检索结果-南通市图书馆

Morbidity and mortality after neoadjuvant therapy and sleeve lobectomyin N2-disease

中国肺癌杂志 2008年第5期11卷 668-671页

作者： Corinna LUDWIG Walburga ENGEL-RIEDEL Erich STOELBEN Thoracic Surgery lungenklinik Merheim Kliniken der Stadt Kln gGmbH

Background and objective Sleeve resections were introduced to preserve lung function in patients with limited pulmonary *** experience with sleeve resection has reduced the rate of pneumonectomy below 10%.The aim of the study was to assess the outcome after neoadjuvant chemo-or chemoradiotherapy and sleeve resection in patients with N2 non-small cell lung *** Retrospective analysis of 41 patient records between 01.01.2005 and 31.12.2007 underwent induction therapy in N2-disease followed by tracheobronchial sleeve *** patients were compared to the overall results after sleeve resection in our *** analysed were;length of chest tube drainage in days,length of hospital stay,complications,morbidity and hospital *** In 178 patients,an anatomical bronchoplastic resection was *** chemotherapy in N2-disease(n=42) was given in 30 patients and radiochemotherapy in 11 *** length of the operation was between 94 min-493 min(average 143 min).Chest tubes were removed on average after 5 *** were discharged after 10 days.R0-resection was possible in 90%.The overall complication rate was 27%(11/41).The rate of bronchial anastomotic leakage was 9.7%(4/41).Two patients with postoperative respiratory insufficiency and mechanical ventilation,1 patient with technical failure required early correction of the suture and one patient with a necrosis of the anastomosis.30-day hospital mortality rate was 2.4%(1/41).Conclusion Sleeve resection after neoadjuvant therapy has a higher local morbidity(anastomotic insufficiency 9.7% vs 2.8%).This may be explained by the quality of the surrounding tissue after neoadjuvant therapy,which compromises healing of the ***,the results are comparable to those without induction therapy in terms of radicality,and 30-d mortality rate(P>0.05).We therefore believe that sleeve resection after neoadjuvant therapy should be performed whenever possible

关键词： lung neoplasms neoplasm staging chemotherapy

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：