[Replacement of the superior vena cava with vascular prosthesis in surgical treatment of lung carcinoma].
OBJECTIVE
To investigate the effect, surgical technique and prognosis of replacement of the superior vena cava(SVC) with vascular prosthesis in surgical treatment of advanced lung carcinoma.


METHODS
Twenty six patients with right lung carcinoma invading the SVC (central lung carcinoma in 21 cases, peripheral lung carcinoma in 5 cases) underwent radical resection of tumor with concomitant replacement of SVC with vascular prosthesis. All patients took a low dose of anticoagulant in short-term after operation. Long-term follow-up was conducted.


RESULTS
All the cases had no intraoperative or postoperative early death, and no early or late obstruction of SVC. Follow-up was conducted in 23 cases. The overall survival rates at 1, 3 and 5 years were 85%(22/26), 39%(7/18) and 36%(4/11) respectively.


CONCLUSIONS
Combination of resection of tumor and replacement of SVC enabled some cases of advanced lung carcinoma to achieve complete resection. This surgical technique extended the indications of surgical treatment of lung carcinoma, and increased the survival rate of advanced lung carcinoma. Further clinical applications are recommended.
Xu
S
S
Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149.
Zhao
L
L
Liang
Z
Z
D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000601:surgery*; D008297:Male; D015996:Survival Rate; D014683:Vena Cava, Superior / Q000601:surgery*