Sleeve pneumonectomy

Thoracic Surgery Clinics
Jean DeslauriersMichel Piraux

Abstract

Lung cancer involving the carina can be treated by surgery, but patients must be carefully selected before the operation. Because pneumonectomy is required in addition to carinal resection, patients must be able to withstand the procedure, and they must be told that the operative mortality is 2 to 4 times higher than what is expected after standard pneumonectomy. Patients who have mediastinal nodal disease documented preoperatively by mediastinoscopy should not have this operation. In general, it is possible to perform a safe operation if the surgeon adheres to the principles of healthy bronchial suturing and restricts airway resection to a maximum distance of 4 cm. Surgeons must always remember, however, that it is better and safer to accept a positive resection margin than to have to deal with a bronchopleural fistula caused by anastomotic separation. Finally, reported long-term survival rates of 25% to 40% justify the use of this procedure.

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Citations

Mar 11, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paula MorenoWalter Klepetko
Sep 6, 2011·Journal of Feline Medicine and Surgery·Abbe H CrawfordDaniel J Brockman
Jun 23, 2010·Journal of Cardiothoracic Surgery·Haralabos Parissis, Vincent Young
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Marco Alifano, Jean-François Regnard
Feb 10, 2006·Cancer Investigation·Katherine E Posther, David H Harpole
Dec 4, 2013·Thoracic Surgery Clinics·Walter Weder, Ilhan Inci
Dec 13, 2006·Seminars in Thoracic and Cardiovascular Surgery·Clemens AignerWalter Klepetko
Oct 1, 2009·Journal of Bronchology & Interventional Pulmonology·Francesco PetrellaLorenzo Spaggiari
Feb 3, 2019·The Journal of Thoracic and Cardiovascular Surgery·Christina L CostantinoMichael Lanuti
Mar 8, 2006·Archives of Pathology & Laboratory Medicine·Alberto M Marchevsky

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