Factors affecting complication rates of Pneumonectomy in destroyed lung

Abstract

Objective: to investigate the relationship between the characteristics of patients who underwent pneumonectomy for destroyed lung and the surgical procedures employed and factors that affect postoperative complications.

Methodology: Study was completed at Lady reading hospital, Peshawar from February 2022 to January 2023 in duration of one year. A total of 60 patients enrolled in the study who were underwent pneumonectomy for destroyed lung. Main variables of study were risk factors like smoking, hypertension, diabetes and tuberculosis. Pathological findings and complications. SPSS version 27 was used for data analysis.

Results: The mean FEV₁ of the patients was 1.53±0.45%. The mean albumin of the patients was 3.51±0.68 g/dL. The mean hemoglobin of the patients was 11.86±1.34 (g/dL). The mean lactate dehydrogenase of the patients was 185.31±11.62 U/L. There were 36.7% patients who had right lung affected and 63.3% patients who had left lung affected. The most common pathological findings were bronchiectasis 53.3% and granulomatous inflammation 35.0%. Whereas, the most common postoperative complications were empyema and bleeding in10 (16.7%) patients.

Conclusion

Patients who undergo surgical resection for a destroyed lung face an elevated risk of postoperative complications if they exhibit low albumin levels. Despite this association, it is advisable not to preclude pneumonectomy as a surgical treatment option for eligible patients with destroyed lung.