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Related Experiment Videos

Bilobectomy for bronchogenic carcinoma.

S M Keller1, L R Kaiser, N Martini

  • 1Division of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY.

The Annals of Thoracic Surgery
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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Bilobectomy for lung cancer offers intermediate morbidity and mortality rates compared to lobectomy or pneumonectomy. This surgical approach is viable for specific primary lung carcinoma cases.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonology

Background:

  • Bilobectomy is a complex lung cancer surgery.
  • Indications include tumor extension, absent fissures, and endobronchial or vascular invasion.

Purpose of the Study:

  • To evaluate the outcomes of bilobectomy for primary lung carcinoma.
  • To compare morbidity and mortality between right upper/middle and right middle/lower bilobectomies.

Main Methods:

  • Retrospective analysis of 166 patients undergoing bilobectomy over 12 years.
  • Data collected on surgical indications, perioperative complications, mortality, and late complications.

Main Results:

  • 166 patients underwent bilobectomy; 108 right upper/middle, 58 right middle/lower.

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  • Perioperative complications occurred in 19% (41 events), with 4.2% mortality.
  • No significant difference in morbidity or mortality between the two types of bilobectomy.

    • Conclusions:

    • Bilobectomy presents morbidity and mortality rates between lobectomy and pneumonectomy.
    • It is a feasible surgical option for selected lung cancer patients.