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

Higuchi, Mitsunori; Takagi, Hironori; Ozaki, Yuki; Inoue, Takuya; Watanabe, Yuzuru; Yamaura, Takumi; Fukuhara, Mitsuro; Muto, Satoshi; Okabe, Naoyuki; Matsumura, Yuki; Hasegawa, Takeo; Osugi, Jun; Hoshino, Mika; Shio, Yutaka; Suzuki, Hiroyuki

doi:https://doi.org/10.5387/fms.2017-10

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

https://fmu.repo.nii.ac.jp/records/2001952

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FksmJMedSci_64_p30.pdf (334.4 KB)

Item type

デフォルトアイテムタイプ（フル）fmu(1)

公開日

2018-04-23

タイトル

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

言語

作成者

Higuchi, Mitsunori
Takagi, Hironori
Ozaki, Yuki
Inoue, Takuya
Watanabe, Yuzuru
Yamaura, Takumi
Fukuhara, Mitsuro
Muto, Satoshi
Okabe, Naoyuki
Matsumura, Yuki
Hasegawa, Takeo
Osugi, Jun
Hoshino, Mika
Shio, Yutaka
Suzuki, Hiroyuki

権利情報

言語

権利情報

主題

言語

主題Scheme

Other

主題

Angioplasty

主題

言語

主題Scheme

Other

主題

Bronchoplasty

主題

言語

主題Scheme

Other

主題

Non-small cell lung cancer (NSCLC)

主題

言語

主題Scheme

Other

主題

Pneumonectomy

主題

言語

主題Scheme

Other

主題

Surgical outcomes

内容記述

内容記述タイプ

Abstract

内容記述

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. 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. 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. 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.

言語

出版者

The Fukushima Society of Medical Science

言語

eng

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http://purl.org/coar/resource_type/c_6501

資源タイプ

journal article

出版タイプ

VoR

出版タイプResource

http://purl.org/coar/version/c_970fb48d4fbd8a85

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2024-12-02 04:08:02.221616

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

× Higuchi, Mitsunori

× Takagi, Hironori

× Ozaki, Yuki

× Inoue, Takuya

× Watanabe, Yuzuru

× Yamaura, Takumi

× Fukuhara, Mitsuro

× Muto, Satoshi

× Okabe, Naoyuki

× Matsumura, Yuki

× Hasegawa, Takeo

× Osugi, Jun

× Hoshino, Mika

× Shio, Yutaka

× Suzuki, Hiroyuki

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