| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 78, 839-849, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RD Weisel, JD Cooper, NC Delarue, TE Theman, TR Todd and FG Pearson
Sleeve lobectomy for non-oat cell carcinoma involving a major bronchus
preserves functioning lung tissue and, in carefully selected patients,
provides long-term survival comparable to pneumonectomy. Seventy patients
underwent sleeve lobectomy between 1967 and 1978. Twenty-seven patients
were considered compromised (Group I) because they had severe respiratory
impairment which contraindicated pneumonectomy. Forty-three patients were
considered uncompromised (Group 2) and underwent elective sleeve lobectomy.
Seventy patients with a similar non-oat cell carcinoma involving the
proximal bronchi underwent pneumonectomy (Group 3) during this period.
Perioperative complications occurred more frequently in Group 1 (59%) than
in Group 2 (21%) or Group 3 (23%). Both periopeative mortality rate and the
incidence of bronchial disruption (bronchovascular and bronchopleural
fistulas) were higher in Group I (19% and 22%) than in Group 2 (9% and 5%)
or Group 3 (3% and 7%). Survival depended primarily on the surgeon's
ability to perform a complete resection of the tumor. An incomplete
resection resulted when tumor was found in the highest lymph node or in the
last bronchial resection margin when paraffin sections were reviewed. The 5
year survival rate was 18% for compromised patients (Group 1) who underwent
complete resection, and there were no survivors among patients undergoing
incomplete resections. Uncompromised patients ( Group 2) had a 5 year
survival rate of36% with complete and 12% with incomplete resections.
Pneumonectomy patients (Group 3) had a 64% 5 year survival rate with a
complete resection and 16% with an incomplete resection. The stage of the
disease at the time of operation had a profound effect on the survivail.
There was no difference inthe 5 and 8 year survival rates between
uncompromised patients undergoing sleeve resection ( Group 2) and patients
undergoing peneumonectomy (Group 3) for comparable stage of their disease.
A careful pre- and postoperative functional assessment revealed that
pulmonary performance was improved in 44% of Group 1, 63% of Group 2, and
only 14% of Group 3 patients. Patients wiht impaired pulmonary reserve
underwent sleeve lobectomy with an adequate disease-free interval when
complete tumor excision was possible. Uncompromised patients whose
extensive disease required incomplete resection had palliation by sleeve
lobectomy equivalent to that by pneumonectomy. When complete t-mor
resection was possible, patients with uncompromised pulmonary reserve had a
perioperative complication rate and long-term survival equivalent to that
of pneumonectomy while preserving pulmonary parenchyma, which permitted an
improvement in postoperative pulmonary performance.
ARTICLES
Sleeve lobectomy for carcinoma of the lung
This article has been cited by other articles:
|
|
 |
|
  H. F. Lausberg, T. P. Graeter, D. Tscholl, O. Wendler, and H.-J. Schafers Bronchovascular Versus Bronchial Sleeve Resection for Central Lung Tumors Ann. Thorac. Surg., April 1, 2005; 79(4): 1147 - 1152. [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. Terzi, A. Lonardoni, G. Falezza, G. Furlan, P. Scanagatta, F. Pasini, and F. Calabro Sleeve lobectomy for non-small cell lung cancer and carcinoids: results in 160 cases Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 888 - 893. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. F. Lausberg, T. P. Graeter, O. Wendler, S. Demertzis, D. Ukena, and H.-J. Schafers Bronchial and bronchovascular sleeve resection for treatment of central lung tumors Ann. Thorac. Surg., August 1, 2000; 70(2): 367 - 371. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Yatsuyanagi, S. Hirata, K. Yamazaki, T. Sasajima, and Y. Kubo Anastomotic complications after bronchoplastic procedures for nonsmall cell lung cancer Ann. Thorac. Surg., August 1, 2000; 70(2): 396 - 400. [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]
|
|
|
|
|
|
M. Okada, N. Tsubota, M. Yoshimura, Y. Miyamoto, and H. Matsuoka How should interlobar pleural invasion be classified? prognosis of resected T3 non-small cell lung cancer Ann. Thorac. Surg., December 1, 1999; 68(6): 2049 - 2052. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Okada, N. Tsubota, M. Yoshimura, Y. Miyamoto, H. Matsuoka, S. Satake, and H. Yamagishi EXTENDED SLEEVE LOBECTOMY FOR LUNG CANCER: THE AVOIDANCE OF PNEUMONECTOMY J. Thorac. Cardiovasc. Surg., October 1, 1999; 118(4): 710 - 714. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kruger, K. Uschinsky, K. Hassler, and C. Engelmann Postoperative complications after bronchoplastic procedures in the treatment of bronchial malignancies Eur. J. Cardiothorac. Surg., July 1, 1999; 14(1): 46 - 53. [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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
C. C. M. Pitz, A. B. de la Riviere, H. R. J. Elbers, C. J. J. Westermann, and J. M. van den Bosch Results of Resection of T3 Non-Small Cell Lung Cancer Invading the Mediastinum or Main Bronchus Ann. Thorac. Surg., October 1, 1996; 62(4): 1016 - 1020. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
H. A. Gaissert, D. J. Mathisen, A. C. Moncure, A. D. Hilgenberg, H. C. Grillo, and J. C. Wain SURVIVAL AND FUNCTION AFTER SLEEVE LOBECTOMY FOR LUNG CANCER J. Thorac. Cardiovasc. Surg., May 1, 1996; 111(5): 948 - 953. [Abstract] [Full Text]
|
|
|
|
|
|
G. Massard, A. Dabbagh, P. Dumont, R. Kessler, N. Roeslin, J.-M. Wihlm, and G. Morand Are Bilobectomies Acceptable Procedures? Ann. Thorac. Surg., September 1, 1995; 60(3): 640 - 645. [Abstract] [Full Text]
|
|
|
|
|
|
T. M. Anderson and J. I. Miller Jr Use of Pleura, Azygos Vein, Pericardium, and Muscle Flaps in Tracheobronchial Surgery Ann. Thorac. Surg., September 1, 1995; 60(3): 729 - 733. [Abstract] [Full Text]
|
|
|
|
|
|
T. M. Anderson and J. I. Miller Jr Surgical Technique and Application of Pericardial Fat Pad and Pericardiophrenic Grafts Ann. Thorac. Surg., June 1, 1995; 59(6): 1590 - 1591. [Abstract] [Full Text]
|
|
|
|
|
|
R. J. Mehran, J. Deslauriers, M. Piraux, M. Beaulieu, C. Guimont, and J. Brisson Survival related to nodal status after sleeve resection for lung cancer J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 576 - 583. [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 |
