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DOI: 10.1055/s-2007-967669
Results of lobectomy and pneumectomy in patients with COPD and/or coronary disease
The chronic obstructive pulmonary disease and the coronary artery disease are considered to be the dominant risk factors in anatomical lung resections.
At our hospital we performed a total of 81 lobectomies, 18 bi-lobectomies and 1 pneumectomy at 78 male and 22 female patients. The mean age was 63.6 years. Preoperative a relevant COPD was known in 46 patients (40 male, 6 female). Eleven of these patients had a FEV1 <1.5l. A coronary artery disease had 25 patients and 9 patients of them a myocardial infarction in the history.
The overall mortality rate was 6%. Four patients died due to multi-organ failure after massive gastro-intestinal bleeding or postoperative sepsis and two patients with acute right heart failure. One patient with unknown coronary disease survived an acute myocardial infarction. The mortality rate was 4% for the COPD patients (n=2) as well as for the coronary disease patients, respectively.
Neither the coronary artery disease nor the COPD caused a significantly increased risk for lung resections. In special cases even a severe limited FEV1 might allow an anatomical lung resection with acceptable risk.