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Ann Thorac Surg 1988;45:380-383
© 1988 The Society of Thoracic Surgeons


Articles

Surgical treatment of bronchogenic carcinoma: A retrospective study of 720 thoracotomies

Georges Deneffe, M.D.*, Ludovic M Lacquet, M.D., Erik Verbeken, M.D., Gery Vermaut, M.D.

From the Department of Thoracic Surgery, Pneumology, Pathology, and Anesthesiology, U.Z. Pellenberg, University of Leuven, Belgium

Accepted for publication December 31, 1987.

* Address reprint requests to Dr. Deneffe, University Hospital, Weligerveld 1, B-3041 Pellenberg, Belgium.

Seven hundred and twenty patients with primary bronchogenic carcinoma were operated on at the Pellenberg Clinic, K.U. Leuven, Belgium, between January 1, 1970, and January 1, 1985. Almost 45% of the resections were pneumonectomies and 47% were lobectomies. Mortality was 6.9% and 2.9%, respectively.

Patients with squamous cell carcinoma (Stages I and II) who underwent lobectomy or pneumonectomy had an absolute 5-year survival rate of 52.8% ([equation]); it was 21% ([equation]) in the T3 N0/N1 subgroup. Patients with adenocarcinoma who underwent a lobectomy had a 5-year survival rate of 49% ([equation]) in the T1/T2 N0 group and of 27% ([equation]) in the T1/T2 N1 group. Only 13.6% ([equation]) of patients survived 5 years if a pneumonectomy had to be performed. Only 1 in 22 N2 patients survived 5 years after resection.




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