Benefits of Rib Head Resection via Costotransverse Ligament Release Method for T3 Lung Cancer in the Paravertebral Space
Objective: Lung cancer located in the paravertebral region occasionally invades the rib head (T3) and not the spine (T4). In such cases, a costotransverse ligament release (CTLR) method may be useful for complete resection without performing a vertebrectomy.Methods: Eighteen patients with lung cance...
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| Veröffentlicht in: | Annals of Thoracic and Cardiovascular Surgery 2013/08/20, Vol.19(4), pp.268-272 |
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| container_title | Annals of Thoracic and Cardiovascular Surgery |
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| creator | Chida, Masayuki Hayama, Makio Kobayashi, Satoru Ishihama, Hiromi Oyaizu, Takeshi Minowa, Muneo Matsumura, Yuji |
| description | Objective: Lung cancer located in the paravertebral region occasionally invades the rib head (T3) and not the spine (T4). In such cases, a costotransverse ligament release (CTLR) method may be useful for complete resection without performing a vertebrectomy.Methods: Eighteen patients with lung cancer underwent chest wall resection between2001 and 2009 at our institutions. Of those, 7 who underwent chest wall removal with rib head resection via a CTLR method (group A) and 11 without rib head resection(conventional distal rib resection, group B) were retrospectively analyzed.Results: Three patients in group A underwent induction chemoradiotherapy. All rib head resections were performed via a CTLR approach without postoperative complications. There were no deaths within 30 day in group A and 1 in group B. The mean number of resected rib heads was 2.1 in group A, while 2.0 ribs were removed in group B. There was no significant difference for operation time between groups A and B(332±112 vs. 287 ±114 mins, p = 0.449). Local recurrence was seen in 0 patients in group A and 3 in group B(p = 0.13). The median survival time was 1489 and 727 day, respectively, while 5-year survival rates were 0.48 and 0.41, respectively.Conclusion: A rib head resection via a CTLR method is an effective procedure for T3 lung cancer infiltrating the rib head. |
| doi_str_mv | 10.5761/atcs.oa.11.01860 |
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In such cases, a costotransverse ligament release (CTLR) method may be useful for complete resection without performing a vertebrectomy.Methods: Eighteen patients with lung cancer underwent chest wall resection between2001 and 2009 at our institutions. Of those, 7 who underwent chest wall removal with rib head resection via a CTLR method (group A) and 11 without rib head resection(conventional distal rib resection, group B) were retrospectively analyzed.Results: Three patients in group A underwent induction chemoradiotherapy. All rib head resections were performed via a CTLR approach without postoperative complications. There were no deaths within 30 day in group A and 1 in group B. The mean number of resected rib heads was 2.1 in group A, while 2.0 ribs were removed in group B. There was no significant difference for operation time between groups A and B(332±112 vs. 287 ±114 mins, p = 0.449). Local recurrence was seen in 0 patients in group A and 3 in group B(p = 0.13). The median survival time was 1489 and 727 day, respectively, while 5-year survival rates were 0.48 and 0.41, respectively.Conclusion: A rib head resection via a CTLR method is an effective procedure for T3 lung cancer infiltrating the rib head.</description><identifier>ISSN: 1341-1098</identifier><identifier>EISSN: 2186-1005</identifier><identifier>DOI: 10.5761/atcs.oa.11.01860</identifier><identifier>PMID: 23232265</identifier><language>eng</language><publisher>Japan: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</publisher><subject>Aged ; Carcinoma, Non-Small-Cell Lung - mortality ; Carcinoma, Non-Small-Cell Lung - pathology ; Carcinoma, Non-Small-Cell Lung - surgery ; Chemoradiotherapy, Adjuvant ; Chemotherapy, Adjuvant ; Disease-Free Survival ; Female ; Humans ; Kaplan-Meier Estimate ; Ligaments - surgery ; lung cancer ; Lung Neoplasms - mortality ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Neoadjuvant Therapy ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Osteotomy - adverse effects ; Osteotomy - methods ; Osteotomy - mortality ; Pneumonectomy - adverse effects ; Pneumonectomy - mortality ; Radiotherapy, Adjuvant ; Retrospective Studies ; rib head ; Ribs - pathology ; Ribs - surgery ; spine ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult</subject><ispartof>Annals of Thoracic and Cardiovascular Surgery, 2013/08/20, Vol.19(4), pp.268-272</ispartof><rights>2013 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c595t-4543a830ceaa101f304ee487a32a3fd588043d4b68877d55aaac8f2b107548443</citedby><cites>FETCH-LOGICAL-c595t-4543a830ceaa101f304ee487a32a3fd588043d4b68877d55aaac8f2b107548443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,1881,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23232265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chida, Masayuki</creatorcontrib><creatorcontrib>Hayama, Makio</creatorcontrib><creatorcontrib>Kobayashi, Satoru</creatorcontrib><creatorcontrib>Ishihama, Hiromi</creatorcontrib><creatorcontrib>Oyaizu, Takeshi</creatorcontrib><creatorcontrib>Minowa, Muneo</creatorcontrib><creatorcontrib>Matsumura, Yuji</creatorcontrib><title>Benefits of Rib Head Resection via Costotransverse Ligament Release Method for T3 Lung Cancer in the Paravertebral Space</title><title>Annals of Thoracic and Cardiovascular Surgery</title><addtitle>ATCS</addtitle><description>Objective: Lung cancer located in the paravertebral region occasionally invades the rib head (T3) and not the spine (T4). In such cases, a costotransverse ligament release (CTLR) method may be useful for complete resection without performing a vertebrectomy.Methods: Eighteen patients with lung cancer underwent chest wall resection between2001 and 2009 at our institutions. Of those, 7 who underwent chest wall removal with rib head resection via a CTLR method (group A) and 11 without rib head resection(conventional distal rib resection, group B) were retrospectively analyzed.Results: Three patients in group A underwent induction chemoradiotherapy. All rib head resections were performed via a CTLR approach without postoperative complications. There were no deaths within 30 day in group A and 1 in group B. The mean number of resected rib heads was 2.1 in group A, while 2.0 ribs were removed in group B. There was no significant difference for operation time between groups A and B(332±112 vs. 287 ±114 mins, p = 0.449). Local recurrence was seen in 0 patients in group A and 3 in group B(p = 0.13). The median survival time was 1489 and 727 day, respectively, while 5-year survival rates were 0.48 and 0.41, respectively.Conclusion: A rib head resection via a CTLR method is an effective procedure for T3 lung cancer infiltrating the rib head.</description><subject>Aged</subject><subject>Carcinoma, Non-Small-Cell Lung - mortality</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Chemoradiotherapy, Adjuvant</subject><subject>Chemotherapy, Adjuvant</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Ligaments - surgery</subject><subject>lung cancer</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoadjuvant Therapy</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplasm Staging</subject><subject>Osteotomy - adverse effects</subject><subject>Osteotomy - methods</subject><subject>Osteotomy - mortality</subject><subject>Pneumonectomy - adverse effects</subject><subject>Pneumonectomy - mortality</subject><subject>Radiotherapy, Adjuvant</subject><subject>Retrospective Studies</subject><subject>rib head</subject><subject>Ribs - pathology</subject><subject>Ribs - surgery</subject><subject>spine</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1341-1098</issn><issn>2186-1005</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkM1PGzEQxS3UCgLlzgn52EuCvbZ3nSNE5UNK1YrC2Zr1ziZGGzvYTtT-9zgEomqkeaPR773DI-SCs4lqan4F2aZJgAnnE8Z1zY7IqCo65oypL2TEheTlnuoTcprSC2NC1zU7JieVKFPVakT-3qDH3uVEQ08fXUvvETr6iAltdsHTrQM6CymHHMGnLcaEdO4WsEKfCzYglMdPzMvQ0T5E-iTofOMXdAbeYqTO07xE-hsiFG_GNsJA_6zB4jfytYch4fmHnpHn2x9Ps_vx_Nfdw-x6PrZqqvJYKilAC2YRgDPeCyYRpW5AVCD6TmnNpOhkW2vdNJ1SAGB1X7WcNUpqKcUZ-b7PXcfwusGUzcoli8MAHsMmGS6rppFKT5uCsj1qY0gpYm_W0a0g_jOcmV3fZte3CWA4N-99F8vlR_qmXWF3MHwWXIDbPfCSMizwAEDMzg64T-RTI3frv-QDYJcQDXrxBueHleA</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Chida, Masayuki</creator><creator>Hayama, Makio</creator><creator>Kobayashi, Satoru</creator><creator>Ishihama, Hiromi</creator><creator>Oyaizu, Takeshi</creator><creator>Minowa, Muneo</creator><creator>Matsumura, Yuji</creator><general>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Benefits of Rib Head Resection via Costotransverse Ligament Release Method for T3 Lung Cancer in the Paravertebral Space</title><author>Chida, Masayuki ; Hayama, Makio ; Kobayashi, Satoru ; Ishihama, Hiromi ; Oyaizu, Takeshi ; Minowa, Muneo ; Matsumura, Yuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-4543a830ceaa101f304ee487a32a3fd588043d4b68877d55aaac8f2b107548443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Carcinoma, Non-Small-Cell Lung - mortality</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Chemoradiotherapy, Adjuvant</topic><topic>Chemotherapy, Adjuvant</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Ligaments - surgery</topic><topic>lung cancer</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoadjuvant Therapy</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local</topic><topic>Neoplasm Staging</topic><topic>Osteotomy - adverse effects</topic><topic>Osteotomy - methods</topic><topic>Osteotomy - mortality</topic><topic>Pneumonectomy - adverse effects</topic><topic>Pneumonectomy - mortality</topic><topic>Radiotherapy, Adjuvant</topic><topic>Retrospective Studies</topic><topic>rib head</topic><topic>Ribs - pathology</topic><topic>Ribs - surgery</topic><topic>spine</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Chida, Masayuki</creatorcontrib><creatorcontrib>Hayama, Makio</creatorcontrib><creatorcontrib>Kobayashi, Satoru</creatorcontrib><creatorcontrib>Ishihama, Hiromi</creatorcontrib><creatorcontrib>Oyaizu, Takeshi</creatorcontrib><creatorcontrib>Minowa, Muneo</creatorcontrib><creatorcontrib>Matsumura, Yuji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of Thoracic and Cardiovascular Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chida, Masayuki</au><au>Hayama, Makio</au><au>Kobayashi, Satoru</au><au>Ishihama, Hiromi</au><au>Oyaizu, Takeshi</au><au>Minowa, Muneo</au><au>Matsumura, Yuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Benefits of Rib Head Resection via Costotransverse Ligament Release Method for T3 Lung Cancer in the Paravertebral Space</atitle><jtitle>Annals of Thoracic and Cardiovascular Surgery</jtitle><addtitle>ATCS</addtitle><date>2013</date><risdate>2013</risdate><volume>19</volume><issue>4</issue><spage>268</spage><epage>272</epage><pages>268-272</pages><issn>1341-1098</issn><eissn>2186-1005</eissn><abstract>Objective: Lung cancer located in the paravertebral region occasionally invades the rib head (T3) and not the spine (T4). In such cases, a costotransverse ligament release (CTLR) method may be useful for complete resection without performing a vertebrectomy.Methods: Eighteen patients with lung cancer underwent chest wall resection between2001 and 2009 at our institutions. Of those, 7 who underwent chest wall removal with rib head resection via a CTLR method (group A) and 11 without rib head resection(conventional distal rib resection, group B) were retrospectively analyzed.Results: Three patients in group A underwent induction chemoradiotherapy. All rib head resections were performed via a CTLR approach without postoperative complications. There were no deaths within 30 day in group A and 1 in group B. The mean number of resected rib heads was 2.1 in group A, while 2.0 ribs were removed in group B. There was no significant difference for operation time between groups A and B(332±112 vs. 287 ±114 mins, p = 0.449). Local recurrence was seen in 0 patients in group A and 3 in group B(p = 0.13). The median survival time was 1489 and 727 day, respectively, while 5-year survival rates were 0.48 and 0.41, respectively.Conclusion: A rib head resection via a CTLR method is an effective procedure for T3 lung cancer infiltrating the rib head.</abstract><cop>Japan</cop><pub>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</pub><pmid>23232265</pmid><doi>10.5761/atcs.oa.11.01860</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of Thoracic and Cardiovascular Surgery, 2013/08/20, Vol.19(4), pp.268-272 |
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| subjects | Aged Carcinoma, Non-Small-Cell Lung - mortality Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - surgery Chemoradiotherapy, Adjuvant Chemotherapy, Adjuvant Disease-Free Survival Female Humans Kaplan-Meier Estimate Ligaments - surgery lung cancer Lung Neoplasms - mortality Lung Neoplasms - pathology Lung Neoplasms - surgery Male Middle Aged Neoadjuvant Therapy Neoplasm Invasiveness Neoplasm Recurrence, Local Neoplasm Staging Osteotomy - adverse effects Osteotomy - methods Osteotomy - mortality Pneumonectomy - adverse effects Pneumonectomy - mortality Radiotherapy, Adjuvant Retrospective Studies rib head Ribs - pathology Ribs - surgery spine Time Factors Tomography, X-Ray Computed Treatment Outcome Young Adult |
| title | Benefits of Rib Head Resection via Costotransverse Ligament Release Method for T3 Lung Cancer in the Paravertebral Space |
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