Bilobectomy for bronchogenic carcinoma

S. M. Keller, L. R. Kaiser, N. Martini

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

During a 12-year period, bilobectomy was performed on 166 patients for the treatment of primary lung carcinoma: 108 patients (65%) underwent right upper and middle lobectomy, while 58 patients (35%) underwent right middle and lower lobectomy. Indications for bilobectomy were tumor extending across a fissure (45%), absent fissure (21%), endobronchial tumor (14%), extrinsic tumor or nodal invasion of bronchus intermedius (10%), and vascular invasion (5%). Thirty-one patients (19%) suffered 41 perioperative complications, and 7 patients (4.2%) died. Upper and middle lobectomies were not associated with a significantly different morbidity (p > 0.10) or mortality (p > 0.10) when compared with middle and lower lobectomy. The postoperative chest roentgenograms of all patients demonstrated ipsilateral volume loss, and 31 patients were found to have asymptomatic hydropneumothoraces, which cleared during the follow-up period. Late complications occurred in 4 patients (2%) and included two empyemas, one bronchopleural fistula, and one superficial wound infection. These results indicate that bilobectomy is associated with morbidity and mortality that lie between those currently reported for lobectomy and pneumonectomy.

Original languageEnglish (US)
Pages (from-to)62-65
Number of pages4
JournalAnnals of Thoracic Surgery
Volume45
Issue number1
StatePublished - 1988
Externally publishedYes

Fingerprint

Bronchogenic Carcinoma
Hydropneumothorax
Morbidity
Neoplasms
Empyema
Pneumonectomy
Mortality
Wound Infection
Bronchi
Fistula
Blood Vessels
Thorax
Carcinoma
Lung

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Keller, S. M., Kaiser, L. R., & Martini, N. (1988). Bilobectomy for bronchogenic carcinoma. Annals of Thoracic Surgery, 45(1), 62-65.

Bilobectomy for bronchogenic carcinoma. / Keller, S. M.; Kaiser, L. R.; Martini, N.

In: Annals of Thoracic Surgery, Vol. 45, No. 1, 1988, p. 62-65.

Research output: Contribution to journalArticle

Keller, SM, Kaiser, LR & Martini, N 1988, 'Bilobectomy for bronchogenic carcinoma', Annals of Thoracic Surgery, vol. 45, no. 1, pp. 62-65.
Keller SM, Kaiser LR, Martini N. Bilobectomy for bronchogenic carcinoma. Annals of Thoracic Surgery. 1988;45(1):62-65.
Keller, S. M. ; Kaiser, L. R. ; Martini, N. / Bilobectomy for bronchogenic carcinoma. In: Annals of Thoracic Surgery. 1988 ; Vol. 45, No. 1. pp. 62-65.
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