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. 2024 Mar 5;57(2):145-151.
doi: 10.5090/jcs.23.115. Epub 2024 Feb 7.

Contralateral Pulmonary Resection after Pneumonectomy

Ga Hee Jeong  1 , Yong Soo Choi  1 , Yeong Jeong Jeon  1 , Junghee Lee  1 , Seong Yong Park  1 , Jong Ho Cho  1 , Hong Kwan Kim  1 , Jhingook Kim  1 , Young Mog Shim  1
Affiliations

Contralateral Pulmonary Resection after Pneumonectomy

Ga Hee Jeong et al. J Chest Surg. .

Abstract

Background: Contralateral pulmonary resection after pneumonectomy presents considerable challenges, and few reports in the literature have described this procedure.

Methods: We retrospectively reviewed the medical records of all patients who underwent contralateral lung resection following pneumonectomy for any reason at our institution between November 1994 and December 2020.

Results: Thirteen patients (9 men and 4 women) were included in this study. The median age was 57 years (range, 35-77 years), and the median preoperative forced expiratory volume in 1 second was 1.64 L (range, 1.17-2.12 L). Contralateral pulmonary resection was performed at a median interval of 44 months after pneumonectomy (range, 6-564 months). Surgical procedures varied among the patients: 10 underwent single wedge resection, 2 were treated with double wedge resection, and 1 underwent lobectomy. Diagnoses at the time of contralateral lung resection included lung cancer in 7 patients, lung metastasis from other cancers in 3 patients, and tuberculosis in 3 patients. Complications were observed in 4 patients (36%), including acute kidney injury, pneumothorax following chest tube removal, pneumonia, and prolonged air leak. No cases of operative mortality were noted.

Conclusion: In carefully selected patients, contralateral pulmonary resection after pneumonectomy can be accomplished with acceptable operative morbidity and mortality.

Keywords: Contralateral pulmonary resection; Pneumonectomy; Postoperative complication.

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Conflict of interest statement

Conflict of interest

Junghee Lee and Seong Yong Park are editorial board members of the journal, and Hong Kwan Kim was an editorial board member during the submission of the manuscript. None of them were involved in the peer reviewer selection, evaluation, or decision process for this article. No other potential conflicts of interest relevant to this article were reported.

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