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Ann Thorac Surg 1979;27:169-172
© 1979 The Society of Thoracic Surgeons

Articles

Segmental Resection for Bronchogenic Carcinoma: A Surgical Alternative for the Compromised Patient

W. Frederick Bennett, F.R.C.S.(C)*, Roger Abbey Smith, F.R.C.S.

From the Cardiothoracic Unit, Walsgrave Hospital, Coventry, England

Accepted for publication June 8, 1978.

* Address reprint requests to Dr. Bennett, 231-B Royal Alex PI, 10106-111 Ave, Edmonton, Alta, Canada, T5G 0B4

Over a twenty-year period, 44 patients with peripheral bronchogenic carcinoma who were unable to tolerate major pulmonary resection underwent segmentectomy as an alternative to nonoperative management. There were 2 immediate postoperative deaths. Of 31 patients eligible, 36% survived five years, and the mean survival time approached four years. Excluding those patients with undifferentiated small cell carcinoma, segmental resection in this compromised group offered a good chance for cure while providing reasonable palliation, and this procedure should be considered as a surgical option to other modalities of treatment commonly offered to these individuals.




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