Sleeve lobectomy and lymph node involvement

Schil, Van

doi:10.1067/mtc.2001.111198

Cited by 1 publication

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“…1,4,8 Long-term survival after bronchoplastic procedures is dependent on nodal status. 9 –11 Bilobectomy was an independent risk factor for morbidity and mortality in a study comparing it with other resections. 5 Bronchoplastic procedures have been shown to offer better long-term survival and quality of life in terms of improved postoperative lung function.…”

Section: Discussionmentioning

confidence: 99%

Preserving Middle Lobe to Improve Lung Function in Non-Small-Cell Lung Cancer

Ludwig

Morand

Schnell

et al. 2009

Asian Cardiovasc Thorac Ann

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When a lung tumor arises in segment 6, the close anatomical relationship to the middle lobe bronchus may make a lower bilobectomy necessary. Sleeve lobectomy may be an alternative. These procedures were compared retrospectively in 36 patients operated on between January 2005 and December 2006 with non-small-cell lung cancer (stage I-IIIB) of the right lower lobe. Sleeve lobectomy was performed in 21 patients and bilobectomy in 15 (41%). Preoperative lung function was comparable in both groups. Radical resection was achieved in 34/36 patients. Operation time was 121 min for sleeve lobectomy and 144 min for bilobectomy. Chest tubes were removed after 5 days in both groups. Postoperative lung function was better after sleeve lobectomy than bilobectomy (forced expiratory volume in 1st sec: 78% vs. 69%). Preservation of the middle lobe by sleeve lobectomy is feasible. There was no evidence that this resection was less radical, and complication rates were similar in both groups.

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