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 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 Fujimura, S. Articles by Nakada, T. Search for Related Content PubMed PubMed Citation Articles by Fujimura, S. Articles by Nakada, T.

The Journal of Thoracic and Cardiovascular Surgery, Vol 90, 161-166, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Prognostic evaluation of tracheobronchial reconstruction for bronchogenic carcinoma

S Fujimura, T Kondo, T Imai, A Yamauchi, M Handa, T Okabe and T Nakada

Fifty-two patients have undergone tracheobronchial reconstruction for bronchogenic carcinomas over a 20 year period and have been evaluated from the view point of prognosis. Five-year survival rates of the patients undergoing reconstructive operations were as follows: 35% for the total group, 50% for those with squamous cell carcinoma, and 64% for those with Stage I and II disease. No patients with adenocarcinoma or Stage III disease have survived more than 5 years. However, the number of patients with early adenocarcinoma was too small for us to conclude that the histologic type per se affected survival. Six of eight patients with sleeve lobectomy and pulmonary artery reconstruction died within 2 years, 7 months postoperatively. Five of seven patients died within 1 year after carinal reconstruction. However, two are alive at 4 months and 2 years, 9 months after left or right sleeve pneumonectomy. In summary, any types of lobectomy or pneumonectomy with reconstruction of the tracheobronchial tree can be conducted in patients with Stage I and II lung cancer. Sleeve lobectomy with pulmonary artery reconstruction can be an alternative to pneumonectomy when pneumonectomy is contraindicated because of low cardiopulmonary reserve. In patients undergoing reconstruction of the carina, prophylactic radiation therapy may be necessary during the postoperative course.

This article has been cited by other articles:

				J. D. Mitchell, D. J. Mathisen, C. D. Wright, J. C. Wain, D. M. Donahue, J. S. Allan, A. C. Moncure, and H. C. Grillo Resection for bronchogenic carcinoma involving the carina: Long-term results and effect of nodal status on outcome J. Thorac. Cardiovasc. Surg., March 1, 2001; 121(3): 465 - 471. [Abstract] [Full Text] [PDF]

				J. B. Shrager, E. S. Lambright, C. M. McGrath, P. M. Wahl, M. E. Deeb, J. S. Friedberg, and L. R. Kaiser Lobectomy with tangential pulmonary artery resection without regard to pulmonary function Ann. Thorac. Surg., July 1, 2000; 70(1): 234 - 239. [Abstract] [Full Text] [PDF]