[A nationwide survey concerning lung surgery for lung cancer associated with idiopathic interstitial pneumonia].

Abstract

Acute exacerbation (AE) of idiopathic interstitial pneumonia (IIP) is a near-fatal condition with especially high risk following lung surgery. We conducted a nationwide survey concerning prophylactic therapy to prevent possible AE following lung surgery in Japan. We sent a questionnaire concerning prophylactic therapy immediately before and after lung surgery to a total of 701 institutions, including specific questions about anesthesia. Some prophylactic medication was applied in 128 institutions (prophylactic group : P group). In contrast, no prophylactic therapy was utilized in the remaining 92 institutions (non-prophylactic group : N group). In 1 year, 744 operations were performed for lung cancer associated with IIP. In the P group, the prevalence of AE following surgery was 7.8%, and the mortality rate was 48.4%. In the N group, the prevalence was 9.6%, and the mortality rate was 32.2%. In 204 departments (92.7%), certain specific settings for ventilation or surgery were applied. In conclusion, it is necessary to further evaluate the feasibility of such prophylactic therapy, and standard guidelines should be established.

Cite this paper

@article{Miyamoto2011ANS, title={[A nationwide survey concerning lung surgery for lung cancer associated with idiopathic interstitial pneumonia].}, author={Atsushi Miyamoto and Kazuma Kishi and Kunihiko Yoshimura}, journal={Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society}, year={2011}, volume={49 2}, pages={148-50} }