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

[Abstract] [Full Text HTML] [Full Text PDF] （in Japanese / 44KB） [Members Only]

J.Jpn. Surg. Soc.. 106(6): 375-379, 2005

Feature topic

PERIOPERATIVE MANAGEMENT OF EXTENDED SURGERY FOR ADVANCED LUNG CANCER

Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

Takeshi Nagayasu, Tsutomu Tagawa, Akihiro Nakamura

Extended surgery for advanced non-small cell lung cancer includes combined resection of T3 or T4 organs and extended lymph node dissection in N2 or N3 cases. It is well known that the incidence of complications with extended surgery is higher in comparison with standard surgery due to the greater extent of invasiveness of the former. The management of extended surgery patients requires an understanding of the characteristic complications and their frequency for each type of surgery. Perioperative management including an accurate preoperative diagnosis and the prevention of postoperative complications affects prognosis because mortality rate is higher in patients in whom more complications occur.

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