Abstract: Poster Presentations |


Dragan R. Subotic, PhD*; Dragan V. Mandarich, PhD; Nikola D. Atanasiadis, MD; Ljiljana V. Andrich, MD
Author and Funding Information

Institute for Lung Diseases, Belgrade, Serbia


Chest. 2005;128(4_MeetingAbstracts):313S. doi:10.1378/chest.128.4_MeetingAbstracts.313S-a
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PURPOSE:  To analyse operative mortality, morbidity and factors influencing long term survival in patients who underwent sleeve pneumonectomy for primary NSCLC.

METHODS:  Retrospective study including 42 patients who underwent sleeve pneumonectomy for primary NSCLC in the period 1995-2004. Survival, operative mortality and morbidity were analysed and compared with control group of extended resections in the same period. Particular analysis of the influence of the N-factor to survival was done. Statistics: X-square test, survival analysis using the Kaplan-meier method.

RESULTS:  In the analysed group, 39 pts. underwent right and 3 one-stage left sleeve pneumonectomy (M:F ratio 6:1). Compared to the period 1995-2002 with 36 pts, after inclusion of additional 6 pts. till 2004, operative mortality decreased from 19.44% to 16.66%. Operative morbidity was 26.19%. Before inclusion of the last 6 pts, 3 and 5-year survival was 27.7% and 11.1% respectively. Two of the new 6 pts. are still alive two years after the operation, whilst two of them died 7 and 7.5 months after the operation from cancer dissemination. Additional two survived more than one year and are still alive. There were no long term survivors with N2 disease.

CONCLUSION:  Sleeve pneumonectomy can be done with acceptable mortality that should be well below 15%. Nevertheless, we support the attitude that such an operation is justified only if associated with 5-year survival of at least 20%.

CLINICAL IMPLICATIONS:  detailed preoperative assessment in order to assess N-component is mandatory to achieve optimal patient selection for this type of lung resection.

DISCLOSURE:  Dragan Subotic, None.

Wednesday, November 2, 2005

12:30 PM - 2:00 PM




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