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    
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.
Hideaki Miyamoto; Zhiming Wang; Ryuta Fukai; Toshiro Futagawa; Yoichi Anami; Akio Yamazaki; Atsushi Morio; Enjo Hata
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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    
Department of General Thoracic Surgery, Juntendo University, School of Medicine, Tokyo, Japan.
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MeSH Terms
Adenocarcinoma / surgery
Carcinoma, Non-Small-Cell Lung / mortality,  pathology,  surgery*
Lung Neoplasms / mortality,  pathology,  surgery*
Lymph Node Excision / methods
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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