Intérêt des résections "en manchon" pour les cancers pulmonaires [Value of the "sleeve" resection for pulmonary cancers]
Details
Serval ID
serval:BIB_42BF2E97A570
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Intérêt des résections "en manchon" pour les cancers pulmonaires [Value of the "sleeve" resection for pulmonary cancers]
Journal
Revue médicale de la Suisse romande
ISSN
0035-3655
Publication state
Published
Issued date
2001
Volume
121
Number
2
Pages
141-4
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review - Publication Status: ppublish
Abstract
A sleeve resection is an anatomical pulmonary resection (segmentectomy, lobectomy or pneumonectomy) combined with the excision of a bronchial segment, with the anastomosis between the airway proximal and distal to it. This technique allows a certain number of centrally located tumors to be completely resected with sufficient margins of healthy tissue. Thus it is possible that the rest of the involved lung can be spared (sleeve segmentectomy or lobectomy), or a pneumonectomy can be performed despite invasion of the carina or distal trachea. The comparison of series of sleeve and conventional resections shows similar 5-year survival rates if the stage and histological subtypes are taken into account. The specific morbidity of the procedure is the partial or complete breakdown of the anastomosis (producing a stenosis or a bronchopleural fistula). This is uncommon and can usually be prevented by the use of a protective perianastomotic flap.
Keywords
Humans, Lung Neoplasms, Morbidity, Patient Selection, Pneumonectomy, Prognosis, Surgical Flaps, Survival Analysis, Treatment Outcome
Pubmed
Create date
29/01/2008 13:59
Last modification date
20/08/2019 14:45