J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1956KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(9): 1232-1235, 1987

Report on the annual meeting

SURGICAL MANAGEMENT AND ITS ASSESSEMENT IN THE ADVANCED CASES OF CARCINOMA OF THE LUNG；INCLUDING THE CASES WITH CARDIOVASCULAR INVASION

Department of Surgery, Division II, Kobe University School of Medicine, Kobe, Japan
*) General Thoracic Surgery, Kobe-Hyogo Medical Center, Kobe, Japan

Noboru Ishii, Noriaki Tsubota*), Koichi Yoshikawa, Hisayuki Chihara, Chojiro Yamashita, Masayoshi Okada, Kazuo Nakamura

Between June, 1980 and May, 1986, fifty patients with advanced carcinoma of the lung underwent extensive surgery including partial resection of the adjacent organs (SVC ; 8, LA ; 7, LA and RA ; 1, Carina ; 6, Pericardium ; 10, Chest wall ; 23). The patients were divided into three groups. Group ⓐ contained 19 patients of squamous cell carcinoma with N0 or N1. Group ⓑ contained 20 patients of squamous cell carcinoma with N2, or adenocarcinoma as well as large cell carcinoma with N0 or N1. Group Ⓒ contained 11 patients of adenocarcinoma or large cell carcinoma with N2. There was no operative death. The cumulative 3 year-survival rates in Group ⓐ, ⓑ and Ⓒ were 52, 32 and 13.5％, respectively.
It could be concluded from these observation that a most favorable results of extensive resection of the advanced carcinoma of the lung was expected in Group ⓐ and no sound basis of surgical indication for surgery were found in Group Ⓒ. Another point of emphasis was that the application of cardiopulmonary bypass and repair of the great vessels through median sternotomy extended surgical indication.

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