Comparison of surgical outcomes after pneumonectomy and pulmonary function-preserving surgery for non-small cell lung cancer

DOI 機関リポジトリ Web Site PubMed 参考文献13件
  • Higuchi Mitsunori
    Department of Thoracic Surgery, Aizu Medical Center, Fukushima Medical University
  • Takagi Hironori
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Ozaki Yuki
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Inoue Takuya
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Watanabe Yuzuru
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Yamaura Takumi
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Fukuhara Mitsuro
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Muto Satoshi
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Okabe Naoyuki
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Matsumura Yuki
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Hasegawa Takeo
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Osugi Jun
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Hoshino Mika
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Shio Yutaka
    Department of Chest Surgery, Fukushima Medical University School of Medicine
  • Suzuki Hiroyuki
    Department of Chest Surgery, Fukushima Medical University School of Medicine

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<p>Background: According to previous reports, lobectomy with bronchoplasty or angioplasty is a more feasible surgery than pneumonectomy for central-type non-small cell lung cancer. However, few studies have compared both the short- and long-term outcomes between pneumonectomy and pulmonary function-preserving surgery.</p><p>Methods: From January 2004 to December 2015, 18 patients underwent pneumonectomy (Group PN) and 12 patients underwent pulmonary function-preserving surgery (group PS) at Fukushima Medical University Hospital. Clinicopathological factors were statistically compared between the two groups.</p><p>Results: The operation times in Group PN and Group PS were 285.9±27.9 and 271.3±99.2 min, respectively (p=0.613), while the amounts of intraoperative bleeding were 324.8±248.9 and 164.5±116.6 g, respectively (p=0.020). The duration of chest drainage and hospitalization after surgery in both groups were not significantly different but there was a tendency toward shorter periods of these durations in Group PS. The 5-year disease-free survival (DFS) rate in Group PN and PS was 51.4% and 74.1%, respectively, without a significant difference (p=0.298). The 5-year overall survival (OS) rate in Group PN and PS was 52.5% and 56.6%, respectively, also without a significant difference (p=0.748). The 5-year OS rate was inferior to the 5-year DFS rate in Group PS, and the 5-year OS rate was not better than the 5-year DFS rate in Group PN.</p><p>Conclusions: The short-term results were better in Group PS than PN. However, the long-term results in both groups were similar. Other causes of death influenced OS in both groups; this result might have been affected by the surgical procedures.</p>

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