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The Annals of Thoracic Surgery, Vol 46, 68-72, Copyright © 1988 by The Society of Thoracic Surgeons
PG Dartevelle, J Khalife, A Chapelier, J Marzelle, M Navajas, P Levasseur, A Rojas and J Cerrina
From 1966 to 1986, a total of 55 patients underwent a tracheal sleeve
pneumonectomy (53 right and 2 left) for bronchogenic carcinoma.
Preoperative radiotherapy was given in only 5 patients. The overall
operative death rate was 10.9%, but no patient has died since 1975 (32
survivors). Seven patients had a postoperative empyema (12.7%); 4 of these
patients had a bronchopleural fistula. Twenty-five patients had
postoperative radiotherapy, 5 of whom also had chemotherapy. The actuarial
survival rate, after exclusion of the 6 operative deaths, was 38% at 3
years and 23% at 5 years. Survival was correlated to regional lymph node
involvement. The actuarial survival rate among patients with tumoral spread
to bronchial lymph nodes was 43% at 3 years. Among the 13 patients with
only subcarinal involvement, the actuarial survival rate was 34% at 3
years. None of the 8 patients with paratracheal lymph node involvement
survived more than 30 months. These results indicate that tracheal sleeve
pneumonectomy for bronchogenic carcinoma with extension to the carina is
now fully justified considering the low operative mortality and the good
results observed when lateral tracheal lymph nodes were not involved.
ARTICLES
Tracheal sleeve pneumonectomy for bronchogenic carcinoma: report of 55 cases
Department of Thoracic and Vascular Surgery, Marie Lannelongue Hospital, Plessis Robinson, France.
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