Outcomes of Sleeve Lobectomy versus Pneumonectomy for Lung Cancer

Abstract

BackgroundSleeve lobectomy for lung cancer in close proximity to or involving the carina is widely accepted. Operative morbidity and mortality rates, recurrence, and survival rates have varied considerably across studies.Materials and MethodsFrom March of 2005 to July of 2010, sleeve lobectomy was performed in 19 patients and pneumonectomy was performed in 20 patients. In this paper, the results of sleeve lobectomy and pneumonectomy for patients with lung cancer will be compared and evaluated.ResultsThere were no postoperative complications in either group, but there was one mortality in the pneumonectomy group. There was better preservation of pulmonary function in the sleeve lobectomy group than the pneumonectomy group (p=0.066 in FVC, p=0.019 in FEV1). The 3-year survival rates were 46.7% in the sleeve lobectomy group and 54.5% in the pneumonectomy group (p=0.505). The 3-year disease-free survival rates were 38% in the sleeve lobectomy group and 45.8% in the pneumonectomy group (p=0.200).ConclusionSleeve lobectomy for lung cancer showed low mortality, low bronchial anastomotic complication rates, and good preservation of pulmonary function.

Bronchial sleeve resections

“…[ 24 ] Similarly, in a propensity score analysis by Chen et al,[ 25 ] the superiority of sleeve lobectomy was emphasized in terms of shortand long-term survival. Lee et al[ 26 ] reported that pneumonectomy was superior to BSL in terms of three-year overall survival and disease-free survival, although the difference was not statistically significant.…”