Korean J Thorac Cardiovasc Surg.  2011 Dec;44(6):413-417. 10.5090/kjtcs.2011.44.6.413.

Outcomes of Sleeve Lobectomy versus Pneumonectomy for Lung Cancer

• Lee HK
• Lee HS
• Kim KI
• Shin HS
• Lee JW
• Kim HS
• Cho SW

• KMID: 1447773
• DOI: http://doi.org/10.5090/kjtcs.2011.44.6.413

Abstract

BACKGROUND
Sleeve lobectomy for lung cancer in close proximity to or involving the carina is widely accepted. Operative morbidity and mortality rates, recurrence, and survival rates have varied considerably across studies.
MATERIALS AND METHODS
From March of 2005 to July of 2010, sleeve lobectomy was performed in 19 patients and pneumonectomy was performed in 20 patients. In this paper, the results of sleeve lobectomy and pneumonectomy for patients with lung cancer will be compared and evaluated.
RESULTS
There were no postoperative complications in either group, but there was one mortality in the pneumonectomy group. There was better preservation of pulmonary function in the sleeve lobectomy group than the pneumonectomy group (p=0.066 in FVC, p=0.019 in FEV1). The 3-year survival rates were 46.7% in the sleeve lobectomy group and 54.5% in the pneumonectomy group (p=0.505). The 3-year disease-free survival rates were 38% in the sleeve lobectomy group and 45.8% in the pneumonectomy group (p=0.200).
CONCLUSION
Sleeve lobectomy for lung cancer showed low mortality, low bronchial anastomotic complication rates, and good preservation of pulmonary function.

Keyword

Lobectomy; Lung; Cancer

MeSH Terms

Disease-Free Survival
Humans
Lung
Lung Neoplasms
Pneumonectomy
Postoperative Complications
Recurrence
Survival Rate