Pneumonektomie

Abstract

Lung cancer is localized in the upper lobes in more than half of the cases. The risk of tumor infiltration of centrally located structures, such as bronchi and vessels are enhanced due to the anatomic topography. Pneumonectomy competes with sleeve resection for the surgical resection of centrally located tumors. The present review deals with the question if pneumonectomy should be considered as an alternative to sleeve resection for the treatment of lung cancer. Primary pneumonectomy does not provide any advantage even in advanced nodal disease. Extended lymph node dissection is not a contraindication for sleeve resections. Local recurrence rate is lower after sleeve resections despite the same radicality for both surgical treatment options. Mortality and morbidity rates are significantly lower for sleeve resections. Sleeve resections are associated with prolonged survival and better quality of life even in elderly patients.

Surgical strategies in the therapy of non-small cell lung cancer

“…Furthermore, patients undergoing sleeve resection may experience an improved postoperative quality of life compared to patients with a pneumonectomy which was described by Deslauriers et al [65] . Finally, a recent study by Schirren et al [66] showed even in patients with advanced nodal disease no significant advantage for pneumonectomy over sleeve resection.…”

Bogato zdobione cynowe przedmioty z Wrocławia wyrazem przeobrażeń kulturowych w XIII wieku

“…47/57, ryc. 50), a niedawno opublikowano także kolejne, podobne znaleziska również z terenu Pomorza Przedniego (Schirren 2013). Obie wrocławskie odznaki najczęściej interpretuje się jako wizerunki orłów.…”