Long-segment pulmonary artery resection to avoid pneumonectomy: long-term results after prosthetic replacement

D’Andrilli, Antonio; Maurizi, Giulio; Ciccone, Anna Maria; Andreetti, Claudio; Ibrahim, Mohsen; Menna, Cecilia; Vanni, Camilla; Venuta, Federico; Rendina, Erino Angelo

doi:10.1093/ejcts/ezx353

Cited by 26 publications

(21 citation statements)

References 21 publications

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“…Biological tissue is the preferred choice. The use of autologous or heterologous pericardium have been described for PA reconstruction (20,32). However, autologous pericardium seems not to be the ideal material for PA repair because it shrinks and curls with Figure 3 Complete sleeve resection is a dangerous procedure to be performed only when a patch reconstruction cannot be carried out because massive PA involvement.…”

Section: Discussionmentioning

confidence: 99%

“…The PV recently proved to be a very satisfactory method of reconstruction due to the tissue characteristics (28). Among heterologous biografts, the bovine and porcine pericardium can be effective but more understanding is needed because few reports are available (30,32). A synthetic graft (polytetrafluoroethylene) is generally considered to be avoided as there is too much difference in consistency with the thin and fragile wall of the PA (33).…”

Section: Graft Reconstructionmentioning

confidence: 99%

See 1 more Smart Citation

Lobectomy with angioplasty: which is the best technique for pulmonary artery reconstruction?

Vannucci¹,

Matricardi²,

Potenza³

et al. 2018

J. Thorac. Dis.

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Lobectomies with bronchial and/or vascular reconstruction are conservative procedures aimed at managing locally advanced lung cancer, avoiding a pneumonectomy. Considering morbidity, mortality and the functional consequences of a pneumonectomy, such procedures must be in the technical armamentarium of every thoracic surgeon. Vascular reconstruction of the pulmonary artery (PA) is seldom performed with or without the bronchial sleeve resection. Both functional and oncologic outcomes have been reported to be better than after a pneumonectomy. Different technical options are now available but some aspects and technical details are not standardized. Indications, possible complications, planning and even definitions need to be more solid to allow for definitive improvement in such procedures. This analysis is aimed at assessing the acquired technical data with special emphasis on the PA reconstruction with autologous tissues.

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Section: Discussionmentioning

confidence: 99%

Section: Graft Reconstructionmentioning

confidence: 99%

Lobectomy with angioplasty: which is the best technique for pulmonary artery reconstruction?

Vannucci¹,

Matricardi²,

Potenza³

et al. 2018

J. Thorac. Dis.

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show abstract

“…If a larger portion of the vessel is involved, up to half of the circumference, reconstruction may be carried out by partial resection and positioning of a patch to fill the gap; patches may be in autologous, bovine or porcine pericardium, or autologous pulmonary vein. If more than half of the circumference is involved by the tumor, circumferential resection is performed with end-to-end anastomosis or, if the resected segment is too long, interposition of a prosthetic conduit in pericardium or pulmonary vein (4,5). While pulmonary artery sleeve resection has become a relatively common indication in thoracic surgery, resection of the bifurcation of the main pulmonary artery has also been described with the use of cardiopulmonary bypass (CPB), but the indication remains unclear (6,7).…”

Section: Pulmonary Arterymentioning

confidence: 99%

Surgical treatment for locally advanced lung cancer involving the heart and great vessels: a mini-review

Argento¹,

Rendina²,

Maurizi³

2020

Curr Chall Thorac Surg

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Currently, there is no unanimous agreement about the indications of surgical treatment for locally advanced lung cancer, particularly when the heart and the great vessels are involved. Though generally not considered indicated in this cases, surgery can be offered to highly selected patients when a radical resection is considered achievable, and neither distant nor nodal metastasis are present. Throughout the last few decades, many authors have explored the possibility for surgical resection of lung cancer involving the heart and/or the great vessels [thoracic aorta, pulmonary artery, superior vena cava (SVC)]. In this article we consider their experiences focusing on the technical aspects of the vascular reconstruction.

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“…Gundersen [11]. С этого времени операции при раке легкого с резекцией и реконструкцией легочной артерии полу чили значительное развитие [7,8,23].…”

Section: результаты и их обсуждениеunclassified

Short- and long-term results of angioplastic lobectomy in lung cancer surgery

et al. 2019

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Aim. To study the oncological expediency of using vascular techniques in organ-saving treatment of lung cancer. Materials and methods. Over the period of 2009–2016, there were performed 92 lobectomies with resection and reconstruction of the pulmonary artery in patients with non-small carcinoma of the lung. Results. No intraoperative complications and lethal outcomes were fixed. The postoperative complications were registered in 23 cases (25.3 %). Lethality was 3.3 %. The overall one-year survival rate in patients with stage I–III lung cancer after organ-saving surgery was 96.7 %, three-year – 65.1 %, five-year – 36.6 %, median survival rate – 53.1 months. The recurrence-free survival rate in patients with stage I–III lung cancer was: one-year – 89.9 %, three-year – 65.3 %, five-year – 48.8 %. The median recurrence-free survival rate was 49.8 months. Conclusions.Angioplastic lobectomy provides an acceptable short and long-term result, which does not yield to the analogous indices for pulmonectomy. It confirms our opinion on the expediency of implementing this procedure regarding non-small carcinoma of the lung.

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Long-segment pulmonary artery resection to avoid pneumonectomy: long-term results after prosthetic replacement

Cited by 26 publications

References 21 publications

Lobectomy with angioplasty: which is the best technique for pulmonary artery reconstruction?

Lobectomy with angioplasty: which is the best technique for pulmonary artery reconstruction?

Surgical treatment for locally advanced lung cancer involving the heart and great vessels: a mini-review

Short- and long-term results of angioplastic lobectomy in lung cancer surgery

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