| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1996;111:948-953
© 1996 Mosby, Inc.
GENERAL THORACIC SURGERY |
From the General Thoracic Surgical Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Received for publication Sept. 20, 1995 Revisions requested Oct. 19, 1995; revisions received Dec. 11, 1995 Accepted for publication Dec. 13, 1995. Address for reprints: Douglas J. Mathisen, MD, Warren 1109, Massachusetts General Hospital, Boston, MA 02114.
Abstract
Between 1962 and 1991, 72 patients (mean age 63.4 years) underwent sleeve lobectomy for primary lung cancer. Thirty-seven patients had adequate lung function and 35 were deemed unsuitable for pneumonectomy on the basis of inadequate pulmonary reserve (n = 31) or cardiac risk factors (n = 4). Squamous cell carcinomas (68%) and adenocarcinomas (26%) predominated. Upper lobectomy was performed in 48 patients, lower and middle lobectomy in 13, and right upper and middle bilobectomy in 11. Hospital mortality was 4% (3/72) and compares with a hospital mortality of 9% in 56 consecutive pneumonectomies between 1986 and 1990. Major complications occurred in 11% (bronchopleural fistula 1, persistent atelectasis 4, pneumonia 4). Adjusted actuarial survival after sleeve lobectomy at 1 and 5 years was 84% and 42%, compared with 76% and 44% after pneumonectomy. Five-year survival after lower and middle lobectomy in 13 patients (52%) was similar to that after upper lobectomy (46%), suggesting that in carefully selected patients the concept of sleeve lobectomy can be applied to all pulmonary lobes. N1 disease and compromised lung function were associated with lower survival (N1 38% vs N0 57%; compromised 20% vs adequate 55%). Comparison of preoperative and postoperative lung function and quantitative ventilation-perfusion isotope studies substantiated the preservation of pulmonary function in this group of patients. Sleeve lobectomy is the procedure of choice for anatomically suitable carcinomas or when reduced pulmonary reserve precludes extensive resection. (J THORACCARDIOVASCSURG1996;111:948-53)
This article has been cited by other articles:
|
|
 |
|
  R. E. Merritt, D. J. Mathisen, J. C. Wain, H. A. Gaissert, D. Donahue, M. Lanuti, J. S. Allan, C. R. Morse, and C. D. Wright Long-term results of sleeve lobectomy in the management of non-small cell lung carcinoma and low-grade neoplasms. Ann. Thorac. Surg., November 1, 2009; 88(5): 1574 - 1582. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. A. Gaissert, D. Y. Keum, C. D. Wright, M. Ancukiewicz, E. Monroe, D. M. Donahue, J. C. Wain, M. Lanuti, J. S. Allan, N. C. Choi, et al. POINT: Operative risk of pneumonectomy--influence of preoperative induction therapy. J. Thorac. Cardiovasc. Surg., August 1, 2009; 138(2): 289 - 294. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Ludwig, R. Riedel, J. Schnell, and E. Stoelben Inhalation with Tobramycin(R) to improve healing of tracheobronchial reconstruction Eur. J. Cardiothorac. Surg., May 1, 2009; 35(5): 797 - 800. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Ludwig, P. Morand, J. Schnell, and E. Stoelben Preserving Middle Lobe to Improve Lung Function in Non-Small-Cell Lung Cancer Asian Cardiovasc Thorac Ann, April 1, 2009; 17(2): 153 - 156. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Parissis, M. Leotsinidis, A. Hughes, E. McGovern, D. Luke, and V. Young Comparative Analysis and Outcomes of Sleeve Resection Versus Pneumonectomy Asian Cardiovasc Thorac Ann, April 1, 2009; 17(2): 175 - 182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Chida, M. Minowa, S. Miyoshi, and T. Kondo Extended sleeve lobectomy for locally advanced lung cancer. Ann. Thorac. Surg., March 1, 2009; 87(3): 900 - 905. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Bagan, F. Le Pimpec-Barthes, A. Badia, F. Crockett, A. Dujon, and M. Riquet Bronchial sleeve resections: lung function resurrecting procedure Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 484 - 487. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Rea, G. Marulli, M. Schiavon, A. Zuin, A.-M. Hamad, G. Rizzardi, E. Perissinotto, and F. Sartori A quarter of a century experience with sleeve lobectomy for non-small cell lung cancer Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 488 - 492. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Bayram, M. M. Erol, H. Salci, O. Ozyigit, S. Gorgul, and C. Gebitekin Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs Eur. J. Cardiothorac. Surg., December 1, 2007; 32(6): 852 - 854. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Lucchi, F. Melfi, A. Ribechini, P. Dini, L. Duranti, G. Fontanini, and A. Mussi Sleeve and wedge parenchyma-sparing bronchial resections in low-grade neoplasms of the bronchial airway J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 373 - 377. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Yildizeli, E. Fadel, S. Mussot, D. Fabre, O. Chataigner, and P. G. Dartevelle Morbidity, mortality, and long-term survival after sleeve lobectomy for non-small cell lung cancer Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 95 - 102. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Lemaitre, Z. Mansour, E. A. Kochetkova, C. Koriche, X. Ducrocq, J.-M. Wihlm, E. Quoix, and G. Massard Bronchoplastic lobectomy: do early results depend on the underlying pathology? A comparison between typical carcinoids and primary lung cancer. Eur. J. Cardiothorac. Surg., July 1, 2006; 30(1): 168 - 171. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Bagan, P. Berna, J. C. Das Neves Pereira, F. Le Pimpec Barthes, C. Foucault, A. Dujon, and M. Riquet Sleeve Lobectomy Versus Pneumonectomy: Tumor Characteristics and Comparative Analysis of Feasibility and Results Ann. Thorac. Surg., December 1, 2005; 80(6): 2046 - 2050. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. G. Spiro and G. A. Silvestri One Hundred Years of Lung Cancer Am. J. Respir. Crit. Care Med., September 1, 2005; 172(5): 523 - 529. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. R. Burfeind Jr, T. A. D'Amico, E. M. Toloza, W. G. Wolfe, and D. H. Harpole Low Morbidity and Mortality for Bronchoplastic Procedures With and Without Induction Therapy Ann. Thorac. Surg., August 1, 2005; 80(2): 418 - 422. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Ludwig, E. Stoelben, M. Olschewski, and J. Hasse Comparison of Morbidity, 30-Day Mortality, and Long-Term Survival After Pneumonectomy and Sleeve Lobectomy For Non-Small Cell Lung Carcinoma Ann. Thorac. Surg., March 1, 2005; 79(3): 968 - 973. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Ozcelik and S. Onat Nohl-Oser type tracheobronchoplastic procedure in the treatment of advanced carcinoma of the right upper lobe Interactive CardioVascular and Thoracic Surgery, June 1, 2004; 3(2): 277 - 279. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Deslauriers, J. Gregoire, L. F. Jacques, M. Piraux, L. Guojin, and Y. Lacasse Sleeve lobectomy versus pneumonectomy for lung cancer: a comparative analysis of survival and sites or recurrences Ann. Thorac. Surg., April 1, 2004; 77(4): 1152 - 1156. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Ferguson and A. G. Lehman Sleeve lobectomy or pneumonectomy: optimal management strategy using decision analysis techniques Ann. Thorac. Surg., December 1, 2003; 76(6): 1782 - 1788. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Chunwei, W. Weiji, Z. Xinguan, N. Qingzen, J. Xiangmin, and Z. Qingzhen Evaluations of bronchoplasty and pulmonary artery reconstruction for bronchogenic carcinoma Eur. J. Cardiothorac. Surg., February 1, 2003; 23(2): 209 - 213. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. J. Scott, J. Howington, and B. Movsas Treatment of Stage II Non-small Cell Lung Cancer Chest, January 1, 2003; 123 (2009): 188S - 201S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Fadel, B. Yildizeli, A. R. Chapelier, I. Dicenta, S. Mussot, and P. G. Dartevelle Sleeve lobectomy for bronchogenic cancers: factors affecting survival Ann. Thorac. Surg., September 1, 2002; 74(3): 851 - 859. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A.E. Martin-Ucar, N. Chaudhuri, J.G. Edwards, and D.A. Waller Can pneumonectomy for non-small cell lung cancer be avoided? An audit of parenchymal sparing lung surgery Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 601 - 605. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Deslauriers Current surgical treatment of nonsmall cell lung cancer 2001 Eur. Respir. J., February 1, 2002; 19(35_suppl): 61S - 70s. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Fang, D. Zhang, G. Huang, R. Zhang, L. Wang, and D. Zhang Results of surgical resection of patients with primary lung cancer: a retrospective analysis of 1,905 cases Ann. Thorac. Surg., October 1, 2001; 72(4): 1155 - 1159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. End, P. Hollaus, A. Pentsch, W. Brannath, D. Janakiev, M. R. Mueller, N. Pridun, and E. Wolner Bronchoplastic procedures in malignant and nonmalignant diseaseMultivariable analysis of 144 cases J. Thorac. Cardiovasc. Surg., July 1, 2000; 120(1): 119 - 127. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Tronc, J. Gregoire, J. Rouleau, and J. Deslauriers Long-term results of sleeve lobectomy for lung cancer Eur. J. Cardiothorac. Surg., May 1, 2000; 17(5): 550 - 556. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Jalal and K. Jeyasingham Bronchoplasty for malignant and benign conditions: a retrospective study of 44 cases Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 370 - 376. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Okada, H. Yamagishi, S. Satake, H. Matsuoka, Y. Miyamoto, M. Yoshimura, and N. Tsubota SURVIVAL RELATED TO LYMPH NODE INVOLVEMENT IN LUNG CANCER AFTER SLEEVE LOBECTOMY COMPARED WITH PNEUMONECTOMY J. Thorac. Cardiovasc. Surg., April 1, 2000; 119(4): 814 - 819. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Ferguson and T. Karrison DOES PNEUMONECTOMY FOR LUNG CANCER ADVERSELY INFLUENCE LONG-TERM SURVIVAL? J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 440 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Massard, R. Kessler, B. Gasser, X. Ducrocq, S. Elia, S. Gouzou, and J.-M. Wihlm Local control of disease and survival following bronchoplastic lobectomy for non-small cell lung cancer Eur. J. Cardiothorac. Surg., September 1, 1999; 16(3): 276 - 282. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-C. Suen, B. F. Meyers, T. Guthrie, M. S. Pohl, S. Sundaresan, C. L. Roper, J. D. Cooper, and G. A. Patterson Favorable results after sleeve lobectomy or bronchoplasty for bronchial malignancies Ann. Thorac. Surg., June 1, 1999; 67(6): 1557 - 1562. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Kutlu and P. Goldstraw TRACHEOBRONCHIAL SLEEVE RESECTION WITH THE USE OF A CONTINUOUS ANASTOMOSIS: RESULTS OF ONE HUNDRED CONSECUTIVE CASES J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1112 - 1117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Ph. Icard, J.F. Regnard, L. Guibert, P. Magdeleinat, B. Jauffret, and Ph. Levasseur Survival and prognostic factors in patients undergoing parenchymal saving bronchoplastic operation for primary lung cancer: a series of 110 consecutive cases Eur. J. Cardiothorac. Surg., April 1, 1999; 15(4): 426 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. E. Wood and E. Vallieres Tracheobronchial Resection and Reconstruction Arch Surg, August 1, 1997; 132(8): 850 - 856. [Abstract] [PDF]
|
|
|
|
|
|
R. Bueno, J. C. Wain, C. D. Wright, A. C. Moncure, H. C. Grillo, and D. J. Mathisen Bronchoplasty in the Management of Low-Grade Airway Neoplasms and Benign Bronchial Stenoses Ann. Thorac. Surg., September 1, 1996; 62(3): 824 - 828. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
