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Is Right Sleeve Lower Lobectomy Necessary? Is It Safe?
Celalettin Ibrahim Kocaturk1, Ozkan Saydam1, Celal Bugra Sezen1
1Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey.
The Thoracic and Cardiovascular Surgeon
|May 24, 2018
Summary
Right sleeve lower lobectomy is a safe and effective surgical option for non-small cell lung cancer, offering reduced complications and shorter hospital stays compared to right lower bilobectomy. Oncological outcomes remain reliable.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Right sleeve lower lobectomy is an underutilized bronchial sleeve operation with limited literature, primarily consisting of case studies.
- Sleeve resections are crucial for lung cancer treatment, aiming to preserve lung function while achieving complete tumor removal.
Purpose of the Study:
- To compare the outcomes of right sleeve lower lobectomy (group S) versus right lower bilobectomy (group B) in patients with non-small cell lung cancer (NSCLC).
Main Methods:
- Retrospective review of 4,166 NSCLC patients from January 2005 to December 2015.
- Comparison of 18 patients in group S and 25 patients in group B regarding demographics, morbidity, hospitalization, mortality, histopathology, recurrence, and survival.
Main Results:
- Group S showed significantly lower postoperative complications (11.1% vs. 52%, p=0.006) and shorter hospitalization (6.72 days vs. 9.6 days, p=0.001).
- No significant differences were observed in recurrence rates (local and distant) or overall survival between the two groups.
- All patients achieved complete resection, with a mean follow-up of 42.9 months.
Conclusions:
- Right sleeve lower lobectomy is associated with reduced complications and shorter hospital stays.
- The technique is a reliable option for selected patients in experienced centers, with comparable oncological outcomes to bilobectomy.
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