Abstract:

The most effective treatment for early stage Non-Small Cell Lung Cancer (NSCLC) is surgery. One of the causes of early postoperative morbidity and mortality is hemorrhage. In this study, we tried to investigate our postoperative hemorrhagic approach in our clinic. The files of patients who developed postoperative hemorrhage after resection due to lung cancer between January 2015 and December 2016 were retrospectively reviewed. Postoperative hemorrhage was considered ; affecting the patient's general condition, arterial blood pressure, and pulse rate, even if hemorrhage in the first 6 hours was ≥600 cc hemorrhagic drainage. Postoperative hemorrhage developed in 12% of the patients (44/367). Bleeding control was possible with 62% medical and 38% re-operation. Re-operation were to 82% lobectomy patient, revision was done with 76% VATS. Bleeding center was found as arterial (n:10; intercostal=6, bronchial=3, segmental=1), venos (n:1) mediastinal lenfnode (n:1). Hemorrhage after thoracic surgery is an important cause of early mortality. There fore, the surgical team should be  familiar with the causes and treatment of hemorrhage. Medical and surgical combinations can be used in the treatment. While predominantly medical treatment is recommended for pneumonectomy patients, we recommend that the revision be performed with VATS for all and pay attention to arterial bleeding centers.

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