TY - JOUR
T1 - Resected cases with primary lung cancer after preoperative high dose irradiation
AU - Inaba, H.
AU - Ohta, S.
AU - Yoshida, H.
AU - Oishi, H.
AU - Etoh, T.
AU - Honda, A.
AU - Nakajima, N.
AU - Muro, H.
PY - 2003/5
Y1 - 2003/5
N2 - After greater than 60 gray (Gy) irradiation, we performed the pulmonary resection in the 18 primary lung cancer cases. The mean irradiation dose to the tumor was 68.2 (range 60-101) Gy, and the mean irradiation dose to the bronchial stump was 47.1 (range 0-82) Gy. Median time from end of irradiation to surgical resection was 136 (range 20-894) days. One partial resection, 9 single lobectomies, 3 double lobectomies, and 5 pneumonectomies were done. Mainly, we closed the bronchial stump by the automatic stapling device and additional hand suturing. The bronchial stump was covered in the 12 cases by the owner stalk thymus, the intercostals muscular flap, the omentum flap, and et al. The major postoperative complications due to preoperative irradiation were not seen. Bronchopleural fistulas did not occur. Pathologically, the wall of the submucosal capillary vessels were getting thick in the patients operated more than 3 months later after irradiation. In such cases with the decrease of the blood flow, the bronchial stump should be covered. The pulmonary resection after the high dose irradiation was considered to be tolerable.
AB - After greater than 60 gray (Gy) irradiation, we performed the pulmonary resection in the 18 primary lung cancer cases. The mean irradiation dose to the tumor was 68.2 (range 60-101) Gy, and the mean irradiation dose to the bronchial stump was 47.1 (range 0-82) Gy. Median time from end of irradiation to surgical resection was 136 (range 20-894) days. One partial resection, 9 single lobectomies, 3 double lobectomies, and 5 pneumonectomies were done. Mainly, we closed the bronchial stump by the automatic stapling device and additional hand suturing. The bronchial stump was covered in the 12 cases by the owner stalk thymus, the intercostals muscular flap, the omentum flap, and et al. The major postoperative complications due to preoperative irradiation were not seen. Bronchopleural fistulas did not occur. Pathologically, the wall of the submucosal capillary vessels were getting thick in the patients operated more than 3 months later after irradiation. In such cases with the decrease of the blood flow, the bronchial stump should be covered. The pulmonary resection after the high dose irradiation was considered to be tolerable.
UR - http://www.scopus.com/inward/record.url?scp=0038473925&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038473925&partnerID=8YFLogxK
M3 - Article
C2 - 12739354
AN - SCOPUS:0038473925
VL - 56
SP - 347-352; discussion 353-355
JO - Japanese Journal of Thoracic Surgery
JF - Japanese Journal of Thoracic Surgery
SN - 0021-5252
IS - 5
ER -