[Analysis of postoperative short-term mortality after lung resection and the corresponding treatment strategies].

OBJECTIVE

To study the risk factors of postoperative short-term mortality after lung resection.

METHOD: Retrospective analysis on 46 cases ongoing lung resection but died within 1 month postoperatively.

RESULTS

There were 37 males and 9 females in this group, aging 38-74 years old. The mortalities be of the group > or = 60 year-old and below 60 were 1.23% and 0.45% (P < 0.01), respectively. The short-term mortalities of the group of pneumonectomy and partial lung resection were 0.51% and 0.32% (P < 0.01), respectively. Causes of the postoperative death were 17 cases of complications of circulatory system, 10 of cancer metastasis, 10 of acute respiratory failure, 6 of intestinal complications, 2 of bronchopleural fistula and 1 of renal failure.

CONCLUSION

Measures such as manuver of perioperative complications and coexistant disorders appropriately, reduction of unnecessary explorative thoracotomy and palliative cancer resection, avoidence of pneumonectomy as possible may be helpful to lower the postoperative short-term mortality.