J.Jpn. Surg. Soc.. 98(1): 26-30, 1997

---

Feature topic

EXTENDED RESECTON FOR LUNG CANCER

Only one third of the patients with lung cancer can be identified as operative candidates. For the other two thirds operation was not indicated, because they have advanced lung cancer with distant metastases or locally advanced lung cancer invading neighboring organs. The results of surgery of lung cancer depend on TNM staging. Resection of stage IIIA, IIIB and IV were not indicated because these gave poor 5-year survival rates. However, a few 5-year survivors without any evidence of recurrence of lung cancer have been reported recently. Chest wall resection and tracheal carinal resection becalne standard operations because they give a 5-year survival rates of 30％ and 34％ respectively. Left atrium resection also becomes a standard operation with 22％ of 5-year survival rate. Resection of superior vena cava is applied for Iocally advanced cases with or without invasion to the trachel carina. Resection of vertebra and main pulmonary artery are being tried with careful and exact evaluation of the extent of primary tumor and invading organs using information provided by new diagnostic equipments.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.