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Jean-Francois Regnard
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Ann Thorac Surg 1995;60:645
© 1995 The Society of Thoracic Surgeons

Invited Commentary

Invited Commentary

Jean-Francois Regnard, MD

Centre Chirurgical Marie Lannelongue, 133 Avenue de la Resistance, 92350 Le Plessis Robinson, France

The first 20% of the full text of this article appears below.

See also page 640.

Doctor Massard and colleagues reported a large experience and examine the value of an operation about which little has been published. They raised the main questions about the place of bilobectomy for bronchogenic carcinomas: the operative risk and the carcinologic value of such resection and the functional value of the remaining lobe.

They observed an increased rate of morbidity (49%) in comparison with standard lobectomy, generally related to pleural space problems. Most of the complications resolved with medical treatment or tube thoracostomy, but 8 patients had to be reexplored (3 with bleeding, 2 with venous infarctions of the right upper lobe, and 3 with pleural space problems including 2 empyemas). Only 1 bronchopleural fistula developed, and the mortality rate was 3.5%, which seems acceptable and lower than the mortality rate after pneumonectomy in their experience. As a result, from . . . [Full Text of this Article]


Related Article

Are Bilobectomies Acceptable Procedures?
Gilbert Massard, Ahmad Dabbagh, Pascal Dumont, Romain Kessler, Norbert Roeslin, Jean-Marie Wihlm, and Georges Morand
Ann. Thorac. Surg. 1995 60: 640-645. [Abstract] [Full Text]





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