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Corinna Ludwig
Philippe Morand
Erich Stoelben
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ORIGINAL ARTICLE

Preserving Middle Lobe to Improve Lung Function in Non-Small-Cell Lung Cancer

Corinna Ludwig, MD, Philippe Morand, MD, Jost Schnell, MD, Erich Stoelben, MD

Thoracic Surgery, Lungenklinik Merheim Kliniken der Stadt Köln gGmbH, Cologne, Germany

Corinna Ludwig, MD Tel: +49 221 89078640; Fax: +49 221 89073533; Email: ludwigc{at}kliniken-koeln.de, Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Ostmerheimerstr. 200, 51109 Köln, Germany.

ABSTRACT

When a lung tumor arises in segment 6, the close anatomical relationship to the middle lobe bronchus may make a lower bilobectomy necessary. Sleeve lobectomy may be an alternative. These procedures were compared retrospectively in 36 patients operated on between January 2005 and December 2006 with non-small-cell lung cancer (stage I–IIIB) of the right lower lobe. Sleeve lobectomy was performed in 21 patients and bilobectomy in 15 (41%). Preoperative lung function was comparable in both groups. Radical resection was achieved in 34/36 patients. Operation time was 121 min for sleeve lobectomy and 144 min for bilobectomy. Chest tubes were removed after 5 days in both groups. Postoperative lung function was better after sleeve lobectomy than bilobectomy (forced expiratory volume in 1st sec: 78% vs. 69%). Preservation of the middle lobe by sleeve lobectomy is feasible. There was no evidence that this resection was less radical, and complication rates were similar in both groups.

Key Words: Lung Neoplasms • Pneumonectomy • Respiratory Function Tests

Asian Cardiovasc Thorac Ann 2009; 17:153-156
© 2009 by SAGE Publications
DOI: 10.1177/0218492309103296




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