TALHA DOĞRUYOL, SELİME KAHRAMAN, BERK ÇİMENOĞLU, MESUT BUZ, ATTİLA ÖZDEMİR, FATİH DOĞU GEYİK, RECEP DEMİRHAN
Southern Clinics of Istanbul Eurasia - 2022;33(3):292-297
INTRODUCTION: Thoracic surgery is an operation with relatively high morbidity and mortality. It requires even greater care in patients undergoing hemodialysis (HD) because they are at greater risk than the general population. In light of the literature, we examined the results of major thoracic surgery performed at our clinic in patients with chronic renal failure (CRF) undergoing HD. METHODS: Patients who underwent major thoracic surgery while receiving HD at our clinic between December 2015 and October 2021 were included in the study. The patients were analyzed in terms of pulmonary function values, smoking status, serum ureacreatinine values, comorbidities, ejection fraction, type of surgery, amount of drainage, discharge time, intensive care requirement, histopathological diagnosis, morbidity, and mortality. Results: Major thoracic surgery was performed in 15 patients receiving HD. Of the patients, 12 were males and 3 were females. The mean age was 61.2±15.8 years. The surgical approach was video-assisted thoracoscopic surgery in 6 patients, thoracotomy in 8, and sternotomy in 1. The most common surgical intervention was lobectomy. The mean length of stay in the intensive care unit was 0.9 days. Postoperative morbidity was observed in 4 patients (26.7%). Mortality due to pneumonia occurred in 1 patient (6.7%) DISCUSSION AND CONCLUSION: The number of patients requiring HD is globally increasing every year. Therefore, HD patients with lung cancer or requiring major thoracic surgery for other reasons are constantly increasing. Therefore, after a detailed risk assessment, we consider that operations should be performed in experienced centers with multidisciplinary perioperative management.
