Results of superior vena cava resection for lung cancer

Spaggiari, Lorenzo; Magdeleinat, Pierre; Kondo, Haruhiko; Thomas, Philippe; Léon, Maria Elena; Rollet, Gilles; Regnard, Jean François; Tsuchiya, Ryosuke; Pastorino, Ugo

doi:10.1016/j.lungcan.2003.11.010

Cited by 90 publications

(65 citation statements)

References 14 publications

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“…A variety of materials, such as autologous or bovine jugular vein, Dacron and PTFE, have been reported to be used in reconstruction of vessels, which caused lots of debate (18). Grafts made by autologous or bovine jugular vein have produced encouraging clinical results in SVC reconstruction, but without support, pericardial grafts would develop stenosis (19,20).…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases

Sun

Shi

et al. 2017

J. Thorac. Dis.

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Background: Discuss an appropriate strategy for treatment of invasive thymoma invading adjacent great vessels.Methods: A retrospective study on 25 patients with invasive thymoma invading neighboring great vessels was performed. The corresponding data including clinical presentation, operation procedure, adjuvant radiochemotherapy and follow-up were reviewed. Postoperatively, three cases suffered from pulmonary infection, and three cases had haemothorax, chylothorax and atelectasis, respectively. Two patients died due to acute respiratory distress syndrome within 90 days after the surgery. Within the remaining patients, 11 cases (44%) experienced a relapse and finally 8 (32%) patients died. Compared to R1 resection group, R0 resection group had a better prognosis (Log-rank P=0.0196). The 3-and 5-year survival rates were 79.6% and 59.1%, with median survival time of 84 months.Conclusions: Reconstruction of mediastinal vessels for invasive thymoma is a feasible technology method.Radical resection of the tumor with involved neighboring structures is the key to prolong overall survival for patients suffered from invasive thymoma.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases

Sun

Shi

et al. 2017

J. Thorac. Dis.

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“…5,7) On the other hand, Suzuki, et al found a significant difference in survival between patients with superior vena cava invasion by metastatic lymph nodes as compared to direct tumor extension, 8) whereas others have noted that patients with pN0 status had a good prognosis. 9) In the present study, some c/cyN0 or pN0 status patients were long-term survivors after combined resection of a great vessel, while outcome was poor in patients with c/cyN1-2 or pN1-2 status or those with lymph node invasion to a great vessel.…”

Section: Discussionmentioning

confidence: 99%

Combined Resection of Great Vessels or the Heart for Non-Small Lung Cancer

Kusumoto

Shintani

Funaki

et al. 2015

ATCS

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Objectives: The surgical indications for non-small cell lung cancer (NSCLC) infiltrating a great vessel or the heart are controversial. We assessed clinical features and surgical outcomes of patients with non-small cell lung cancer who underwent combined resection of a lung and great vessel. Methods: Fourteen patients underwent great vessel resection under a lobectomy (n = 9), sleeve lobectomy (n = 2), or pneumonectomy (n = 3) between 2000 and 2011, in whom the aorta was resected in 6, superior vena cava in 5, right atrium in 1, and left atrium in 2. The histological types were adenocarcinoma (n = 8) and squamous cell carcinoma (n = 6). Results: Complete resection was performed in 12 patients. Of all patients, 7 had pN0 disease, 2 had pN1, and 4 had pN2. The postoperative morbidity rate was 28.6% and mortality rate was 7.1%. The 5-year survival rate was 26.8% for all patients, 46.9% for those with an adenocarcinoma, 0% for those with a squamous cell carcinoma, 53.6% for those with pN0, and 0% for those with pN1-2. Conclusion: Resection of the great vessels and heart involved by NSCLC can be performed with acceptable morbidity and mortality, and results in prolonged survival in patients, with an adenocarcinoma or N0 status.

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“…un puente veno-venoso 4,5 , alternativa viable para un número reducido de pacientes con compromiso neoplásico de la vena cava superior (VCS) [6][7][8] . En los últimos años se ha desarrollado la cirugía endovascular, como una alternativa mínimamente invasiva, efectiva y de baja morbilidad, en especial en pacientes con etiología neoplásica [9][10][11][12][13][14][15][16][17][18] .…”

Section: N V E S T I G a C I ó Nunclassified

“…embargo, en casos de etiología maligna, la morbilidad y la mortalidad de la cirugía varían entre 23-39% y 12-14%, respectivamente, lo que parece desproporcionado en un paciente cuya mediana de sobrevida es de 9 meses [6][7][8] . En todo caso, esta opción permanece disponible luego del tratamiento endovascular y un eventual fracaso de éste.…”

Section: N V E S T I G a C I ó Nunclassified

Tratamiento endovascular del síndrome de vena cava superior

et al. 2006

Rev. méd. Chile

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Results of superior vena cava resection for lung cancer

Cited by 90 publications

References 14 publications

Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases

Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases

Combined Resection of Great Vessels or the Heart for Non-Small Lung Cancer

Tratamiento endovascular del síndrome de vena cava superior

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