Surgical Results of Completion Pneumonectomy
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概要
- 論文の詳細を見る
Purpose: We report our experience with completion pneumonectomy (CP). Methods: We report on operative procedure and morbidity, mortality, and survival rates. Results: CP was performed for malignancy in 12 patients and postoperative complications after the first operation in 4 patients. Intrapericardial dissection of vessels was performed in 14 patients (87.5%). Partial vertebrectomy from the second to the fifth vertebrae was performed in 1 patient. Carinal resection was performed in 2 patients. Morbidity including bronchopleural fistula, pulmonary insufficiency, pyothorax, and pulmonary infarction developed in 6 of the 16 patients (37.5%). Mortality rate was 18.8%. The actuarial 1-, 3-, and 5-year overall survival after CP for all malignancy was 80.8%, 49.0%, and 49.0% respectively. Conclusions: The morbidity and mortality rates are high in CP. Combined resection, especially carinal resection, appears to be contraindicated in CP. CP is one of the treatments of choice, even for malignancy, if complete resection is possible because of the good long-term survival.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
- 2011-02-01
著者
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Koizumi Kiyoshi
日本医科大学 呼吸器外科
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Shimizu Kazuo
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Shimizu Kazuo
Department Of Surgery Ii Nippon Medical School
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HIRATA Tomomi
Department of Molecular Biology, Institute of Gerontology, Nippon Medical School
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MIKAMI Iwao
Department of Biological Regulation and Regenerative Surgery, Nippon Medical School
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HIRAI Kyoji
Department of Biological Regulation and Regenerative Surgery, Nippon Medical School
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Koizumi Kiyoshi
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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HARAGUCHI Shuji
Division of Thoracic Surgery, Department of Surgery, Nippon Medical School
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MIKAMI Iwao
Division of Thoracic Surgery, Department of Surgery, Nippon Medical School
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Hirai Kyoji
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Mikami Iwao
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Mikami Iwao
日本医科大学 外科学(内分泌･心臓血管･呼吸器部門)
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Shimizu Kazuo
Division Of Thoracic Surgery Department Of Surgery Graduate School Of Medicine Nippon Medical School
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Hirata Tomomi
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Haraguchi Shuji
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Haraguchi Shuji
Department Of Surgery Ii Nippon Medical School
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Koizumi Kiyoshi
Department Of Cardiovascular Surgery Saiseikai Utsunomiya Hospital
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Kubokura Hirotoshi
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Mikami Iwao
Genome Science Division University Of Tokyo
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Hirai Kyoji
Second Department Of Surgery Nippon Medical School
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Haraguchi Shuji
Department Of Surgery Nippon Medical School Second Hospital
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Kubokura Hirotoshi
Department Of Thoracic Surgery Nippon Medical School Chiba Hokusoh Hospital
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Haraguchi Shuji
日本医科大学 外科学(内分泌･心臓血管･呼吸器部門)
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Kubokura Hirotoshi
Department Of Surgery Division Of Thoracic Surgery Graduate School Of Medicine Nippon Medical School
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Shimizu Kazuo
Department Of Biological Regulation And Regenerative Surgery Graduate School Of Medicine Nippon Medi
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Haraguchi Shuji
Department Of Surgery Division Of Thoracic Surgery Graduate School Of Medicine Nippon Medical School
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Koizumi Kiyoshi
Department Of Surgery Division Of Thoracic Surgery Nippon Medical School
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