Pearson's General Thoracic
Extended Pulmonary Resections
To view the entire topic, please log in or purchase a subscription.
STS Cardiothoracic Surgery E-Book from The Society of Thoracic Surgeons provides expert guidance for Cardiac and Thoracic Surgery. Sections include Pearson’s General Thoracic, Esphageal, Adult Cardiac, and Pediatric and Congenital Cardiac Surgery. Explore these free sample topics:
-- The first section of this topic is shown below --
Key Points
- Surgical resection remains an important part of treatment for select patients with locally advanced lung cancer
- Mediastinal staging is required prior to offering an extended pulmonary resection
- New technology such as 3D & 5D printing, intravascular ultrasound, gated MRI scanning, and endobronchial ultrasound allow for more precise pre-operative planning and allow surgeons to do more complex resections with risk stratification
- Extended pulmonary resection can be offered to patients who have N0 or N1 disease, in whom the surgeon can achieve a complete (R0) resection
Lung cancer is the most frequent cause of cancer death in both men and women. Lung cancers invade the chest wall in 5-10% of cases.[1],[2] Between 1% and 2% invade the vertebral bodies, diaphragm, pericardium, esophagus, or superior vena cava.[3] Complete surgical resection remains a key part of the multidisciplinary treatment for locally advanced lung cancer. When invasion of lung cancer extends beyond the visceral pleura, the ability to resect contiguous invading structures or organs varies greatly, and this role of surgery for locally advanced lung tumors (where there is direct invasion of the chest wall, vertebral bodies, diaphragm, aorta, left atrium, pericardium, esophagus, or superior vena cava) remains controversial. A patient’s prognosis after surgery is directly related to the completeness of the resection and the presence of nodal metastases. In this chapter, we will discuss advancements in surgery that allow resection of lung cancer with invasion beyond the pleura.
-- To view the remaining sections of this topic, please log in or purchase a subscription --
Key Points
- Surgical resection remains an important part of treatment for select patients with locally advanced lung cancer
- Mediastinal staging is required prior to offering an extended pulmonary resection
- New technology such as 3D & 5D printing, intravascular ultrasound, gated MRI scanning, and endobronchial ultrasound allow for more precise pre-operative planning and allow surgeons to do more complex resections with risk stratification
- Extended pulmonary resection can be offered to patients who have N0 or N1 disease, in whom the surgeon can achieve a complete (R0) resection
Lung cancer is the most frequent cause of cancer death in both men and women. Lung cancers invade the chest wall in 5-10% of cases.[1],[2] Between 1% and 2% invade the vertebral bodies, diaphragm, pericardium, esophagus, or superior vena cava.[3] Complete surgical resection remains a key part of the multidisciplinary treatment for locally advanced lung cancer. When invasion of lung cancer extends beyond the visceral pleura, the ability to resect contiguous invading structures or organs varies greatly, and this role of surgery for locally advanced lung tumors (where there is direct invasion of the chest wall, vertebral bodies, diaphragm, aorta, left atrium, pericardium, esophagus, or superior vena cava) remains controversial. A patient’s prognosis after surgery is directly related to the completeness of the resection and the presence of nodal metastases. In this chapter, we will discuss advancements in surgery that allow resection of lung cancer with invasion beyond the pleura.
There's more to see -- the rest of this topic is available only to subscribers.
