Virtual Library

 x 
My Library Virtual Library FAQ

Start Your Search

K. Kuoroda



Author of

  • +

    P1.08 - Poster Session with Presenters Present (ID 460)

    • Event: WCLC 2016
    • Type: Poster Presenters Present
    • Track: Surgery
    • Presentations: 1
    • +

      P1.08-064 - Surgery for Malignant Pulmonary Tumor Invading Proximal Left Main Pulmonary Artery (ID 4407)

      14:30 - 14:30  |  Author(s): K. Kuoroda

      • Abstract

      Background:
      Surgery for tumor invading proximal left main pulmonary artery (PA) may be technical challenge, and the current study conducted to assess its feasibility.

      Methods:
      Patients who received surgery for malignant pulmonary tumor invading left main PA, PA proximal to the first branch (usually A3), from 2011 through 2015 in our institute were retrospectively reviewed

      Results:
      Among 32 eligible patients (Table 1), 31 (97%) patients received complete resection with pneumonectomy (n=4) or lobectomy with PA-reconstruction (n=27). Pericardiotomy was necessary for proximal control of main PA in 12 patients, and combined bronchial sleeve resection and reconstruction were performed in 11 patients. Postoperative complications occurred in 7 patients, but a > grade 3 complication (ARDS) occurred in only one patient who received pneumonectomy. There was no operative or in-hospital death.

      Characteristics of Patients (n=32)
      No. of Patients %
      Age, median (range) 70 years (47-85)
      Sex, Female / Male 6 / 26 19% / 81%
      Histology
      ・Primary lung cancer 30 94%
      ・Lung metastasis 2 6%
      Mode of lung resection
      ・Upper lobectomy 27 84%
      ・Pneumonectomy 4 13%
      ・Exploratory thoracotomy 1 3%
      Pericardiotomy 12 38%
      PA-resection 31 97%
      ・Circumferential resection 18
      ・Partial resection 13
      PA-reconstruction 27 84%
      ・Direct closure 25
      ・Patch closure (with pericardium) 1
      ・Vascular conduit (pulmonary vein) 1
      Bronchial sleeve resection 11 34%
      Morbidity 7 22%
      ・Arrythmia 5
      ・Prolonged air leak 2
      ・ARDS 1
      Mortality 0 0%


      Conclusion:
      Lobectomy with PA-resection and reconstruction was feasible to avoid pneumonectomy for tumor invading proximal left PA.