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The Annals of Thoracic Surgery, Vol 54, 387-391, Copyright © 1992 by The Society of Thoracic Surgeons
M Tedder, MP Anstadt, SD Tedder and JE Lowe
The number of patients reported to have undergone bronchoplastic procedures
has increased nearly fourfold in the past decade. These techniques
represent excellent surgical therapy for patients with benign endobronchial
lesions, traumatic airway disruptions, or tumors of low-grade malignant
potential, and for select patients with surgically resectable lung cancer.
Eighty-nine percent of bronchoplastic procedures are performed for
malignancy. We reviewed 1,915 bronchoplastic procedures for carcinoma
reported over the past 12 years to determine the incidence of complications
and survival. Complications included local recurrence (10.3%), 30-day
mortality (7.5%), pneumonia (6.7%), atelectasis (5.4%), benign stricture or
stenosis (5.0%), bronchopleural fistulas (3.5%), empyema (2.8%),
bronchovascular fistulas (2.6%), and pulmonary embolism (1.9%). Results
were further stratified into sleeve lobectomy and sleeve pneumonectomy
groups. Five-year survivals for stage I, II, and III carcinoma were 63%,
37%, and 21%, respectively. Sleeve lobectomy for carcinoma extends surgical
therapy to select patients with complication rates comparable to
pneumonectomy and long-term survival similar to that for conventional
resections.
ARTICLES
Current morbidity, mortality, and survival after bronchoplastic procedures for malignancy
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
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P. E. Van Schil, A. B. de la Riviere, P. J. Knaepen, H. A. van Swieten, S. W. Reher, D. J. Goossens, R. G. Vanderschueren, and J. M. van den Bosch Long-Term Survival After Bronchial Sleeve Resection: Univariate and Multivariate Analyses Ann. Thorac. Surg., April 1, 1996; 61(4): 1087 - 1091. [Abstract] [Full Text]
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J. R. Izbicki, W. T. Knoefel, B. Passlick, M. Habekost, O. Karg, and O. Thetter RISK ANALYSIS AND LONG-TERM SURVIVAL IN PATIENTS UNDERGOING EXTENDED RESECTION OF LOCALLY ADVANCED LUNG CANCER J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 386 - 395. [Abstract] [Full Text]
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R. J. Mehran, J. Deslauriers, M. Piraux, M. Beaulieu, C. Guimont, and J. Brisson Survival related to nodal status after sleeve resection for lung cancer J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 576 - 583. [Abstract] [Full Text]
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