2001 Volume 15 Issue 4 Pages 454-458
Five on chronic hemodialysis with lung cancerpatients underwent pulmonary lobectomies in our institution. In order to perform lobectomy safely, we assessed the changes of serum potassium and CPK postoperatively. With judicious management, patients on chronichemodialysis undergoing elective lobectomy had a low operative mortality . However, the late results were extremely poor, especially in patients with congestive heart failure . Three of the 5 patients died of cardiac failure. These cases were complicated by pleural effusion pre-or postoperatively. We concluded that pleural effusion is a predictor of poor prognosis, and that close cooperation between surgeons and hemodialysis personnel over a long period is important.
