HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Lorenzo Spaggiari Ugo Pastorino Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Spaggiari, L. Articles by Pastorino, U. Search for Related Content PubMed PubMed Citation Articles by Spaggiari, L. Articles by Pastorino, U.

Ann Thorac Surg 2000;70:1172-1175
© 2000 The Society of Thoracic Surgeons

---

Original articles: general thoracic

Combined tracheal sleeve and superior vena cava resections for non–small cell lung cancer

^a Department of Thoracic Surgery, European Institute of Oncology, Milan, Italy

Address reprint requests to Dr Spaggiari, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy
e-mail: lorenzo.spaggiari{at}ieo.it

Background. Combined superior vena cava and tracheal sleeve resections are occasionally indicated in the treatment of non–small cell lung cancer. However, more effective induction therapy may potentially expand the benefit of locally extended resections.

Methods. From January 1998 to December 1999, 6 consecutive patients had combined tracheal sleeve and superior vena cava resections for non–small cell lung cancer after induction treatment. Surgical approach was muscle-sparing lateral thoracotomy in 4 patients and hemiclamshell approach in 2 patients. There were four tracheal sleeve pneumonectomies, one tracheal sleeve bilobectomy, and one tracheal sleeve lobectomy. Three patients (50%) had complete superior vena cava resection with graft replacement, whereas the other patients had partial superior vena cava resection using vascular staplers.

Results. There were no perioperative complications. Three patients (50%) had major postoperative complications, but there were no postoperative deaths. Four patients are still alive, 2 without evidence of disease. The median survival was 14.5 months (range, 3 to 17 months).

Conclusions. These combined resections are technically feasible with no postoperative mortality but high morbidity (50%). This aggressive surgery may be useful in highly selected patients where adequate local control can achieve long-term survival.

This article has been cited by other articles:

				L. Spaggiari, F. Leo, G. Veronesi, P. Solli, D. Galetta, B. Tatani, F. Petrella, and D. Radice Superior Vena Cava Resection for Lung and Mediastinal Malignancies: A Single-Center Experience With 70 Cases Ann. Thorac. Surg., January 1, 2007; 83(1): 223 - 230. [Abstract] [Full Text] [PDF]

				L. Spaggiari, F. Petrella, F. Leo, G. Veronesi, P. Solli, A. Borri, D. Galetta, R. Gasparri, and P. Scanagatta Superior vena cava resection for lung and mediastinal malignancies MMCTS, October 9, 2006; 2006(1009): 1511. [Abstract] [Full Text] [PDF]

				L. Spaggiari, D. Galetta, G. Veronesi, F. Leo, R. Gasparri, F. Petrella, A. Borri, G. Pelosi, and M. Venturino Superior vena cava replacement for lung cancer using a heterologous (bovine) prosthesis: Preliminary results J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 490 - 491. [Full Text] [PDF]

				J. Klein, V. Kral, T. Bohanes, and M. Herman Five-year survival after sleeve pneumonectomy combined with the superior vena cava replacement for lung cancer Interactive CardioVascular and Thoracic Surgery, August 1, 2005; 4(4): 319 - 321. [Abstract] [Full Text] [PDF]

				L. Spaggiari, P. Thomas, P. Magdeleinat, H. Kondo, G. Rollet, J. F. Regnard, R. Tsuchiya, and U. Pastorino Superior vena cava resection with prosthetic replacement for non-small cell lung cancer: long-term results of a multicentric study Eur. J. Cardiothorac. Surg., June 1, 2002; 21(6): 1080 - 1086. [Abstract] [Full Text] [PDF]

				P. Solli, L. Spaggiari, F. Grasso, and U. Pastorino Double prosthetic replacement of pulmonary artery and superior vena cava and sleeve lobectomy for lung cancer Eur. J. Cardiothorac. Surg., November 1, 2001; 20(5): 1045 - 1048. [Abstract] [Full Text] [PDF]