Complications associated with pulmonary resection in lung cancer patients on dialysis

Tsuchida, Masanori; Yamato, Yasushi; Aoki, Tadashi; Watanabe, Takeshi; Hashimoto, Takehisa; Shinohara, Hirohiko; Hayashi, Jun‐Ichi

doi:10.1016/s0003-4975(00)02226-8

Cited by 38 publications

(45 citation statements)

References 12 publications

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“…There was no perioperative mortality in our series, while Tsuchida et al [1] reported 1 perioperative death among 7 patients receiving hemodialysis treatment who underwent pulmonary resection [1]. In a study of various types of surgery for patients with chronic renal failure, the perioperative mortality rate ranged from 0~6%, with the main causes of death including heart failure, hemorrhage, septicemia, liver failure, pneumonia, and hyperkalemia [6].…”

Section: Discussionmentioning

confidence: 76%

“…Two areas of concern have been cited for hemodialysis patients who undergo pulmonary resection [1]. The first involves preoperative undernutrition, anemia, electrolyte abnormalities, bleeding tendency, and decreased immune function [6][7][8][9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

“…However, there is an elevated risk of perioperative complications in patients with renal failure, such as heart failure and increased susceptibility to infection. Especially in those who undergo pulmonary resection surgery, acute postoperative heart failure is a key concern, due to the abrupt decrease in total pulmonary vascular cross-sectional area, increased pulmonary vascular resistance, and enhanced pulmonary vascular permeability [1]. We investigated perioperative management methods used and the incidence of complications in hemodialysis patients with chronic renal failure who underwent a pulmonary resection procedure at our hospital.…”

Section: Introductionmentioning

confidence: 99%

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Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Suehiro¹,

Okutani²

2011

J Anesthe Clinic Res

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Introduction: Among the perioperative complications encountered in patients with renal failure, there is a high risk of events such as heart failure and increased susceptibility to infection. Herein, we report the results of our investigation of perioperative management in patients with chronic renal failure who underwent a pulmonary resection. Methods:The subjects were 21 hemodialysis patients with renal failure who underwent pulmonary resection for lung cancer. We retrospectively investigated their clinical characteristics and perioperative management. The patients were classified into two groups; those with and without symptoms of postoperative acute heart failure. Intergroup comparisons of preoperative examinations and management were performed. Results:The most common preoperative comorbidity was cardiac complications, which occurred at a high incidence of 38%. There were no serious perioperative complications. In contrast, postoperative complications associated with renal failure were numerous, including acute heart failure in 3 (14%) and hyperkalemia in 2 (9.5%). We concluded that preoperative respiratory function, intraoperative fluid infusion volume, and preoperative cardiac comorbidities are potential risk factors for postoperative heart failure in such patients. Conclusion:Although there were no cases with perioperative mortality, postoperative complications were encountered, including heart failure and hyperkalemia, suggesting that more stringent cardiovascular and respiratory management techniques are necessary.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Suehiro¹,

Okutani²

2011

J Anesthe Clinic Res

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“…of ptsSurgical procedureApproachMorbidity (%)Ohta [40]19921PnOpen1 (100)Yamamoto [41]19961LbOpen1 (100)Tsuchida [42]20017LbOpen7 (100)Ciriaco [43]20056*Lb 5, Pn 1, Weg 1Open4 (57)Yajima [44]20051LbOpen1 (100)Obuchi [45]200911Lb 9, Pn 1, Weg 1VATS 4, Open 73 (27)Akiba [46]20102Lb 1, Wed 1VATS0 (0)Takahama [47]201024Lb 22, Sg 1, Weg 1Open13 (59)Matsuoka [48]20135Lb 4, Sg 1VATS2 (40)Caroli [49]20151LbVATS0 (0)Park [50]20157Lb 5, Weg 2VATS 4, Open 33 (42) No number, pts patients, Pn pneumonectomy, Lb lobectomy, Sg segmentectomy, Weg wedge resection*One patient had two operations …”

Section: Resultsmentioning

confidence: 99%

Recommendations for perioperative management of lung cancer patients with comorbidities

Tsubochi

Shibano

Endo

2017

Gen Thorac Cardiovasc Surg

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ObjectivesTo improve surgical outcomes, clinicians must provide optimal perioperative care for comorbidities identified as significant factors in risk models for patients undergoing lung cancer surgery.MethodsWe reviewed trends in perioperative care for idiopathic pulmonary fibrosis, cardiovascular diseases, and end-stage renal diseases in patients undergoing lung cancer surgery, as large clinical databases indicate that these comorbidities are significant risk factors for lung cancer surgery. Articles identified by keyword searches were included in the analysis.ResultsSignificant predictive factors for acute exacerbation of idiopathic pulmonary fibrosis were identified. However, no effective perioperative care was identified for prevention of acute exacerbation of interstitial pneumonia. The timing of coronary revascularization and antithrombotic management for cardiovascular diseases are subjects of ongoing research, and acid–base balance is essential in the management of hemodialysis patients with end-stage renal diseases.ConclusionsTo improve surgical outcomes for lung cancer patients, future studies should continue to study optimal perioperative management of comorbidities.

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“…6,36 Preoperative end-stage renal disease and hemodialysis increase the mortality rate after pulmonary resection by approximately 4-fold. [73][74][75] In the Society of Thoracic Surgeons (STS) database, postoperative renal dysfunction after pulmonary resections, defined as the doubling of plasma creatinine levels or the requirement for renal replacement therapy, was reported to occur in 1.4% of surgery patients and has been identified as a strong predictor of mortality and composite major morbidity. [75][76][77] However, the true incidence of acute kidney injury in lung surgery likely is underestimated due to the use of different definition criteria and the absence of any systematic measurement of creatinine levels.…”

Section: Renal Diseasementioning

confidence: 99%

Preoperative Evaluation of Patients Undergoing Lung Resection Surgery: Defining the Role of the Anesthesiologist on a Multidisciplinary Team

Rocca

Vetrugno

Coccia

et al. 2016

Journal of Cardiothoracic and Vascular Anesthesia

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Complications associated with pulmonary resection in lung cancer patients on dialysis

Cited by 38 publications

References 12 publications

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Recommendations for perioperative management of lung cancer patients with comorbidities

Preoperative Evaluation of Patients Undergoing Lung Resection Surgery: Defining the Role of the Anesthesiologist on a Multidisciplinary Team

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