Tracheal sleeve pneumonectomy for bronchogenic carcinoma invading the carina
10.3760/cma.j.issn.1001-4497.2012.03.001
- VernacularTitle:气管袖式全肺切除治疗中央型支气管肺癌
- Author:
Qiankun CEHN
;
Gening JIANG
;
Jiaan DING
;
Chang CHEN
;
Xiaofeng CHEN
;
Yuming ZHU
;
Hao WANG
;
Xiao ZHOU
;
Wen GAO
- Publication Type:Journal Article
- Keywords:
Lung neoplasms;
Pneumonectomy;
Carinal;
resection
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2012;28(3):129-131
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveBronchogenic carcinoma involving the carina or tracheobronchial angle still presents a challenge due to specific problems related to surgical technique and airway management.Aim of this paper is to examine complications and long-term survival of our personal series and those reported in literature.MethodsBetween 1985 and 2010,48 patients underwent carinal resection:a right tracheal sleeve pneumoneetomy was performed in 47 patients and a left tracheal sleeve pneumonectomy in 1 patient.The anastomosis was performed with aid of high-frequency jet ventilation or introfield tube ventilation.ResultsOverall morbidity and mortality rate was 25％ and 6.3％ respectively,and there was no death in operation.5-yearsurvival rate of patients with squamous and adenocarcinoma was 27.3％ and 12.5％,respectively,P =0.04.The overall 5-year survival rate was 24.3％.Patients without nodal involvement had a significantly better prognosis than N1 and N2 patients (5-year survival:52％,13％ and 0,respectively).Multivariate analysis showed that nodal status was the only independent prognostic factor( P =0.006 ).ConclusionWith careful selection of patients and meticulous surgical technique,Tracheal sleeve pneumonectomy for bronchogenic carcinoma can be accomplished with acceptable mortality and morbidity,proriding good long-term results.
