Sleeve lobectomy: an alternative to pneumonectomy in the treatment of bronchial carcinoma.
In a 20-year period between 1960 and 1979, 3,438 resections were done for primary cancer of the lung, the standard operation being either lobectomy or pneumonectomy in more than 90% of the cases. In 261 cases (7.4%) sleeve lobectomy was performed as an alternative to pneumonectomy in order to conserve pulmonary function as far as possible, provided the operation assured as equally radical a removal of the tumor as pneumonectomy. Long-term results could be evaluated for 113 cases operated before 1974. Fifty-seven (50%) were alive at least 5 years after operation, the follow-up being 100%. The postoperative mortality was 7.3% (19 cases). Indications for sleeve resection as well as some aspects of anesthesia and surgical technique are discussed.
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D001984:Bronchial Neoplasms / Q000601:surgery*; D018288:Carcinoma, Small Cell / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*