ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
A comparison of the intensive care unit outcomes of pneumonectomy and lobectomy patients with lung cancer
Özlem Yazıcıoğlu Moçin1, Levent Alpay2, Huriye Berk Takır1, Deniz Gürer2, Merih Kalamanoğlu Balcı1, Cüneyt Saltürk1, Erdal Taşçı3, Feyza Kargın1, Cemal Asım Kutlu3, İrfan Yalçınkaya2, Zuhal Karakurt1
1Departments of Respiratory intensive Care, Süreyyapaşa Chest Disease and Chest Surgery Training and Research Hospital, İstanbul, Turkey
2Departments of Thoracic Surgery, Süreyyapaşa Chest Disease and Chest Surgery Training and Research Hospital, İstanbul, Turkey
3Department of Thoracic Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.9193
Background: This study aims to compare intensive care unit (ICU) outcomes of patients with lung cancer who developed acute respiratory failure after pneumonectomy or lobectomy.

Methods: This retrospective observational cohort study included 57 lung cancer patients admitted to ICU who developed acute respiratory failure after pneumonectomy or lobectomy. Patients were divided as pneumonectomy (group 1; 19 males, 1 females; median age 65 years) and lobectomy (group 2; 36 males, 1 females; median age 62 years) groups. Pulmonary function test, invasive or noninvasive mechanical ventilation results, duration of ICU stay, and ICU mortality and long-term mortality were recorded. The groups were compared according to the recorded data.

Results: In group 1 and group 2, median preoperative forced expiratory volume in one second values were 1.58 L (predicted 61%) and 1.82 L (predicted 63%), respectively (p=0.82). Rates of patients with acute respiratory failure due to postoperative sepsis were similar in group 1 (65%) and group 2 (52.6%) (p=0.37). Group 1 and group 2 had similar median duration of ICU stay (9 and 8 days, respectively; p=0.76), ICU mortality (30.0% and 18.6%, respectively; p=0.34), and long term survival (n=6, 11 months; n=21, 5 months, respectively; p=0.79).

Conclusion: Lung cancer patients who were performed pneumonectomy or lobectomy might require ICU stay due to postoperative sepsis. Our study suggests that ICU mortality and long-term survival are not affected by the type of lung resection in these patients.

Keywords : Acute respiratory failure; intensive care unit; lobectomy; lung cancer; pneumonectomy
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