Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe
Background: Right upper lobectomy with right cervical and bilateral mediastinal lymph node dissection via a median approach was performed for non‐small cell lung cancer. Methods: From 1995 to 2003, 48 patients aged ≤ 70 years underwent resection of cancer in the right upper lobe, including 26 with...
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| Veröffentlicht in: | ANZ journal of surgery 2005-12, Vol.75 (12), p.1049-1054 |
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| container_title | ANZ journal of surgery |
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| creator | Miyamoto, Hideaki Wang, Zhiming Fukai, Ryuta Futagawa, Toshiro Anami, Yoichi Yamazaki, Akio Morio, Atsushi Hata, Enjo |
| description | Background: Right upper lobectomy with right cervical and bilateral mediastinal lymph node dissection via a median approach was performed for non‐small cell lung cancer.
Methods: From 1995 to 2003, 48 patients aged ≤ 70 years underwent resection of cancer in the right upper lobe, including 26 with N0, four with N1 and 18 with N2 disease.
Results: Metastases to the right cervical, highest mediastinal, pretracheal and bilateral tracheobronchial lymph nodes were frequent. There were no operative or hospital deaths. Preoperative accuracy of N‐factor diagnosis was only 35.4%. The overall 5‐year survival rate was 58.8%. The rate for C‐N2 disease (n = 18) was 42.6%, and the rate for p‐N2 disease (n = 7) and p‐N3 disease (n = 13) was 57.1% and 0%, respectively, using the Kaplan−Meier method.
Conclusions: Patients without N3 disease have a good prognosis, and extended and systematic radical lymphadenectomy via median sternotomy improves the staging, and possibly the prognosis of pure N2 disease. |
| doi_str_mv | 10.1111/j.1445-2197.2005.03614.x |
| format | Article |
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Methods: From 1995 to 2003, 48 patients aged ≤ 70 years underwent resection of cancer in the right upper lobe, including 26 with N0, four with N1 and 18 with N2 disease.
Results: Metastases to the right cervical, highest mediastinal, pretracheal and bilateral tracheobronchial lymph nodes were frequent. There were no operative or hospital deaths. Preoperative accuracy of N‐factor diagnosis was only 35.4%. The overall 5‐year survival rate was 58.8%. The rate for C‐N2 disease (n = 18) was 42.6%, and the rate for p‐N2 disease (n = 7) and p‐N3 disease (n = 13) was 57.1% and 0%, respectively, using the Kaplan−Meier method.
Conclusions: Patients without N3 disease have a good prognosis, and extended and systematic radical lymphadenectomy via median sternotomy improves the staging, and possibly the prognosis of pure N2 disease.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/j.1445-2197.2005.03614.x</identifier><identifier>PMID: 16398809</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Adenocarcinoma - surgery ; Aged ; Carcinoma, Non-Small-Cell Lung - mortality ; Carcinoma, Non-Small-Cell Lung - pathology ; Carcinoma, Non-Small-Cell Lung - surgery ; cervical lymph node dissection ; contralateral mediastinal lymph node dissection ; Female ; Humans ; Lung Neoplasms - mortality ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Lymph Node Excision - methods ; Male ; median sternotomy ; Middle Aged ; N2 disease ; Neoplasm Staging ; Pneumonectomy - methods ; right upper lobe lung cancer ; Sternum - surgery ; Survival Analysis</subject><ispartof>ANZ journal of surgery, 2005-12, Vol.75 (12), p.1049-1054</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4054-fb9742278f4fcc8571dfd58ac53a79a876d6c42c066af3f66f181544d60240093</citedby><cites>FETCH-LOGICAL-c4054-fb9742278f4fcc8571dfd58ac53a79a876d6c42c066af3f66f181544d60240093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1445-2197.2005.03614.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1445-2197.2005.03614.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16398809$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyamoto, Hideaki</creatorcontrib><creatorcontrib>Wang, Zhiming</creatorcontrib><creatorcontrib>Fukai, Ryuta</creatorcontrib><creatorcontrib>Futagawa, Toshiro</creatorcontrib><creatorcontrib>Anami, Yoichi</creatorcontrib><creatorcontrib>Yamazaki, Akio</creatorcontrib><creatorcontrib>Morio, Atsushi</creatorcontrib><creatorcontrib>Hata, Enjo</creatorcontrib><title>Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background: Right upper lobectomy with right cervical and bilateral mediastinal lymph node dissection via a median approach was performed for non‐small cell lung cancer.
Methods: From 1995 to 2003, 48 patients aged ≤ 70 years underwent resection of cancer in the right upper lobe, including 26 with N0, four with N1 and 18 with N2 disease.
Results: Metastases to the right cervical, highest mediastinal, pretracheal and bilateral tracheobronchial lymph nodes were frequent. There were no operative or hospital deaths. Preoperative accuracy of N‐factor diagnosis was only 35.4%. The overall 5‐year survival rate was 58.8%. The rate for C‐N2 disease (n = 18) was 42.6%, and the rate for p‐N2 disease (n = 7) and p‐N3 disease (n = 13) was 57.1% and 0%, respectively, using the Kaplan−Meier method.
Conclusions: Patients without N3 disease have a good prognosis, and extended and systematic radical lymphadenectomy via median sternotomy improves the staging, and possibly the prognosis of pure N2 disease.</description><subject>Adenocarcinoma - surgery</subject><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>cervical lymph node dissection</subject><subject>contralateral mediastinal lymph node dissection</subject><subject>Female</subject><subject>Humans</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Lymph Node Excision - methods</subject><subject>Male</subject><subject>median sternotomy</subject><subject>Middle Aged</subject><subject>N2 disease</subject><subject>Neoplasm Staging</subject><subject>Pneumonectomy - methods</subject><subject>right upper lobe lung cancer</subject><subject>Sternum - surgery</subject><subject>Survival Analysis</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtv3CAUhVGUKEnT_IWIVXd2wTy9yCIa5SVN81BbdYkYDAkT27hgtzP_vrgzSrdlcbm6nHMu-gCAGJU4n8_rElPKigrXoqwQYiUiHNNycwBO3x8O9z2mhJyADymtEcKc1-wYnGBOailRfQrUInRDa0cLo03WjD708JfXsLON1y1Mo419GEO3hS5E2Ie-SJ1uW2hsLu3Uv0Cje2Mj9D0cX3OKf3kd4TQMedSGlf0Ijpxukz3f32fg-831t8VdsXy8vV9cLQtDEaOFW9WCVpWQjjpjJBO4cQ2T2jCiRa2l4A03tDKIc-2I49xhiRmlDUcVRagmZ-DTLneI4edk06g6n-ZP6t6GKSleIyY5rbJQ7oQmhpSidWqIvtNxqzBSM1y1VjM3NTNUM1z1F67aZOvFfse0ynz-Gfc0s-ByJ_jtW7v972B19fB17rK_2Pl95r559-v4prgggqkfD7fq6cvy-UawZ_VE_gCOBpeI</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Miyamoto, Hideaki</creator><creator>Wang, Zhiming</creator><creator>Fukai, Ryuta</creator><creator>Futagawa, Toshiro</creator><creator>Anami, Yoichi</creator><creator>Yamazaki, Akio</creator><creator>Morio, Atsushi</creator><creator>Hata, Enjo</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><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>200512</creationdate><title>Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe</title><author>Miyamoto, Hideaki ; Wang, Zhiming ; Fukai, Ryuta ; Futagawa, Toshiro ; Anami, Yoichi ; Yamazaki, Akio ; Morio, Atsushi ; Hata, Enjo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4054-fb9742278f4fcc8571dfd58ac53a79a876d6c42c066af3f66f181544d60240093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adenocarcinoma - surgery</topic><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>cervical lymph node dissection</topic><topic>contralateral mediastinal lymph node dissection</topic><topic>Female</topic><topic>Humans</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Lymph Node Excision - methods</topic><topic>Male</topic><topic>median sternotomy</topic><topic>Middle Aged</topic><topic>N2 disease</topic><topic>Neoplasm Staging</topic><topic>Pneumonectomy - methods</topic><topic>right upper lobe lung cancer</topic><topic>Sternum - surgery</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyamoto, Hideaki</creatorcontrib><creatorcontrib>Wang, Zhiming</creatorcontrib><creatorcontrib>Fukai, Ryuta</creatorcontrib><creatorcontrib>Futagawa, Toshiro</creatorcontrib><creatorcontrib>Anami, Yoichi</creatorcontrib><creatorcontrib>Yamazaki, Akio</creatorcontrib><creatorcontrib>Morio, Atsushi</creatorcontrib><creatorcontrib>Hata, Enjo</creatorcontrib><collection>Istex</collection><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>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyamoto, Hideaki</au><au>Wang, Zhiming</au><au>Fukai, Ryuta</au><au>Futagawa, Toshiro</au><au>Anami, Yoichi</au><au>Yamazaki, Akio</au><au>Morio, Atsushi</au><au>Hata, Enjo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2005-12</date><risdate>2005</risdate><volume>75</volume><issue>12</issue><spage>1049</spage><epage>1054</epage><pages>1049-1054</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background: Right upper lobectomy with right cervical and bilateral mediastinal lymph node dissection via a median approach was performed for non‐small cell lung cancer.
Methods: From 1995 to 2003, 48 patients aged ≤ 70 years underwent resection of cancer in the right upper lobe, including 26 with N0, four with N1 and 18 with N2 disease.
Results: Metastases to the right cervical, highest mediastinal, pretracheal and bilateral tracheobronchial lymph nodes were frequent. There were no operative or hospital deaths. Preoperative accuracy of N‐factor diagnosis was only 35.4%. The overall 5‐year survival rate was 58.8%. The rate for C‐N2 disease (n = 18) was 42.6%, and the rate for p‐N2 disease (n = 7) and p‐N3 disease (n = 13) was 57.1% and 0%, respectively, using the Kaplan−Meier method.
Conclusions: Patients without N3 disease have a good prognosis, and extended and systematic radical lymphadenectomy via median sternotomy improves the staging, and possibly the prognosis of pure N2 disease.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>16398809</pmid><doi>10.1111/j.1445-2197.2005.03614.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Adenocarcinoma - surgery Aged Carcinoma, Non-Small-Cell Lung - mortality Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - surgery cervical lymph node dissection contralateral mediastinal lymph node dissection Female Humans Lung Neoplasms - mortality Lung Neoplasms - pathology Lung Neoplasms - surgery Lymph Node Excision - methods Male median sternotomy Middle Aged N2 disease Neoplasm Staging Pneumonectomy - methods right upper lobe lung cancer Sternum - surgery Survival Analysis |
| title | Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe |
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