| Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe. | |
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MedLine Citation:
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PMID: 16398809 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Right upper lobectomy with right cervical and bilateral mediastinal lymph node dissection via a median approach was performed for non-small cell lung cancer. METHODS: From 1995 to 2003, 48 patients aged < or = 70 years underwent resection of cancer in the right upper lobe, including 26 with N0, four with N1 and 18 with N2 disease. RESULTS: Metastases to the right cervical, highest mediastinal, pretracheal and bilateral tracheobronchial lymph nodes were frequent. There were no operative or hospital deaths. Preoperative accuracy of N-factor diagnosis was only 35.4%. The overall 5-year survival rate was 58.8%. The rate for C-N2 disease (n = 18) was 42.6%, and the rate for p-N2 disease (n = 7) and p-N3 disease (n = 13) was 57.1% and 0%, respectively, using the Kaplan-Meier method. CONCLUSIONS: Patients without N3 disease have a good prognosis, and extended and systematic radical lymphadenectomy via median sternotomy improves the staging, and possibly the prognosis of pure N2 disease. |
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Authors:
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Hideaki Miyamoto; Zhiming Wang; Ryuta Fukai; Toshiro Futagawa; Yoichi Anami; Akio Yamazaki; Atsushi Morio; Enjo Hata |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: ANZ journal of surgery Volume: 75 ISSN: 1445-1433 ISO Abbreviation: ANZ J Surg Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2006-01-09 Completed Date: 2006-04-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 1049-54 Citation Subset: IM |
Affiliation:
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Department of General Thoracic Surgery, Juntendo University, School of Medicine, Tokyo, Japan. miyagen@med.juntendo.a.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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surgery Aged Carcinoma, Non-Small-Cell Lung / mortality, pathology, surgery* Female Humans Lung Neoplasms / mortality, pathology, surgery* Lymph Node Excision / methods Male Middle Aged Neoplasm Staging Pneumonectomy / methods* Sternum / surgery Survival Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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