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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


ARTICLES

Modern thirty-day operative mortality for surgical resections in lung cancer

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.


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J. Thorac. Cardiovasc. Surg.Home page
K. Kim, T. W. Rice, S. C. Murthy, M. M. DeCamp, C. D. Pierce, D. P. Karchmer, L. A. Rybicki, and E. H. Blackstone
Combined bronchoscopy, mediastinoscopy, and thoracotomy for lung cancer: who benefits?
J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 850 - 856.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
M. V. Brock, M. P. Kim, C. M. Hooker, A. J. Alberg, M. M. Jordan, C. M. Roig, L. Xu, and S. C. Yang
Pulmonary resection in octogenarians with stage I nonsmall cell lung cancer: a 22-year experience
Ann. Thorac. Surg., January 1, 2004; 77(1): 271 - 277.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
M. Machtay, J. H. Lee, J. P. Stevenson, J. B. Shrager, K. M. Algazy, J. Treat, and L. R. Kaiser
Two commonly used neoadjuvant chemoradiotherapy regimens for locally advanced stage III non-small cell lung carcinoma: Long-term results and associations with pathologic response
J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 108 - 113.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
O. Birim, H. M. Zuydendorp, A. P.W.M. Maat, A. P. Kappetein, M. J. C. Eijkemans, and A. J.J.C. Bogers
Lung resection for non-small-cell lung cancer in patients older than 70: mortality, morbidity, and late survival compared with the general population
Ann. Thorac. Surg., December 1, 2003; 76(6): 1796 - 1801.
[Abstract] [Full Text] [PDF]


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Interact CardioVasc Thorac SurgHome page
J. B. Pillai and S. Barnard
Cardiac tamponade: a rare complication after pulmonary lobectomy
Interact CardioVasc Thorac Surg, December 1, 2003; 2(4): 657 - 659.
[Abstract] [Full Text] [PDF]


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Br J AnaesthHome page
S. V. Baudouin
Lung injury after thoracotomy
Br. J. Anaesth., July 1, 2003; 91(1): 132 - 142.
[Full Text] [PDF]


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Eur J Cardiothorac SurgHome page
P. A. Fuentes
Pneumonectomy: historical perspective and prospective insight
Eur J Cardiothorac Surg, April 1, 2003; 23(4): 439 - 445.
[Full Text] [PDF]


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Eur J Cardiothorac SurgHome page
T. Sioris, R. Jarvenpaa, P. Kuukasjarvi, H. Helin, S. Saarelainen, and M. Tarkka
Comparison of computed tomography and systematic lymph node dissection in determining TNM and stage in non-small cell lung cancer
Eur J Cardiothorac Surg, March 1, 2003; 23(3): 403 - 408.
[Abstract] [Full Text] [PDF]


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Eur J Cardiothorac SurgHome page
A. J. Ploeg, A. P. Kappetein, R. B. van Tongeren, P. V. Pahlplatz, G. W. Kastelein, and P. J. Breslau
Factors associated with perioperative complications and long-term results after pulmonary resection for primary carcinoma of the lung
Eur J Cardiothorac Surg, January 1, 2003; 23(1): 26 - 29.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
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]


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Ann. Thorac. Surg.Home page
D. L. Miller, C. Deschamps, G. D. Jenkins, A. Bernard, M. S. Allen, and P. C. Pairolero
Completion pneumonectomy: factors affecting operative mortality and cardiopulmonary morbidity
Ann. Thorac. Surg., September 1, 2002; 74(3): 876 - 884.
[Abstract] [Full Text] [PDF]


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Eur J Cardiothorac SurgHome page
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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Ann. Thorac. Surg.Home page
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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Eur Respir JHome page
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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JCOHome page
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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JCOHome page
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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Ann. Thorac. Surg.Home page
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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ChestHome page
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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Eur J Cardiothorac SurgHome page
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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Ann. Thorac. Surg.Home page
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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Eur J Cardiothorac SurgHome page
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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Eur J Cardiothorac SurgHome page
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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ThoraxHome page
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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Eur J Cardiothorac SurgHome page
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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J. Thorac. Cardiovasc. Surg.Home page
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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Am. J. Roentgenol.Home page
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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Ann. Thorac. Surg.Home page
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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ThoraxHome page
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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ThoraxHome page
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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Eur J Cardiothorac SurgHome page
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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Eur J Cardiothorac SurgHome page
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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Ann. Thorac. Surg.Home page
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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Eur J Cardiothorac SurgHome page
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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Ann. Thorac. Surg.Home page
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. Thorac. Cardiovasc. Surg.Home page
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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