Thoracic Research and Practice
Original Article

Comparison of the Surgical Results of Pneumonectomy and Lobectomy for Lung Cancer

1.

Izmir Dr SS Chest Disease And Thoracic Surgery Training Hospital, 1. Thoracic Surgery, Izmir, Turkey

Thorac Res Pract 2007; 8: Turkish Respiratory Journal 85-90
Read: 995 Downloads: 419 Published: 14 October 2021

Objective: Although the preference is to avoid pneumonectomy as much as possible for the surgical resection of Non-small cell lung cancer (NSCLC), in some instances pneumonectomy must be consid­ered among the treatment choices. We aimed to evaluate the surgical results of pneumonectomy and lobectomy for lung cancer.

Methods: The patients who underwent lobectomy or pneumonectomy for pri­mary NSCLC between January! 995 and June 2004 were studied and compared in the aspects of patients’ characteristics, complication, 5- year survival, and recurrence rates.

Results: Ninety-four percent of 236 patients was male. Mean age was 59.2 (range 37-76). Lobec­tomy was performed in 68.2% of all patients while the rest had had pneumonectomy. Complete resection was achieved in 95.8%. The cu­mulative 5-year survival rate was 44.4%. The rates of operative mor­tality, complications, and recurrences in follow-up were 1.9%, 40.4%, 42.9%, respectively in lobectomy group and 4.0%, 29.3%, 32.0%, respectively in pneumonectomy group. The 5-year survival rates were 40.0% and 58.8%, respectively in lobectomy and pneumonectomy groups. The difference between two groups was significant (p=0.02), conversely in complication and total recurrence rates. Local recur­rence rate was 19.9% in lobectomy group and 4.0% in pneumonec­tomy group (p=0.006). Survival rate was higher in pneumonectomy for symptomatic, male, T3, N1 and stage IIB cases (p values<0.05).

Conclusions: By considering higher survival and lower local recur­rence rates than lobectomy group, pneumonectomy might be a good choice for the management of highly selected patients such as with stage IIB or N1 diseases, and for the patients who could tolerate pneu­monectomy.

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EISSN 2979-9139