HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hoffmann, T. H. Articles by Ransdell, H. T. Search for Related Content PubMed PubMed Citation Articles by Hoffmann, T. H. Articles by Ransdell, H. T.

The Journal of Thoracic and Cardiovascular Surgery, Vol 79, 211-217, Copyright © 1980 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Comparison of lobectomy and wedge resection for carcinoma of the lung

TH Hoffmann and HT Ransdell

To evaluate comparatively lobectomy and wedge resection for carcinoma of the lung, we reviewed retrospectively 1,000 consecutive cases of lung cancer at a Veterans Administration Hospital. Of these cases, 252 were operable; 199 were resectable. Thirty-three patients underwent resection of their lesion as primary treatment. The indications for wedge resection were (1) insufficient pulmonary reserve, (2) resectable cerebral metastasis, (3) frozen-section results reportedly benign. One hundred twelve patients underwent standard lobectomy procedures. Of these patients, 40 were comparable to those patients undergoing wedge resection on the basis of age, histopathological examination, tumor size and location, and the presence of metastatic disease. One, 2, and 5 year survival rates were 85%, 58%, and 26%, respectively, for wedge resection and 75%, 55%, and 25%, respectively, for lobectomy. The operative mortality rate was 0% for wedge resection and 5% for lobectomy. These results indicate that for the patient with a peripheral lung carcinoma and no evidence of metastatic disease a wedge resection offers comparable survival rates with minimal risk of death.

This article has been cited by other articles:

				T. Chamogeorgakis, C. Ieromonachos, E. Georgiannakis, and D. Mallios Does lobectomy achieve better survival and recurrence rates than limited pulmonary resection for T1N0M0 non-small cell lung cancer patients? Interactive CardioVascular and Thoracic Surgery, March 1, 2009; 8(3): 364 - 372. [Abstract] [Full Text] [PDF]

				T. J. Birdas, R. P.M. Koehler, A. Colonias, M. Trombetta, R. H. Maley Jr, R. J. Landreneau, and R. J. Keenan Sublobar Resection With Brachytherapy Versus Lobectomy for Stage Ib Nonsmall Cell Lung Cancer Ann. Thorac. Surg., February 1, 2006; 81(2): 434 - 439. [Abstract] [Full Text] [PDF]

				T. Iizasa, M. Suzuki, K. Yasufuku, A. Iyoda, M. Otsuji, S. Yoshida, Y. Sekine, K. Shibuya, Y. Saitoh, K. Hiroshima, et al. Preoperative pulmonary function as a prognostic factor for stage I non-small cell lung carcinoma Ann. Thorac. Surg., June 1, 2004; 77(6): 1896 - 1902. [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]

				J. Deslauriers and J. Gregoire Surgical Therapy of Early Non-Small Cell Lung Cancer Chest, April 1, 2000; 117 (2009): 104S - 109S. [Abstract] [Full Text] [PDF]

				H. Shennib Sublobar resection for lung cancer Eur. J. Cardiothorac. Surg., September 1, 1999; 16(suppl_1): S61 - S63. [Abstract] [Full Text] [PDF]

				M. H.D. Danton, V. A. Anikin, K. G. McManus, J. A. McGuigan, and G. Campalani Simultaneous cardiac surgery with pulmonary resection: presentation of series and review of literature Eur. J. Cardiothorac. Surg., June 1, 1999; 13(6): 667 - 672. [Abstract] [Full Text] [PDF]

				N. Tsubota, K. Ayabe, O. Doi, T. Mori, S. Namikawa, T. Taki, and Y. Watanabe Ongoing prospective study of segmentectomy for small lung tumors Ann. Thorac. Surg., November 1, 1998; 66(5): 1787 - 1790. [Abstract] [Full Text] [PDF]

				Randomized Trial of Lobectomy Versus Limited Resection for T1 N0 Non-Small Cell Lung Cancer Ann. Thorac. Surg., September 1, 1995; 60(3): 615 - 622. [Abstract] [Full Text]

				A. Wakabayashi Thoracoscopic Partial Lung Resection in Patients With Severe Chronic Obstructive Pulmonary Disease: A Preliminary Report Arch Surg, September 1, 1994; 129(9): 940 - 944. [Abstract] [PDF]

				W. H. Warren and L. P. Faber Segmentectomy versus lobectomy in patients with stage I pulmonary carcinoma:Five-year survival and patterns of intrathoracic recurrence J. Thorac. Cardiovasc. Surg., April 1, 1994; 107(4): 1087 - 1094. [Abstract] [Full Text]