Document Detail


Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe.
MedLine Citation:
PMID:  16398809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hideaki Miyamoto; Zhiming Wang; Ryuta Fukai; Toshiro Futagawa; Yoichi Anami; Akio Yamazaki; Atsushi Morio; Enjo Hata
Related Documents :
10658379 - Combined resection of the aorta for an esophageal carcinoma invading the aorta through ...
23426389 - Completion lobectomy and central compartment dissection in low-risk patients who had un...
3349839 - The prognostic significance of preoperative assessment of mediastinal lymph nodes in pa...
23443049 - Role of radiation therapy in neoadjuvant era in patients with locally advanced rectal c...
23020209 - Independent predictors of survival and the impact of repeat surgery in patients undergo...
24499829 - A simple tumor load-based nomogram for surgery in patients with colorectal liver and pe...
936029 - Primary neoplasms of the duodenum.
3878369 - Photochemotherapy in cutaneous t cell lymphoma and parapsoriasis en plaques. long-term ...
11316559 - Interferon-gamma in 5 patients with cutaneous radiation syndrome after radiation therapy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  75     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-09     Completed Date:  2006-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1049-54     Citation Subset:  IM    
Affiliation:
Department of General Thoracic Surgery, Juntendo University, School of Medicine, Tokyo, Japan. miyagen@med.juntendo.a.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / 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


Previous Document:  Left thoracophrenotomy and cervical approach in the surgery of distal third oesophageal and cardia t...
Next Document:  Fournier's gangrene: a retrospective clinical study on forty-one patients.