Combined resection of distal aortic arch for T4N0 non-small-cell lung cancer with aortic arch invasion

Masayuki Chida, Masashi Handa, Gen ya Yaginuma, Hideichi Suda, Sumiko Maeda, Hiroshi Kazuma

    Research output: Contribution to journalArticle

    Abstract

    Three men age: 39-51 years (mean: 43.3 years) with T4N0 lung cancer infiltrating the distal aortic arch underwent combined resection of the left upper lobe, distal aortic arch, and left subclavian artery using partial extracorponeal circulation. Selective cerebral perfusion was used in 2. One underwent induction therapy (CDDP + VP - 16 x 2 + radiation 30 Gy), and all underwent adjuvant therapy. No postoperative complications or postoperative death occurred. Average ICU stay was 2.3 days. All patients are alive without local recurrence. Two were disease-free 37 and 26 months after surgery, and 1 had adrenal gland metastasis 8 months after surgery. Extended resection of the aortic arch in lung cancer is thus feasible and worthwhile in patients with T4N0 non-small-cell lung cancer.

    Original languageEnglish
    Pages (from-to)576-580
    Number of pages5
    JournalThe Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi
    Volume49
    Issue number9
    DOIs
    Publication statusPublished - 2001 Sep

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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