ID | 66977 |
フルテキストURL | |
著者 |
Okazaki, Mikio
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Suzawa, Ken
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
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Shien, Kazuhiko
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
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Yamamoto, Hiromasa
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
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Araki, Kota
Okayama University Thoracic Surgery Study Group (OUTSSG)
Watanabe, Mototsugu
Okayama University Thoracic Surgery Study Group (OUTSSG)
Okada, Masanori
Okayama University Thoracic Surgery Study Group (OUTSSG)
Maki, Yuho
Okayama University Thoracic Surgery Study Group (OUTSSG)
Ueno, Tsuyoshi
Okayama University Thoracic Surgery Study Group (OUTSSG)
Otani, Shinji
Okayama University Thoracic Surgery Study Group (OUTSSG)
Sugimoto, Ryujiro
Okayama University Thoracic Surgery Study Group (OUTSSG)
Nishikawa, Hitoshi
Okayama University Thoracic Surgery Study Group (OUTSSG)
Okita, Riki
Okayama University Thoracic Surgery Study Group (OUTSSG)
Hayama, Makio
Okayama University Thoracic Surgery Study Group (OUTSSG)
Tao, Hiroyuki
Okayama University Thoracic Surgery Study Group (OUTSSG)
Fujiwara, Toshiya
Okayama University Thoracic Surgery Study Group (OUTSSG)
Inokawa, Hidetoshi
Okayama University Thoracic Surgery Study Group (OUTSSG)
Hirami, Yuji
Okayama University Thoracic Surgery Study Group (OUTSSG)
Sano, Yoshifumi
Okayama University Thoracic Surgery Study Group (OUTSSG)
Yamashita, Motohiro
Okayama University Thoracic Surgery Study Group (OUTSSG)
Kawamata, Osamu
Okayama University Thoracic Surgery Study Group (OUTSSG)
Matsuura, Motoki
Okayama University Thoracic Surgery Study Group (OUTSSG)
Toyooka, Shinichi
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
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抄録 | OBJECTIVES: Ipsilateral reoperation after pulmonary lobectomy is often challenging because of adhesions from the previous operation. We retrospectively examined the surgical outcome and prognosis of ipsilateral anatomical resection for lung cancer after pulmonary lobectomy using a multicentre database.
METHODS: We evaluated the perioperative outcomes and overall survival of 51 patients who underwent pulmonary lobectomy followed by ipsilateral anatomical resection for lung cancer between January 2012 and December 2018. In addition, patients with stage I non-small-cell lung cancer (NSCLC) were compared with 3411 patients with stage I lung cancer who underwent pulmonary resection without a prior ipsilateral lobectomy. RESULTS: Ipsilateral anatomical resections included 10 completion pneumonectomies, 19 pulmonary lobectomies and 22 pulmonary segmentectomies. Operative time was 312.2 ± 134.5 min, and intraoperative bleeding was 522.2 ± 797.5 ml. Intraoperative and postoperative complications occurred in 9 and 15 patients, respectively. However, the 5-year overall survival rate after anatomical resection followed by ipsilateral lobectomy was 83.5%. Furthermore, in patients with c-stage I NSCLC, anatomical resection followed by ipsilateral lobectomy was not associated with worse survival than anatomical resection without prior ipsilateral lobectomy. CONCLUSIONS: Anatomical resection following ipsilateral lobectomy is associated with a high frequency of intraoperative and postoperative complications. However, the 5-year overall survival in patients with c-stage I NSCLC who underwent ipsilateral anatomical resection after pulmonary lobectomy is comparable to that in patients who underwent anatomical resection without prior pulmonary lobectomy. |
キーワード | Surgical outcome
ipsilateral anatomical resection
non-small cell lung cancer
pulmonary lobectomy
overall survival
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発行日 | 2023-02-08
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出版物タイトル |
European Journal of Cardio-Thoracic Surgery
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巻 | 63巻
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号 | 3号
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出版者 | Oxford University Press (OUP)
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開始ページ | ezad048
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ISSN | 1873-734X
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © The Author(s) 2023.
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論文のバージョン | publisher
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関連URL | isVersionOf https://doi.org/10.1093/ejcts/ezad048
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ライセンス | https://creativecommons.org/licenses/by-nc/4.0/
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Citation | Mikio Okazaki, Ken Suzawa, Kazuhiko Shien, Hiromasa Yamamoto, Kota Araki, Mototsugu Watanabe, Masanori Okada, Yuho Maki, Tsuyoshi Ueno, Shinji Otani, Ryujiro Sugimoto, Hitoshi Nishikawa, Riki Okita, Makio Hayama, Hiroyuki Tao, Toshiya Fujiwara, Hidetoshi Inokawa, Yuji Hirami, Yoshifumi Sano, Motohiro Yamashita, Osamu Kawamata, Motoki Matsuura, Shinichi Toyooka, Surgical outcome of ipsilateral anatomical resection for lung cancer after pulmonary lobectomy, European Journal of Cardio-Thoracic Surgery, Volume 63, Issue 3, March 2023, ezad048, https://doi.org/10.1093/ejcts/ezad048
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