-2-3410-6542
Fax 82-2-3410-6986
E-mail ysooyah.choi@samsung.com
ORCID
https://orcid.org/0000-0001-8492-7644

Received: August 21, 2023; Revised: October 31, 2023; Accepted: November 21, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Contralateral pulmonary resection after pneumonectomy presents considerable challenges, and few reports in the literature have described this procedure.
Methods: We retrospectively reviewed the medical records of all patients who underwent contralateral lung resection following pneumonectomy for any reason at our institution between November 1994 and December 2020.
Results: Thirteen patients (9 men and 4 women) were included in this study. The median age was 57 years (range, 35–77 years), and the median preoperative forced expiratory volume in 1 second was 1.64 L (range, 1.17–2.12 L). Contralateral pulmonary resection was performed at a median interval of 44 months after pneumonectomy (range, 6–564 months). Surgical procedures varied among the patients: 10 underwent single wedge resection, 2 were treated with double wedge resection, and 1 underwent lobectomy. Diagnoses at the time of contralateral lung resection included lung cancer in 7 patients, lung metastasis from other cancers in 3 patients, and tuberculosis in 3 patients. Complications were observed in 4 patients (36%), including acute kidney injury, pneumothorax following chest tube removal, pneumonia, and prolonged air leak. No cases of operative mortality were noted.
Conclusion: In carefully selected patients, contralateral pulmonary resection after pneumonectomy can be accomplished with acceptable operative morbidity and mortality.

Keywords: Contralateral pulmonary resection, Postoperative complication, Pneumonectomy

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J Chest Surg

Published online February 7, 2024

Copyright © Journal of Chest Surgery.

Contralateral Pulmonary Resection after Pneumonectomy

Ga Hee Jeong , M.D., Yong Soo Choi , M.D., Ph.D., Yeong Jeong Jeon , M.D., Ph.D., Junghee Lee , M.D., Ph.D., Seong Yong Park , M.D., Ph.D., Jong Ho Cho , M.D., Ph.D., Hong Kwan Kim , M.D., Ph.D., Jhingook Kim , M.D., Ph.D., Young Mog Shim , M.D., Ph.D.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Correspondence to:Yong Soo Choi
Tel 82-2-3410-6542
Fax 82-2-3410-6986
E-mail ysooyah.choi@samsung.com
ORCID
https://orcid.org/0000-0001-8492-7644

Received: August 21, 2023; Revised: October 31, 2023; Accepted: November 21, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Contralateral pulmonary resection after pneumonectomy presents considerable challenges, and few reports in the literature have described this procedure.
Methods: We retrospectively reviewed the medical records of all patients who underwent contralateral lung resection following pneumonectomy for any reason at our institution between November 1994 and December 2020.
Results: Thirteen patients (9 men and 4 women) were included in this study. The median age was 57 years (range, 35–77 years), and the median preoperative forced expiratory volume in 1 second was 1.64 L (range, 1.17–2.12 L). Contralateral pulmonary resection was performed at a median interval of 44 months after pneumonectomy (range, 6–564 months). Surgical procedures varied among the patients: 10 underwent single wedge resection, 2 were treated with double wedge resection, and 1 underwent lobectomy. Diagnoses at the time of contralateral lung resection included lung cancer in 7 patients, lung metastasis from other cancers in 3 patients, and tuberculosis in 3 patients. Complications were observed in 4 patients (36%), including acute kidney injury, pneumothorax following chest tube removal, pneumonia, and prolonged air leak. No cases of operative mortality were noted.
Conclusion: In carefully selected patients, contralateral pulmonary resection after pneumonectomy can be accomplished with acceptable operative morbidity and mortality.

Keywords: Contralateral pulmonary resection, Postoperative complication, Pneumonectomy

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