[Gore-Tex grafts for replacement of the superior vena cava in 10 patients with intrathoracic malignant tumors].
Ten patients with lung cancer and mediastinal tumor invading the mediastinal structures underwent replacement of superior vena cava (SVC) with ringed Gore-Tex to resect malignant tumors. In patients with lung cancer sleeve pneumonectomy (3 patients), sleeve lobectomy (1 patients) and tracheal resection (one patient) were performed simultaneously. By resection of the VCS system, invasive thymomas were able to be resected completely in 2 of 3 patients. In 2 patients with mediastinal tumors, one with metastatic testicular chorio carcinoma and one with malignant lymphoma of non-Hodgkin type, aggressive chemotherapy was followed by resection of the residual tumors including VCS. Except for one patient, there was no sign showing disturbance of the venous return in the VCS system in the 5 to 43 months' postoperative follow up period. We conclude that ringed Gore-Tex graft permits the extended operation for intrathoracic malignancies invading the mediastinal structures.
Nakahara
K
K
First Department of Surgery, Osaka University Medical School, Japan.
Ohno
K
K
Matsumura
A
A
Mizuta
T
T
Akashi
N
N
Nakagawa
K
K
Matsuda
H
H
Nakano
S
S
Shirakura
R
R
Kawashima
Y
Y
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008228:Lymphoma, Non-Hodgkin / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery*; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D014683:Vena Cava, Superior / Q000601:surgery*
D011138:Polytetrafluoroethylene