Clinical outcome after pulmonary resection for lung cancer patients on hemodialysis

The Annals of Thoracic Surgery
Toshiro ObuchiAkinori Iwasaki

Abstract

The number of operations for patients with malignant tumors receiving long-term hemodialysis has been increasing; however, there are only few reports about pulmonary resection for the patients with lung cancer. Between 1995 and 2009, 11 hemodialysis patients (6 men, 5 women; mean age, 66.4 years) with non-small cell lung cancer underwent pulmonary resection at our institution. We retrospectively evaluated their postoperative clinical outcomes and long-term results. The underlying kidney conditions included nephrosclerosis in 3, diabetic nephropathy in 3, glomerulonephritis in 1, and polycystic kidney in 1; 3 patients had undergone nephrectomy. The median duration of hemodialysis preoperatively was 5.0 years. Three patients had been treated for previous carcinoma. The histopathologic diagnoses were adenocarcinoma in 9 patients and squamous cell carcinoma in 2. Procedures included lobectomy in 9, pneumonectomy in 1, and wedge resection in 1. There were no in-hospital deaths. Postoperative morbidity included 2 cases of pneumonia and 1 of chylothorax. At the time of our investigation, 6 patients were dead; 2 of cancer and 4 of noncancer causes. The overall 5-year survival rate of 11 patients was 28.0%. Hemodialysis is not a contrai...Continue Reading

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Citations

May 9, 2012·General Thoracic and Cardiovascular Surgery·Toshiro ObuchiAkinori Iwasaki
Feb 23, 2011·Seminars in Dialysis·Germaine WongJonathan C Craig
Jul 11, 2012·Asian Journal of Endoscopic Surgery·T ObuchiA Iwasaki
Mar 26, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Giorgio Della RoccaFrancesco Facciolo
Aug 25, 2010·The Annals of Thoracic Surgery·Benjamin D KozowerCameron D Wright
Dec 13, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Katsunari MatsuokaYoshihiro Miyamoto
Oct 11, 2017·General Thoracic and Cardiovascular Surgery·Yuji OtsukiHirofumi Konn
Apr 11, 2020·Seminars in Dialysis·Saddam Yasin, Jean L Holley
Nov 18, 2017·General Thoracic and Cardiovascular Surgery·Hiroyoshi TsubochiShunsuke Endo
Sep 30, 2020·General Thoracic and Cardiovascular Surgery·Yukio WatanabeKenji Suzuki

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