eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
4/2021
vol. 18
 
Share:
Share:
abstract:
Original paper

Emergency pulmonary resection in massive hemoptysis: analysis of 39 patients

Serkan Yazgan
1
,
Ahmet Ucvet
1
,
Kenan Can Ceylan
1
,
Canberk Heskiloglu
1
,
Banu Yoldas
1
,
Serpil Sevinc
1

  1. Department of Thoracic Surgery, Health Sciences University, Dr Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey
Kardiochirurgia i Torakochirurgia Polska 2021; 18 (4): 203-209
Online publish date: 2022/01/09
View full text Get citation
 
PlumX metrics:
Introduction
The mortality of massive hemoptysis is high, and it is important to make quick decisions. Emergency pulmonary resection continues to be a mandatory option when conservative methods cannot prevent massive hemoptysis, as it is life-threatening.

Aim
We report our experience with patients undergoing pulmonary resection for massive hemoptysis.

Material and methods
This study is a retrospective analysis of 39 consecutive patients who were referred to the thoracic surgery intensive care unit of a tertiary hospital for massive hemoptysis and underwent emergency pulmonary resection by thoracotomy between January 2007 and March 2021.

Results
Male dominance with an average age of 49.3 (16–70) and a gender ratio of 3.3 were recorded. The most common underlying cause of massive hemoptysis was bronchiectasis (n = 16). Bronchiectasis was followed by aspergilloma (n = 11) and previous tuberculosis (n = 8). Bronchial artery embolization was performed in 20.5% of patients. Twenty-nine (74.4%) lobectomies, 7 (17.9%) pneumonectomies, and 3 (7.7%) segmentectomies were performed. The mean operation duration was 253.6 ±71 minutes. Recurrent hemoptysis was recorded in 7.7% of patients. Postoperative life-threatening complications were seen in 28.2%, while minor complications developed in 28.2% of patients. Postoperative complications were significantly higher in patients with tuberculosis sequelae (p = 0.006). Hospital mortality was observed in 5.1% of patients.

Conclusions
The postoperative period is more problematic in patients with a history of tuberculosis who undergo emergency pulmonary resection due to massive hemoptysis. Despite this, emergency pulmonary resection is a curative method with acceptable postoperative complications and low hospital mortality in all tolerant patients according to their clinical condition.

keywords:

hemoptysis, pneumonectomy, bronchiectasis, tuberculosis, pulmonary aspergillosis

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.