PMID: 3773543Nov 1, 1986Paper

Long-term clinical and functional results of sleeve lobectomy for primary lung cancer

The Journal of Thoracic and Cardiovascular Surgery
Jean DeslauriersY Cormier

Abstract

Sleeve lobectomy is a lung-saving operation in which a portion of main bronchus is removed in continuity with the involved lobe to preserve distal parenchyma. Current controversies relate to indication and safety of the procedure, adequacy as a cancer operation, and contribution of the reimplanted lobe to overall remaining lung function. Between 1975 and 1985, sleeve lobectomy was done electively in 72 patients with lung cancer. There were no operative deaths, but major complications occurred in 10% of patients. Most resected carcinomas were squamous (65/72). Complete resection was performed in all but five patients. A minimum of 1 year's follow-up information was available for all patients. For patients with N0 disease (n = 34) the cumulative 5 year survival rate was 67%, and for patients with N1 status (n = 34) it was 60%. Although postoperative pulmonary function studies at 5 years (n = 19) show subnormal values, they were not severely altered with regard to percent of predicted (forced vital capacity, 85.9% +/- 17.5%; forced expiratory volume in 1 second, 74.9% +/- 19.4%). Regional function was determined by ventilation/perfusion isotope scanning methods. For 15 patients with right lung bronchoplasties, perfusion ratios wer...Continue Reading

Citations

Sep 1, 1995·The Annals of Thoracic Surgery·G MassardG Morand
Jun 25, 2002·The Annals of Thoracic Surgery·Maurizio MezzettiStefano Meda
Sep 1, 1996·The Annals of Thoracic Surgery·R BuenoD J Mathisen
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Mar 13, 2002·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·U Pastorino
Nov 27, 2002·Surgical Oncology·Ugo Pastorino
May 18, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F TroncJ Deslauriers
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Dec 1, 2011·Pathology International·Masaki ShimojiHaruhiko Kondo
Oct 1, 1991·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·O H ClarkQ Y Duh

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