Surgical options for complete resectable lung cancer invading the phrenic nerve.
We describe a 58-year-old male diagnosed with a tumour of the left lung, which on subsequent thoracotomy proved to be invading the phrenic nerve. The clinical and spirometric outcome of a lobectomy, which resulted in a postoperative ipsilateral hemidiaphragmatic paralysis, versus the alternative surgical option of a pneumonectomy is discussed.
Department of Surgery, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, B-3000, Belgium. wimwillaert@hotmail.com
W
W
Willaert
R
R
Kessler
G
G
Deneffe
D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010791:Phrenic Nerve / Q000473:pathology* / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D012133:Respiratory Paralysis / Q000209:etiology; D013908:Thoracotomy; D016896:Treatment Outcome