PURPOSE: We retrospectively analyzed the clinical characteristics of the patients on hemodialysis who underwent pulmonary resection for lung cancers.
METHODS: A total of 22 patients (mean age 65.6 years, ranged from 46 to 83) on hemodialysis underwent pulmonary resections at our institution from December 1994 to December 2007. The causes of hemodialysis were consisted of 12 patients on diabetes mellitus, 5 on chronic glomerulonephritis, 2 on nephrosclerosis and 5 on others. The mean levels of blood urea nitrogen and serum creatinine were 58.5mg/dL and 9.4 mg/dL, respectively.
RESULTS: The histologic diagnoses were squamous cell carcinoma in 12 patients, adenocarcinoma in 7, small cell carcinoma in 2 and adenosquamous carcinoma in 1. Twenty patients underwent lobectomy, 1 underwent a wedge resection and 1 underwent a segmentectomy. There was no operative mortality. There were 7 cases of prolonged air leak, 3 cases of acute heart failure, 2 of sputum retention, and 1 of chylothorax. The disease free interval was 22.9+/−22.6 months, ranging from 2 to 85 months.
CONCLUSION: In patients on hemodialysis who undergo pulmonary resection, there is a high incidence of pulmonary and cardiac complications.
CLINICAL IMPLICATIONS: Careful postoperative management is mandatory during postoperative period.
DISCLOSURE: Makoto Takahama, No Financial Disclosure Information; No Product/Research Disclosure Information