Bilobectomy in non-small cell lung carcinoma: an analysis of indications and outcome with a review of the literature
Journal Title: Current Thoracic Surgery - Year 2016, Vol 1, Issue 1
Abstract
Background: The gold standard of treatment for non-small cell lung cancer (NSCLC) is anatomic pulmonary resection. Wider resection methods may be preferred due to the size or anatomic location of the tumor. One method of choice is bilobectomy due of the anatomy of the right lung. Materials and Methods: This study retrospectively analyzed 93 patients who were diagnosed with NSCLC and had bilobectomy, complete resection, and mediastinal lymph node dissection at our center between January 2005 and April 2013. Results: Forty-seven patients underwent superior bilobectomy (sBL), and 46 patients underwent inferior bilobectomy (iBL). Bilobectomy was performed due to fissure invasion in 51 (58.1%) patients, internal or external bronchial tumor invasion in 31 (33.3%) patients, external bronchial lymph node invasion in six (6.4%) patients, and vascular invasion in two (2.2%) patients. The bronchial invasionbased indications were significantly higher in the iBL group compared to the fissure invasion-based indications in the sBL group (P < 0.001). Conclusions: Bilobectomy leads to a substantial amount of parenchymal loss in the right lung, but it is a procedure that should be performed under the necessary conditions. It is obvious that performing bilobectomy under proper indications would result in good outcomes for lung cancer patients.
Authors and Affiliations
Özgür Samancılar, Tevfik İlker Akçam, Şeyda Örs Kaya, Onur Akçay, Kenan Can Ceylan, Serpil Seninç, Şaban Ünsal
Keywords
Related Articles
- EP ID EP288902
- DOI 10.26663/cts.2016.0002
- Views 59
- Downloads 0
Can neutrophil to lymphocyte ratio and platelet to lymphocyte ratio predict the severity of sternum fractures?
Background: Although the NLR and PLR are cheap and widely available biomarkers, literature regarding their usage in trauma patients is scarce. It seemed to us interesting to evaluate the prognostic value of the NLR and P...
Primary malignant mediastinal germ cell tumor in childhood
Primary malignant mediastinal germ cell tumors are rare in childhood. Despite the metastasis to lung, liver, brain and bone is possible but sternal metastasis is unusual. Both tumor and its metastases treated with surgic...
Surgical results of herpes zoster and lung cancer association in preoperative period
Herpes zoster also known as shingles is a disease caused by the reactivation of varicella zoster virus. It often starts with erythema as the first finding. Maculopapular vesicles may form painful rashes with maturations,...
Bronchoscopic management of bronchopleural fistula
Bronchopleural fistula (BPF) represents a pathological communication between any part of bronchial tree and the pleural space. Mostly it is a rare yet serious complication of different pulmonary conditions like certain i...
Diagnosis and treatment of spontaneous pneumomediastinum is not complicated
Background: Spontaneous pneumomediastinum is a rare and usually benign finding in young male patient without a history. When subcutaneous emphysema occurs, the patient and medical physicians feel uneasy about the view of...