Surgical Results for the Treatment of Primary Carcinoma of the Lung
スポンサーリンク
概要
- 論文の詳細を見る
In order to examine the effectiveness of surgical therapy for primary lung carcinoma, 200 surgical patients were reviewed. Survival rates were compared to the initial operative approach, the tumor stage, and the histological type. The five year survival rate was 62% for Stage 1 tumors, 60% for Stage 2, 21% for Stage 3 and 32% for Stage 3 when metastases were confined to the ipsilateral hilar lymph nodes. The most profound influence on prognosis was exerted by the presence or absence of metastases to the mediastinal lymph nodes. Other factors such as tumor size, histolgical type, and degree of differentiation did not appear to affect prognosis. With extended resections of the adjoining organs, a 5 year survival rate of 37% was obtained in patients in whom the carcinomatous infiltration did not extend beyond the boundaries of the aortic adventitia, pleura, or pericardium. However, it was 0% when this boundary was broken. The CT scan was found to be helpful in the preoperative identification of carcinomatous infiltration. In some patients with preoperative GT scans demonstrating limited infiltration, the left atrium or aorta was resected and satisfactory long term survival was obtained. Finally we examined the effectiveness of the addition of radical lymphadenectomy of the right mediastinal nodes during the treatment of left lung carcinoma. This was performed by adding a median sternotomy to the standard left thoractomy and was well tolerated.
- 東海大学の論文
著者
-
Ogawa Junichi
The 1st Department Of Surgery School Of Medicine Tokai University
-
INOUE Hiroshi
The 1st Department of Surgery, School of Medicine, Tokai University
-
SHOHTSU Akira
The First Department of Surgery, School of Medicine, Tokai University
-
INOUE Hiroshi
The First Department of Surgery, School of Medicine, Tokai University
-
OGAWA Junichi
The First Department of Surgery, School of Medicine, Tokai University
-
Shouzu Akira
Department Of Surgery School Of Medicine Tokai University
-
Shohtsu Akira
The 1st Department Of Surgery School Of Medicine Tokai University
-
Shotsu Akira
Dept. Of Surg. School Of Med. Keio Univ.
-
Ogawa Junichi
The First Department Of Surgery School Of Medicine Tokai University
-
Ogawa Junichi
Department Of Thoracic Surgery School Of Medicine Tokai University
-
Shohtsu Akira
The First Department Of Surgery School Of Medicine Tokai University
-
Inoue Hiroshi
The 1st Department Of Surgery School Of Medicine Tokai University
-
Inoue Hiroshi
The Faculty Of Engineering And Resource Science Akita University
関連論文
- Relation of ABH Blood Group Antigen Expression to Prognosis in Lung Carcinoma
- Surgical Results for the Treatment of Primary Carcinoma of the Lung
- Diagnosis and Treatment of Acute Cardiac Tamponade by the Subxiphoid Approach
- Leiomyoma of the Lung : Report of a Case
- Experimental Study on Angioplastic Procedures of the Pulmonary Artery
- Experience Using the Angioplastic Procedure of the Pulmonary Artery in Patients with Lung Cancer
- Reconstruction of Sternal Defects with Autologous Bone Grafts and Myocutaneous Flap of the Latissimus Dorsi Muscle
- Resection of Lung Cancer Involving the Heart and Great Vessels
- First Rib Resection in the Treatment of the Thoracic Outlet Syndrome
- Clinical Application of Cardiovascular Computed Tomography
- Immune Response of Regional Lymph Nodes in Patients with Lung Cancer
- Relation between Myocardial Contractility and Stiffness in Clinical Cases
- -57-CLINICAL EVALUATION OF LEFT VENTRICULAR MYOCARDIAL STIFFNESS : Cardiac Performance : PROCEEDINGS OF THE 42nd ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- STUDIES ON LEFT VENTRICULAR CONTRACTILITY AND DISTENSIBILITY OF CLINICAL CASES : Ist Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- 9. Clinical Significance of Right Bundle Branch Block before and after Operation of Ventricular Septal Defect and Fallot's Tetralogy
- The Changes in Cardiac Output with Reversion of Atrial Fibrillation to Sinus Rhythm : Part II
- AORTIC-MITRAL FIBROUS CONTINUITY AND DISCONTINUITY OF THE CONGENITAL HEART DISEASE : PROCEEDINGS OF THE 35TH ANNUAL MEETlNG OF THE JAPANESE CIRCULATION SOCIETY (Part III)
- A Correlation of Electrocardiographic, Hemodynamic and Operative Findings in Ventricular Septal Defect
- A Study on Transmission Characteristics and EM Field Distributions on the Transmission Lines with Difference of Structure(IS-EMD2003 : Recent Technical Trend of Electro-Mechanical Devices)
- SURGICAL RESULT OF CONGENITAL CARDIOVASCULAR ANOMALIES IN ADULTS
- Elucidation on Characteristics for Electromagnetic Noise Radiation from PCB Using FDTD-MAS Method (Electromagnetic Compatibility (EMC))
- FDTD Simulation and Experimental Study on Line Impedance and Magnetic Near Field Noise for a Simple Printed Line Model(Special Issue on Recent Progress in Electromagnetic Compatibility Technology)
- Bilateral Bochdalek Hernias in an Elderly Patient Diagnosed by Magnetic Resonance Imaging.