PMID: 11932153Apr 5, 2002Paper

Can pneumonectomy for non-small cell lung cancer be avoided? An audit of parenchymal sparing lung surgery

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
A E Martin-UcarD A Waller

Abstract

Lung cancer resection rates are suboptimal in the UK. Pneumonectomy has a higher perioperative mortality risk than lobectomy. To increase resection rates and improve outcomes we have implemented a policy of parenchymal sparing surgery for tumours involving a main stem bronchus. In a prospective 4 year study of 119 consecutive patients operated upon by a single surgeon the perioperative course, pathology and survival were compared for 81 patients undergoing pneumonectomy and 38 patients in whom pneumonectomy was avoided by bronchoplastic+/-angioplastic procedures. The rate of pneumonectomy decreased significantly with increasing experience with parenchymal sparing surgery (R(2)=0.98, P<0.001) with 21 of the last 30 patients (70%) avoiding pneumonectomy. There were no significant inter-group differences in patient characteristics, perioperative course or outcome. One-year survival was 64% after pneumonectomy and 73% after sleeve lobectomy. However the perioperative loss of respiratory function was significantly lower in the patients in whom pneumonectomy was avoided (P=0.0003). Pneumonectomy can be avoided in a large proportion of patients with non-small cell lung cancer of a main stem bronchus without adversely affecting outcome...Continue Reading

References

Aug 1, 1992·The Annals of Thoracic Surgery·M TedderJ E Lowe
Jan 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·N MartiniR J Ginsberg
Nov 1, 1993·World Journal of Surgery·J DeslauriersJ Brisson
May 1, 1994·The Annals of Thoracic Surgery·K KhargiP J Knaepen
Jul 1, 1993·The Annals of Thoracic Surgery·O M Shapira, D M Shahian
Apr 1, 1996·The Annals of Thoracic Surgery·P E Van SchilJ M van den Bosch
May 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·H A GaissertJ C Wain
Nov 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·C D WrightH C Grillo
Oct 1, 1996·The Thoracic and Cardiovascular Surgeon·C MüllerF W Schildberg
Jan 1, 1996·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F ParquinB Lescot
Jun 17, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P IcardP Levasseur
Jul 3, 1999·The Annals of Thoracic Surgery·H C SuenG A Patterson
Oct 6, 1999·The Annals of Thoracic Surgery·E A RendinaG F Coloni
Nov 11, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G MassardJ M Wihlm
Sep 2, 2000·The Annals of Thoracic Surgery·H F LausbergH J Schäfers

❮ Previous
Next ❯

Citations

Jan 23, 2009·General Thoracic and Cardiovascular Surgery·Jean DeslauriersJocelyn Grégoire
Oct 12, 2012·General Thoracic and Cardiovascular Surgery·Mitsuhiro KamiyoshiharaIzumi Takeyoshi
Aug 26, 2011·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·Carmen Vallejo OcańaIgnacio Muguruza Trueba
Nov 28, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bedrettin YildizeliPhilippe G Dartevelle
Mar 1, 2012·Interactive Cardiovascular and Thoracic Surgery·Anupama BaruaAntonio E Martin-Ucar
Dec 3, 2014·Thoracic Surgery Clinics·Antonio D'AndrilliErino A Rendina
Dec 13, 2012·World Journal of Surgical Oncology·Woda ShiYongfeng Shao
Feb 26, 2016·The Annals of Thoracic Surgery·Antonio D'AndrilliErino Angelo Rendina
Oct 12, 2011·Surgical Oncology Clinics of North America·Antonio D'AndrilliErino A Rendina
Sep 22, 2009·Archivos de bronconeumología·Abel Gómez-Caro
Mar 28, 2009·The Annals of Thoracic Surgery·Adalet DemirSeyit Ibrahim Dincer
Mar 27, 2010·The Annals of Thoracic Surgery·Varun PuriAlexander Sasha Krupnick
Dec 3, 2014·Archivos de bronconeumología·María RodríguezGonzalo Varela
Nov 7, 2016·The Journal of Thoracic and Cardiovascular Surgery·Pierre-Benoit PagèsUNKNOWN Epithor Project (French Society of Thoracic and Cardiovascular Surgery)
Jun 4, 2008·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Bram BalduyckPaul Van Schil
Aug 21, 2010·Interactive Cardiovascular and Thoracic Surgery·Joseph StallardJohn Dark
Jun 6, 2019·AJR. American Journal of Roentgenology·Jong Hyuk LeeJin Mo Goo
Jun 11, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Konstantinos Marios SoultanisLei Jiang
Sep 14, 2020·The Journal of Thoracic and Cardiovascular Surgery·Jian ChenGening Jiang
Jan 11, 2022·Journal of Comparative Effectiveness Research·Jonathan RomsaSanjay Mehta

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.