Original article: general thoracicSleeve lobectomy for bronchogenic cancers: factors affecting survival
Section snippets
Patients and methods
Between January 1981 and June 2001, 169 patients underwent sleeve lobectomy for bronchogenic cancer at the Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Marie-Lannelongue Hospital, France. There were 135 (80%) men and 34 women, with a mean age of 58.7 ± 13.5 years (range, 19 to 82 years).
Two thirds of the 169 sleeve lobectomies were performed in or after January 1992. For the last decade, sleeve lobectomy has been the procedure of choice, when technically feasible,
Sleeve lobectomy for non-small-cell lung cancer (n = 139)
Permanent sections showed squamous cell cancer in 109 patients (78%) and nonsquamous cancer in 30 patients (22%: adenocarcinoma, n = 25; large-cell undifferentiated carcinoma, n = 3; and adenosquamous carcinoma, n = 2). Three patients underwent induction chemotherapy for N2 disease. According to the TNM classification [12], 54 patients (39%) were stage I (17 IA and 37 IB), 47 (34%) were stage II (5 IIA and 42 IIB), 37 (26%) were stage III (37 IIIA), and 1 was stage IV with NSCLC and a
Comment
Sleeve resection is the procedure of choice for nonmalignant bronchial disease 2, 13 and has become the standard surgical treatment in selected patients with bronchogenic tumor and functional test results that contraindicate pneumonectomy 8, 14. Because this technically demanding procedure was associated in some reports with high rates of operative mortality [15] or bronchial anastomotic complications [8], debate continues to surround its use for resecting bronchogenic tumors in patients who
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