|
|
||||||||
J Thorac Cardiovasc Surg 2009;137:1400-1405
© 2009 The American Association for Thoracic Surgery
General Thoracic Surgery |
a Department of Thoracic Surgery, Hôtel Dieu Hospital, AP-HP, Paris, France
b Department of Pneumology, Hôtel Dieu Hospital, AP-HP, Paris, France
c Department of Pneumology, St Antoine Hospital, AP-HP, Paris, France
Received for publication April 30, 2008; revisions received September 11, 2008; accepted for publication November 2, 2008. * Address for reprints: Marco Alifano, MD, Unité de Chirurgie Thoracique, Hôtel Dieu, 1, Place du Parvis Notre-Dame, 75181 Paris Cedex, France . (Email: marcoalifano{at}yahoo.com).
Objective: We report our experience with 93 consecutive pulmonary artery reconstructions during pulmonary lobectomy with regard to morbidity, mortality, and long-term survival.
Methods: Clinical records of all patients who underwent lobectomy with partial or circumferential pulmonary artery resection in a single institution during an 8-year period were reviewed retrospectively.
Results: Lobectomy with partial (n = 90) or circumferential (n = 3) pulmonary artery resection was carried out in 93 patients. Indications for surgical intervention were non–small cell lung cancer in 87 patients and other malignancy in the remaining 6 patients. Bronchial sleeve resection was associated in 23 patients. Neoadjuvant chemotherapy had been administered in 34 cases because of cN2 disease. Operative mortality was 5.4%. Postoperative complications occurred in 27 (29.0%) patients. All the patients underwent contrast-enhanced computed tomographic scanning 6 to 8 weeks postoperatively, which always showed patency of the pulmonary arteries. In the whole population median and 5-year survivals were 40 months and 39.4%, respectively. Disease-free survival was 41.4% at 5 years. Among patients with non–small cell lung cancer, at univariate analysis, tumor size of less than 3 cm; presence of vascular peritumoral emboli, intratumoral emboli, or both; and dyspnea influenced 5-year survival. Multivariate analysis showed that the size of the primary tumor and the presence of vascular emboli were independent factors of worse outcome.
Conclusions: Lobectomy with arterial sleeve resection has acceptable mortality and no specific complications. Late results in terms of survival are satisfactory.
This article has been cited by other articles:
![]() |
D. J. Minnich, A. S. Bryant, D. H. Ashley, and R. J. Cerfolio Inflow and outflow occlusion technique of the pulmonary artery and veins for the technically difficult left upper lobectomy Eur J Cardiothorac Surg, February 1, 2012; 41(2): 353 - 356. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Petrella, P. Solli, A. Borri, and L. Spaggiari Modified Blalock clamp: a single-hand autostatic device for pulmonary vessel occlusion during lung cancer resection Interact CardioVasc Thorac Surg, December 22, 2011; (2011) ivr122v1. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Riquet and A. Arame Editorial comment: Sleeve lobectomy: time for setting the record straight Eur J Cardiothorac Surg, November 1, 2011; 40(5): 1163 - 1164. [Full Text] [PDF] |
||||
![]() |
F. Puma, R. Capozzi, N. Daddi, M. Ragusa, L. Cagini, A. Quintili, and J. Vannucci Experience with the autologous pulmonary vein for pulmonary arterioplasty Eur J Cardiothorac Surg, September 1, 2011; 40(3): e107 - e111. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Kojima, K. Yamamoto, K. Matsuoka, M. Ueda, H. Hamada, N. Imanishi, and Y. Miyamoto Factors affecting survival after lobectomy with pulmonary artery resection for primary lung cancer Eur J Cardiothorac Surg, July 1, 2011; 40(1): e13 - e20. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Gomez-Caro, M. Boada, and L. Molins Lung parenchymal sparing using cryopreserved allografts for pulmonary artery reconstruction MMCTS, January 1, 2011; 2011(0704): mmcts.2010.004952 - mmcts.2010.004952. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Cranganu and J. Camporeale Nutrition Aspects of Lung Cancer Nutr Clin Pract, December 1, 2009; 24(6): 688 - 700. [Abstract] [Full Text] [PDF] |
||||
| 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 |