Surgical Treatment of Lung Cancer with Bronchoplastic Procedures

기관지 성형술을 이용한 폐암의 수술적 치료

  • Published : 1995.10.01

Abstract

Thirteen patients with lung cancer have undergone bronchoplastic procedures from January 1991 to July 1994 in Kyung Hee univ. Hospital.Among them,twelve patients were male and one patient was female from 33 to 76 years of age.[ mean 56.6 11.5 years of age The pathologic diagnoses were squamous cell carcinoma in twelve patients and adenoid cystic carcinoma in one patient.The bronchoplastic procedures consisted of seven right upper sleeve lobectomies, one right middle sleeve lobectomy, one left lower sleeve lobectomy and four sleeve pneumonectomies. In these sleeve pneumonectomies, right sleeve pneumonectomy was done in three patients and the other was left sleeve pneumonectomy. Including the four sleeve pneumonectomies, carinoplasty was performed in seven patients. Postoperatively, we carried out bronchoscopic suction of intrabronchial secretions in necessary for the prevention of postoperative complication. All except one were discharged without any complication and have been in good condition. Postoperative mortality was in one patient who expired 25days after right middle sleeve lobectomy with respiratory failure.

Keywords

References

  1. J R Coll Surg Edin v.1 Conservative resection of the bronchial tree Price-Thomas,C.
  2. J Thorac Surg v.22 Reconstructive Syrgery of the Trachea and Bronchi ; Late Results with Dermal Grafts Gebauer,P.W.
  3. Thorax v.14 The treatment of bronchial carcinoma by lobectomy and sleeve resection of the main bronchus Johnston,J.B.;John,P.H.
  4. J Thorac Cardiovasc Surg v.78 Sleeve lobectomy for carcinoma of the lung Weisel,R.D.;Cooper,J.D.;Delarue,N.C.;Theman,T.E.;Todd,T.R.J.;Pearson,F.G.
  5. J Thorac Cardiovasc Surg v.83 The role of bronchoplastic procedures in the surgical management of benign and malignant pulmonary lesions Lowe,J.E.;Bridgman,A.H.;Sabiston,D.C.
  6. Chest v.80 Lobectomy with Sleeve Resection in the Treatment of Tumors of the Bronchus Van Dev Bosch JMM;Bergstein,P.G.M.;Laros,C.D.;Gelissen,H.J.;Schaepkens van Riempst ALEMS;Wagenaar,S.S.
  7. Ann Thorac Surg v.35 Sleeve lobectomy and bronchoplasty for bronchial carcinoma Firmin,R.K.;Azariades,M.;Lennox,S.C.;Lincoln,J.C.R.;Paneth,M.
  8. J Thorac Surg v.19 Experience with the surgical resection of the human carina, tracheal wall and contralateral bronchial wall in cases of right total pneumonectomy Abott,O.A.
  9. J Thorac Cardiovasc Surg v.38 Bronchogenic carcinoma-an aggressive surgical attitude Gibbon,J.H.;Discussion of Chamberlain J.M.;McNeil,T.M.;Parnassa,P.;Edsall,J.R.
  10. Survival in patients undergoing tracheal sleeve pneumonectomy for bronchogenic carcinoma v.84 Jensik,R.J.;Faber,P.F.;Kittle,C.F.;Miley,R.W.;Thatcher,W.C.
  11. J Thorac Cardiovasc Surg v.99 Resection of tracheal carina for lung cancer Tsuchiya,R.;Goya,T.;Naruke,T.;Suemasu,K.
  12. Ann Thorac Surg v.34 Carinal reconstruction Grillo,H.C.
  13. World J Surg v.4 Surgery of the trachea Koroleva,P.M.
  14. J Thorac Cardiovasc Surg v.73 Bronchoplastic procedures for lung cancer Naruke,T.;Yoneyama,T.;Ogata,T.;Suemasu,K.
  15. J Thorac Cardiovasc Surg v.107 Protection and revascularization of bronchial anastomoses by the intercostal pedicle flap Rendina;E.A.;Venuta,F.;Ricci,P.;Fadda,F.;Bognolo,D.A.;Ricci,C.;Rossi,P.
  16. J Thorac Cardiovasc Surg v.93 Bronchial sleeve resection with and without pulmonary resection Frist,W.H.;Mathisen,D.J.;Hilgenberg,A.D.;Grillo,H.C.
  17. General Thoracic Surgery(3rd ed.) Shield,T.W.
  18. Ann Thorac Surg v.51 Growth of Tracheal Anastomoses:Advantages of Absorbable Interrupted Sutures McKeown,P.P.;Tsuboi,H.;Togo.T.(et al.)
  19. 대흉외지 v.26 기관 절단 후 단단 문합시 봉합사 및 봉합 방법에 따른 기관 협착 정도에 관한 실험적 연구 박주철;김동원;안성국
  20. Surg Gynecol Obstet v.150 Studies on the efficacy and safety of polydioxanone monofilament absorbable suture Lerwick,E.