[Clinical analysis of bronchoplastic surgery for lung cancer after 2000]

Kyobu Geka. 2008 Oct;61(11):963-7.
[Article in Japanese]

Abstract

We investigated surgical complications and prognosis of bronchoplasty and bronchoplasty with pulmonary angioplasty (broncho-angioplasty) for lung cancer. Between October 2000 and October 2007, 37 bronchoplastic procedures were done in 572 patients who underwent lung resections for lung cancer. Eleven (29.7%) bronchoplasties were done with pulmonary angioplasty. There was no operative mortality and 1 hospital mortality (2.7%) causing by myocardial infarction. Six of 11 postoperative complications were bronchial complications and 2 additional lung resections were needed. The 5-year survival for all patients was 55.2% and for bronchoplasty was 57.8%. Though the 5-year survival of broncho-angioplasty was not able to calculate at present, the 3-year survival of which was 72.9%. There was no death of patients with adenocarcinoma after introduction of pre-operative assessment by FDG-PET for lymph node metastasis. These data suggest that bronchoplasty and broncho-angioplasty are safe operative procedures and could provide acceptable intermediate survivals with modern multimodality diagnostic and therapeutic tools.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adenocarcinoma / surgery*
  • Aged
  • Angioplasty / mortality
  • Bronchi / surgery*
  • Carcinoma, Squamous Cell / surgery*
  • Humans
  • Lung Neoplasms / surgery*
  • Male
  • Middle Aged
  • Plastic Surgery Procedures / methods*
  • Plastic Surgery Procedures / mortality
  • Pneumonectomy / methods*
  • Pneumonectomy / mortality
  • Postoperative Complications
  • Prognosis
  • Pulmonary Artery / surgery
  • Retrospective Studies
  • Survival Rate