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- Title
038DOES SLEEVE LOBECTOMY REALLY LEAD TO A BETTER PERIOPERATIVE OUTCOME THAN PNEUMONECTOMY IN THE TREATMENT OF NON-SMALL-CELL LUNG CANCER?
- Authors
Zuin, A.; Andriolo, L.G.; Marulli, G.; Schiavon, M.; Breda, C.; Nicotra, S.; Cibin, G.; Rea, F.
- Abstract
Objectives: Sleeve lobectomy is a well-recognized alternative to pneumonectomy in preserving lung function in suitable patients with non-small-cell lung cancer (NSCLC). The purpose of this retrospective study is to assess and compare the incidence of perioperative morbidity and mortality after sleeve lobectomy and pneumonectomy for NSCLC.Methods: From January 2008 to December 2012, 134 patients underwent pneumonectomy and 64 sleeve lobectomy for NSCLC at our Institution. In the pneumonectomy group 55 patients had a right-sided operation, while 79 were left-sided; median age was 67 (range 18-85 years), with 18 patients older than 75 years. In the sleeve group 42 patients had a right-sided operation and 22 were left-sided; median age was 65.5 (range 17-79) years with two patients older than 75 years. Specific surgical and perioperative complications and 30-, 60- and 90-day or in-hospital mortality were assessed and compared between the two groups.Results: In the pneumonectomy group, the incidence of perioperative complications was 35.1% (47 of 134 patients), with no side-related statistical difference, while in the sleeve group the rate was 37.5% (24 of 64 patients), P = 0.75, and the left side was a negative prognostic factor (P = 0.014). Operative mortality was 3% (4 of 134 patients) in the pneumonectomy group and 1.5% (1 of 64 patients) in the sleeve group, with no statistical difference (P = 1.0). A complete analysis of pre-, intra- and postoperative factors related to early outcome has been made.Conclusions: Sleeve lobectomy, whenever feasible, should always be performed in preference to a more extensive operation, but pneumonectomy still represents an appropriate and comparable treatment for NSCLC in terms of perioperative outcome.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2013, Vol 17, Issue suppl_2, pS78
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivt372.38