PULMONARY RESECTION FOR A LUNG CANCER IN A PATIENT WITH CHRONIC RENAL FAILURE ON HEMODIALYSIS

Abstract

A 48-year-old man on maintenance hemodialysis for chronic renal failure during these 10 years was pointed out an abnormal shadow on the left upper field at a routine medical checkup. Transbronchial lung biopsy revealed a lung cancer. Left upper lobectomy and mediastinal lymph node dissection were performed without any complications. Histologically, large cell carcinoma was diagnosed and metastases were found in the left upper lobe lymph nodes (T2N1M0). Because of hyperkalemia, he was performed hemodialysis just after 7 hours from the operation. There were no troubles during the hemodialysis. Nafamostat mesilate was used for anti-coagulant reagent. Postoperative course was uneventful. The patient died of multiple brain metastases 15 months after the operation. We emphasize that pulmonary resection for patients with lung cancer on hemodialysis have to be performed, if the surgical indication can be considered.