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. 2010;8(1):39-43.
doi: 10.1016/j.ijsu.2009.10.004. Epub 2009 Oct 20.

Sleeve lobectomy for patients with non-small cell lung cancer

Takeshi Hanagiri  1 , Tetsuro Baba, Yoshinobu Ichiki, Manabu Yasuda, Masakazu Sugaya, Kenji Ono, Hidetaka Uramoto, Mitsuhiro Takenoyama, Kosei Yasumoto
Affiliations
Free article

Sleeve lobectomy for patients with non-small cell lung cancer

Takeshi Hanagiri et al. Int J Surg. 2010.
Free article

Abstract

Purpose: A sleeve lobectomy for lung cancer is a procedure intended both for the maintenance of lung function and for radical treatment. We investigated the clinico-pathological features and treatment responses of lung cancer patients who underwent sleeve lobectomy in our department.

Subjects: Among the 984 patients with non-small cell lung cancer who underwent resection in our department between 1994 and 2007, the subjects were 24 patients in whom a sleeve lobectomy was performed.

Results: There were 18 male and 6 female patients, with a mean age of 65 years. The histological type was diagnosed as squamous cell carcinoma in 14 patients, and adenocarcinoma in 10. Patients with either mucoepidermoid carcinoma (n=1) or carcinoid tumor (n=1) were excluded. The pathological stage was evaluated as IA, IB, II, IIIA, IIIB, and IV in 4, 1, 8, 8, 2, and 1 patient, respectively. Regarding post-operative complications, 4 patients required sputum aspiration with a bronchoscope from the 2nd to 7th post-operative day due to sputum retention. The 5-year survival rate in patients who underwent sleeve lobectomy was 70.0%. According to the pathological nodal status, the 5-year survival rates of N0, N1, and N2 were 100.0%, 87.5%, and 41.7%, respectively. The 5-year survival rates in squamous cell carcinoma and adenocarcinoma were 83.0% and 45.7%, respectively.

Conclusion: Sleeve lobectomy facilitated the maintenance of residual lung function without serious perioperative complications. This finding suggests that patients with direct tumor invasion to the bronchus might be good candidates for a sleeve lobectomy, but not those with extra-nodal invasion.

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