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Complete resection via medial sternotomy for non-small cell lung cancer in the right upper lobe.
- Source :
-
ANZ Journal of Surgery . Dec2005, Vol. 75 Issue 12, p1049-1054. 6p. 1 Diagram, 4 Charts, 3 Graphs. - Publication Year :
- 2005
-
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 FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14451433
- Volume :
- 75
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- ANZ Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 18943610
- Full Text :
- https://doi.org/10.1111/j.1445-2197.2005.03614.x