Preserving middle lobe to improve lung function in non-small-cell lung cancer

Ludwig, Corinna; Morand, Philippe; Schnell, Jost; Stoelben, Erich (2009). Preserving middle lobe to improve lung function in non-small-cell lung cancer. Asian cardiovascular and thoracic annals, 17(2), pp. 153-6. Chen Yuan (Singapore): Asia Pub. EXchange

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Morand, Philippe

ISSN:

0218-4923

Publisher:

Asia Pub. EXchange

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:13

Last Modified:

04 May 2014 23:23

PubMed ID:

19592545

URI:

https://boris.unibe.ch/id/eprint/32266 (FactScience: 197300)

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