ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Steven M. Keller
Nael Martini
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Keller, S. M.
Right arrow Articles by Martini, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Keller, S. M.
Right arrow Articles by Martini, N.

Ann Thorac Surg 1988;45:62-65
© 1988 The Society of Thoracic Surgeons


Articles

Bilobectomy for Bronchogenic Carcinoma

Steven M. Keller, M.D.*, Larry R. Kaiser, M.D., Nael Martini, M.D.

From the Division of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY

Accepted for publication August 25, 1987.

* Address reprint requests to Dr. Keller, Department of Surgical Oncology, The Fox Chase Cancer Ctr, 7701 Burholme Ave, Philadelphia, PA 19111

During a 12-year period, bilobectomy was performed on 166 patients for the treatment of primary lung carcinoma: 108 patients (65%) underwent right upper and middle lobectomy, while 58 patients (35%) underwent right middle and lower lobectomy. Indications for bilobectomy were tumor extending across a fissure (45%), absent fissure (21%), endobronchial tumor (14%), extrinsic tumor or nodal invasion of bronchus intermedius (10%), and vascular invasion (5%). Thirty-one patients (19%) suffered 41 perioperative complications, and 7 patients (4.2%) died. Upper and middle lobectomies were not associated with a significantly different morbidity (p > 0.10) or mortality (p > 0.10) when compared with middle and lower lobectomy. The postoperative chest roentgenograms of all patients demonstrated ipsilateral volume loss, and 31 patients were found to have asymptomatic hydropneumothoraces, which cleared during the follow-up period. Late complications occurred in 4 patients (2%) and included two empyemas, one bronchopleural fistula, and one superficial wound infection. These results indicate that bilobectomy is associated with morbidity and mortality that lie between those currently reported for lobectomy and pneumonectomy.




This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
D. Galetta, P. Solli, A. Borri, F. Petrella, R. Gasparri, D. Brambilla, and L. Spaggiari
Bilobectomy for Lung Cancer: Analysis of Indications, Postoperative Results, and Long-Term Outcomes
Ann. Thorac. Surg., January 1, 2012; 93(1): 251 - 258.
[Abstract] [Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
A. W. Kim, L. P. Faber, W. H. Warren, N. D. Shah, S. Basu, and M. J. Liptay
Bilobectomy for non-small cell lung cancer: A search for clinical factors that may affect perioperative morbidity and long-term survival
J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 606 - 611.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
M. Van Leuven, J. A. Clayman, and N. Snow
Bronchial obstruction after upper lobectomy: kinked bronchus relieved by stenting
Ann. Thorac. Surg., July 1, 1999; 68(1): 235 - 237.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
G. Massard, A. Dabbagh, P. Dumont, R. Kessler, N. Roeslin, J.-M. Wihlm, and G. Morand
Are bilobectomies acceptable procedures?
Ann. Thorac. Surg., September 1, 1995; 60(3): 640 - 645.
[Abstract] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
J. R. Izbicki, W. T. Knoefel, B. Passlick, M. Habekost, O. Karg, and O. Thetter
RISK ANALYSIS AND LONG-TERM SURVIVAL IN PATIENTS UNDERGOING EXTENDED RESECTION OF LOCALLY ADVANCED LUNG CANCER
J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 386 - 395.
[Abstract] [Full Text]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1988 by The Society of Thoracic Surgeons.