Sleeve Pneumonectomy for Bronchogenic Carcinoma

Deslauriers, Jean; Beaulieu, M; Bénazéra, André; McClish, A

doi:10.1016/s0003-4975(10)63156-6

Cited by 45 publications

(11 citation statements)

References 40 publications

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“…This procedure calls for a thorough knowledge of tracheal surgery in order to avoid disastrous complications [3,[19][20][21]. The [4,8,9]. At present, only few surgical teams carry out this kind of operation, on account of the serious technical and anesthesiology obstacles, the high rate of mortality and of intraoperative complications and the limited information on long-term survival.…”

Section: Discussionmentioning

confidence: 99%

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Tracheal sleeve pneumonectomy: Long-term outcome

Roviaro¹,

Vergani²,

Maciocco³

et al. 2006

Lung Cancer

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Section: Discussionmentioning

confidence: 99%

“…Following initial sporadic reports [1][2][3]5], the first true series were presented during the 1980s and 1990s. However, they comprised only small series of patients, and mortality was as high as 31% [4,6,7].…”

Section: Introductionmentioning

confidence: 99%

Tracheal sleeve pneumonectomy: Long-term outcome

Roviaro¹,

Vergani²,

Maciocco³

et al. 2006

Lung Cancer

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“…More recently in Asia, there have been small series suggesting that minimally invasive approaches may offer even further reduction in morbidity and mortality. 8 Although the early evolution of tracheal surgery can be attributed to a select few surgeons, 1,9,10 the technical aspects of modern-day tracheal surgery were pioneered by Hermes Grillo, MD, 11 who authored what is considered the definitive text on the subject entitled, ''Surgery of the Trachea and Bronchi,'' published in 2004. 12 One of the early reports of carinal resection was in 1950 by Abbott, in which 4 patients underwent right pneumonectomy with en bloc excision of the carina.…”

mentioning

confidence: 99%

Carinal surgery: A single-institution experience spanning 2 decades

Costantino

Geller

Wright

et al. 2019

The Journal of Thoracic and Cardiovascular Surgery

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Objectives: Complete resection of neoplasms involving the carina are technically challenging and have high operative morbidity and mortality. This study examines the last 2 decades of clinical experience at our institution.Methods: Medical records were retrospectively reviewed between 1997 and 2017 to identify all patients who underwent carinal resection. Primary outcome measures include risk factors for complications and overall survival.Results: In total, 45 carinal resections were performed with a median follow-up of 3.4 years (interquartile range 0.8-8.5). Procedures included 21 neocarinal reconstructions (48%), 14 right carinal pneumonectomies (30%), 9 left carinal pneumonectomies (20%), and 1 carinal plus lobar resection (2%). Age ranged from 27 to 74 years, and 23 of 45 patients were female. Eight received neoadjuvant chemotherapy and 6 preoperative radiation. Extracorporeal membrane oxygenation and cardiopulmonary bypass were intraoperatively used for 4 patients with no mortality. Four patients underwent superior vena cava resection and reconstruction. Anastomotic complications occurred in 5 patients, all of which were managed conservatively: 1 required stent placement and a second underwent hyperbaric oxygen therapy. Postoperative events were observed in 26 patients (58%), including pneumonia (n ¼ 11), blood transfusion (n ¼ 8), and atrial arrhythmias (n ¼ 8). More serious complications, such as acute respiratory distress syndrome, occurred in 3 patients. Postoperative events were most closely associated with pulmonary resection (P ¼ .040). There were 3 deaths, yielding an overall operative 30-and 90-day mortality of 6.8% and 7%, respectively.Conclusions: Despite advances in perioperative management, carinal resection poses challenges for both patient and surgeon. Preoperative chemotherapy, radiation, and concomitant pulmonary resection were associated with increased risk of complications. Patient selection and meticulous surgical technique contribute to reduction in morbidity and mortality. (J Thorac Cardiovasc Surg 2019;157:2073-83)

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“…From this date, TSP was performed with high morbidity and mortality rates by some surgeons. [2,3] However, although improvements in surgical techniques and anesthesia have brought the results of those operations to a reasonable level, TSP is still seen as one of the most challenging procedures of thoracic surgery. In this study, we evaluated the results of 13 TSP cases and discussed the results of recent studies.…”

mentioning

confidence: 99%

Tracheal sleeve pneumonectomy: an analysis of 13 cases

Gezer¹,

Öz²,

Ege³

et al. 2011

Turkish J Thorac Cardiovasc Surg

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Amaç: Bu çalışmada trakeal sleeve pnömonektomi (TSP) uyguladığımız olgulara ait sonuçlar incelendi. Ça lış ma pla nı: Ocak 2000 ile Temmuz 2009 tarihleri arasında küçük hücreli dışı akciğer kanseri nedeni ile 13 erkek hastaya (ort. yaş 52; dağılım 40-65 yıl) kliniğimizde TSP uygulandı. Hastalar yaş, cinsiyet, histopatolojik muayeneleri ve evreleri ile adjuvan tedaviler, ameliyat sonrası komplikasyonlar ve sağkalım açısından geriye dönük olarak incelendi. Hastaların ortalama ve beş yıllık sağkalım-ları Kaplan-Meier yöntemi ile hesaplandı. Bul gu lar: On üç hastanın 11'ine sağ, ikisine sol TSP uygulandı. Histopatolojik tanı, 11 hastada skuamöz hüc-reli karsinom, bir hastada adenokarsinom ve bir hastada adeno-skuamöz karsinom idi. Tümör, lenf nodu metastazı evrelemeleri bir hastada evre IIB, bir hastada evre IIIA ve 11 hastada evre IIIB idi. Dört hastada ameliyat sonrası komplikasyon görüldü ve bunların ikisi anastomoz ile ilişkili idi. Biri ameliyat sonrası dönemde olmak üzere takip süresince toplam üç hasta kaybedildi. Ortalam sağ-kalım süresi ve beş yıllık sağkalım oranları sırasıyla 87 ay ve %77 idi. So nuç: Trakeal sleeve pnömonektomi karinaya invaze veya yakın komşu olan akciğer kanseri tedavisinde önemli bir yöntemdir. Göğüs cerrahisindeki gelişmelerle morbidite ve mortalitesi azalmış olup bugün için standart pnömo-nektomininkine yakındır. Mediastinal lenf nodu tutulumu bir kontrendikasyon olmalıdır. Bunun tek istisnası, en blok rezeksiyonun mümkün olduğu subkarinal lenf nodu tutulumudur.Anah tar söz cük ler: Karina rezeksiyonu; küçük hücreli dışı akciğer kanseri; trakeal sleeve pnömonektomi; trakeobronşiyal anastomoz.Background:In this study, we evaluated the results of our tracheal sleeve pneumonectomy (TSP) cases. Methods: Thirteen male patients (mean age 52; range 40 to 65 years) with non-small cell lung cancer underwent TSP in our clinic between January 2000 and July 2009. The patients were evaluated for age, sex, histopathological examinations and stages, adjuvant therapies, postoperative complications and survival retrospectively. The mean and five-year survivals of patients were analyzed with KaplanMeier method. Results: Eleven right and two left TSPs were performed in 13 patients. The histopathological diagnoses were squamous cell carcinoma in 11 patients, adenocarcinoma in one patient and adeno-squamous carcinoma in one patient. The tumor-node-metastasis staging was stage IIB in one patient, stage IIIA in one patient and stage IIIB in 11 patients. Four patients had complications after the surgery, and two of these were anastomosis-related. A total of three patients died during follow-up, one of them in the postoperative period. The mean survival and the five-year survival rate were 87 months and 77%, respectively. Conclusion:Tracheal sleeve pneumonectomy is an important modality in the treatment of lung cancer that has invaded or is in close proximity with the carina. With improvements in the thoracic surgery, the morbidity and mortality of TSP have improved and are currently close to the standard ...

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Sleeve Pneumonectomy for Bronchogenic Carcinoma

Cited by 45 publications

References 40 publications

Tracheal sleeve pneumonectomy: Long-term outcome

Tracheal sleeve pneumonectomy: Long-term outcome

Carinal surgery: A single-institution experience spanning 2 decades

Tracheal sleeve pneumonectomy: an analysis of 13 cases

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