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The Journal of Thoracic and Cardiovascular Surgery, Vol 86, 654-658, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RJ Ginsberg, LD Hill, RT Eagan, P Thomas, CF Mountain, J Deslauriers, WA Fry, RO Butz, M Goldberg and PF Waters
Modern postoperative mortality rates for resectional operations for lung
cancer are not readily available. In recent publications estimating the
risk factors for surgical resection, mortality rates of 10% to 15% for
pneumonectomy and 5% to 7% for lobectomy are frequently quoted. In order to
determine modern operative mortality rates (up to 30 days postoperatively),
the Lung Cancer Study Group (LCSG) analyzed the surgical mortality rates of
the various participating centers during the years 1979 to 1981. A total of
2,200 resections for lung cancer were available for analysis. Of the 2,220
resections performed, 1,058 were lobectomies, 569 were pneumonectomies, and
143 were lesser resections (segmental or wedge). Eighty-one postoperative
deaths occurred from among the 2,220 resections (3.7%). The mortality rate
for pneumonectomy was 6.2% and for lobectomy, 2.9%. Lesser resections
carried a 1.4% mortality rate, not statistically different from lobectomy.
In patients under the age of 60 years, the mortality rate was 1.3%, 60 to
69 years, 4.1%, and over 70 years, 7.1%, all significantly different (p
less than 0.01). The postoperative mortality rate for patients 70 years or
older was 7.1% (pneumonectomy 5.9% and lobectomy 7.3%). It is obvious that
greater care was taken in selection among the older pneumonectomy patients.
The striking similarity of postoperative mortality rates for resectional
operations for lung cancer among the various centers of the LCSG and among
the various institutions within these centers suggest that these data are a
reasonably accurate analysis of modern surgical mortality rates in the
treatment of lung cancer.
ARTICLES
Modern thirty-day operative mortality for surgical resections in lung cancer
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A. Terzi, A. Lonardoni, G. Falezza, P. Scanagatta, A. Santo, G. Furlan, and F. Calabro Completion pneumonectomy for non-small cell lung cancer: experience with 59 cases Eur J Cardiothorac Surg, July 1, 2002; 22(1): 30 - 34. [Abstract] [Full Text] [PDF] |
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B. Jeremic Survival after resection of metachronous non-small cell lung cancer Ann. Thorac. Surg., May 1, 2002; 73(5): 1694 - 1694. [Full Text] [PDF] |
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J.P. van Meerbeeck, R.A.M. Damhuis, and M.L. Vos de Wael High postoperative risk after pneumonectomy in elderly patients with right-sided lung cancer Eur. Respir. J., January 1, 2002; 19(1): 141 - 145. [Abstract] [Full Text] [PDF] |
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A. Depierre, B. Milleron, D. Moro-Sibilot, S. Chevret, E. Quoix, B. Lebeau, D. Braun, J.-L. Breton, E. Lemarie, S. Gouva, et al. Preoperative Chemotherapy Followed by Surgery Compared With Primary Surgery in Resectable Stage I (Except T1N0), II, and IIIa Non-Small-Cell Lung Cancer J. Clin. Oncol., January 1, 2002; 20(1): 247 - 253. [Abstract] [Full Text] [PDF] |
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N. F. Esnaola, S. N. Lazarides, S. J. Mentzer, and K. M. Kuntz Outcomes and Cost-Effectiveness of Alternative Staging Strategies for Non-Small-Cell Lung Cancer J. Clin. Oncol., January 1, 2002; 20(1): 263 - 273. [Abstract] [Full Text] [PDF] |
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J. Martin, R. J. Ginsberg, A. Abolhoda, M. S. Bains, R. J. Downey, R. J. Korst, T. L. Weigel, M. G. Kris, E. S. Venkatraman, and V. W. Rusch Morbidity and mortality after neoadjuvant therapy for lung cancer: the risks of right pneumonectomy Ann. Thorac. Surg., October 1, 2001; 72(4): 1149 - 1154. [Abstract] [Full Text] [PDF] |
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M. Girish, E. Trayner Jr, O. Dammann, V. Pinto-Plata, and B. Celli Symptom-Limited Stair Climbing as a Predictor of Postoperative Cardiopulmonary Complications After High-Risk Surgery Chest, October 1, 2001; 120(4): 1147 - 1151. [Abstract] [Full Text] [PDF] |
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G. Myrdal, G. Gustafsson, M. Lambe, L. G. Horte, and E. Stahle Outcome after lung cancer surgery. Factors predicting early mortality and major morbidity Eur J Cardiothorac Surg, October 1, 2001; 20(4): 694 - 699. [Abstract] [Full Text] [PDF] |
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J. R. Roberts, C. Eustis, R. Devore, D. Carbone, H. Choy, and D. Johnson Induction chemotherapy increases perioperative complications in patients undergoing resection for non-small cell lung cancer Ann. Thorac. Surg., September 1, 2001; 72(3): 885 - 888. [Abstract] [Full Text] [PDF] |
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E. A. Tovar One-day admission for major lung resections in septuagenarians and octogenarians: a comparative study with a younger cohort Eur J Cardiothorac Surg, September 1, 2001; 20(3): 449 - 454. [Abstract] [Full Text] [PDF] |
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C. Alexiou, D. Beggs, M. L. Rogers, L. Beggs, S. Asopa, and F. D. Salama Pneumonectomy for non-small cell lung cancer: predictors of operative mortality and survival Eur J Cardiothorac Surg, September 1, 2001; 20(3): 476 - 480. [Abstract] [Full Text] [PDF] |
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G Laking and P Price 18-Fluorodeoxyglucose positron emission tomography (FDG-PET) and the staging of early lung cancer Thorax, September 1, 2001; 56(90002): ii38 - 44. [Full Text] [PDF] |
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E. Ruffini, A. Parola, E. Papalia, P. L. Filosso, M. Mancuso, A. Oliaro, G. Actis-Dato, and G. Maggi Frequency and mortality of acute lung injury and acute respiratory distress syndrome after pulmonary resection for bronchogenic carcinoma Eur J Cardiothorac Surg, July 1, 2001; 20(1): 30 - 37. [Abstract] [Full Text] [PDF] |
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A. Bernard, C. Deschamps, M. S. Allen, D. L. Miller, V. F. Trastek, G. D. Jenkins, and P. C. Pairolero Pneumonectomy for malignant disease: Factors affecting early morbidity and mortality J. Thorac. Cardiovasc. Surg., June 1, 2001; 121(6): 1076 - 1082. [Abstract] [Full Text] [PDF] |
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N. A. Obuchowski, R. J. Graham, M. E. Baker, and K. A. Powell Ten Criteria for Effective Screening: Their Application to Multislice CT Screening for Pulmonary and Colorectal Cancers Am. J. Roentgenol., June 1, 2001; 176(6): 1357 - 1362. [Full Text] [PDF] |
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R. T. Jagoe, T. H.J. Goodship, and G. J. Gibson The influence of nutritional status on complications after operations for lung cancer Ann. Thorac. Surg., March 1, 2001; 71(3): 936 - 943. [Abstract] [Full Text] [PDF] |
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British Thoracic Society, Society of Cardiothoracic Surgeons of Great Britai, and Ireland Working Party Guidelines on the selection of patients with lung cancer for surgery Thorax, February 1, 2001; 56(2): 89 - 108. [Full Text] |
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H Uramoto, R Nakanishi, Y Fujino, H Imoto, M Takenoyama, T Yoshimatsu, T Oyama, T Osaki, and K Yasumoto Prediction of pulmonary complications after a lobectomy in patients with non-small cell lung cancer Thorax, January 1, 2001; 56(1): 59 - 61. [Abstract] [Full Text] |
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G. Massard, X. Ducrocq, M. Beaufigeau, S. Elia, R. Kessler, J.-F. Herve, and J.-M. Wihlm Lung cancer following previous extrapulmonary malignancy Eur J Cardiothorac Surg, November 1, 2000; 18(5): 524 - 528. [Abstract] [Full Text] [PDF] |
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L. Voltolini, P. Paladini, L. Luzzi, C. Ghiribelli, M. Di Bisceglie, and G. Gotti Iterative surgical resections for local recurrent and second primary bronchogenic carcinoma Eur J Cardiothorac Surg, November 1, 2000; 18(5): 529 - 534. [Abstract] [Full Text] [PDF] |
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A. Bernard, L. Ferrand, O. Hagry, L. Benoit, N. Cheynel, and J.-P. Favre Identification of prognostic factors determining risk groups for lung resection Ann. Thorac. Surg., October 1, 2000; 70(4): 1161 - 1167. [Abstract] [Full Text] [PDF] |
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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] |
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P. Goldstraw Age does not influence early and late tumor-related outcome after surgery for bronchogenic carcinoma Ann. Thorac. Surg., March 1, 2000; 69(3): 678 - 679. [Full Text] [PDF] |
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J. R. Roberts, Y. Shyr, K. R. Christian, D. Drinkwater, and W. Merrill PREEMPTIVE GASTROINTESTINAL TRACT MANAGEMENT REDUCES ASPIRATION AND RESPIRATORY FAILURE AFTER THORACIC OPERATIONS J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 449 - 452. [Abstract] [Full Text] [PDF] |
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