Pneumonectomies for Infectious Diseases: Predictors of Morbidity and Mortality in a Multicenter Study
Nezih Onur Ermerak1, Amina Moumen2, Souheil Boubia2, Akuvi Adossou3, Samy Housbane4, Najat Id el Haj21Department of Thoracic Surgery, Marmara University, Istanbul, Türkiye, 2Department of Thoracic Surgery Casablanca, University Hospital Ibn Rochd, Morocco, 3Department of Radiology, Michael E. Debakey VA Medical Center, Houston, USA, 4Casablanca University, Faculty of Medicine, Medical Informatics, Casablanca, Morocco
Objectives: Pneumectomy is associated with a higher risk of adverse outcomes compared with other types of pulmonary resections. The objective of this study is to identify the risk factors for post-operative complications in patients who undergo a pneumonectomy for infectious lung diseases. Methods: This is a multicenter cross-sectional study that includes 61 patients who were operated on by the Thoracic Surgeons from Ibn Rochd University Hospital in Casablanca, Morocco and Marmara University Hospital in Istanbul, Turkey. Results: The patients’ mean age was 38.6 years old. The sex ratio was 1.18. The most frequent indications for pneumonectomy were tuberculosis (62.3%), aspergillosis (24.6%), bronchiectasis (36.1%) and empyema (13.1%). Complications occurred in 45.9% of the cases and the mortality rate was 6.6%. Post-operative transfusion, more than 3 comorbidities and bronchiectasis were the factors associated with a higher morbidity rate. Mortality was significantly higher with extrapleural dissection, intra-operative complications, and post-operative hemodynamic instability. Conclusion: Pneumonectomy is associated with higher postoperative morbidity and mortality rates. Even though it is rarely indicated for infectious diseases, should be performed when there are no alternative treatment options. It is important to know predictors for intraoperative and postoperative complications for better outcomes. Keywords: Pneumonectomy, Pulmonary infectious diseases, benign lung diseases, outcomes
Cite This Article
Ermerak N, Moumen A, Boubia S, Adossou A, Housbane S, Haj N. Pneumonectomies for Infectious Diseases: Predictors of Morbidity and Mortality in a Multicenter Study. EJMI. 2023; 7(3): 329-333
Corresponding Author: Nezih Onur Ermerak