Original articleGeneral thoracicSurgical Lung Resection for Severe Hemoptysis
Section snippets
Patients
The study was conducted during an 11-year period (May 1995 to July 2006) at Tenon Hospital, a tertiary university hospital and referral center for hemoptysis in Paris, France. All consecutive patients admitted to our institution with SH who underwent surgical lung resection were eligible. Patients with hemoptysis who underwent a diagnostic open lung biopsy were excluded. For each patient, baseline demographics, comorbid conditions, initial clinical presentation and vital signs, cause of
Results
During the 11-year study period, 813 consecutive patients were referred to our unit for SH, of whom 116 (14%) underwent a surgical lung resection. Five patients were excluded from the analysis (diagnostic surgical lung biopsy, n = 2; surgery planned 6 months after the initial episode of hemoptysis, n = 2; and surgery performed at another center, n = 1). Overall, 111 patients undergoing surgical resection for SH in our center were analyzed. Some of these patients have been described elsewhere [11
Comment
We investigated the role of surgery in the management of a large series of patients referred for SH in the era of interventional radiology. Surgery was indicated in about 14% of patients, with emergency surgery representing nearly half of the procedures, mostly after failed attempt or unsuccessful interventional radiology. A similar proportion underwent scheduled surgery during the same hospital admission, after bleeding was controlled using general supportive care alone or combined with
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