Original Articles
Sleeve Lobectomy Compared to Pneumonectomy for the Treatment of N0-N1 Non-Small Cell Lung Cancer
M.F. Jiménez
, G. Varela, N. Novoa, J.L. Aranda
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mfjl@usal.es
Correspondence. Dr. M.F. Jiménez. Sección de Cirugía Torácica. Hospital Universitario. P.o de San Vicente, 58–182. 37007 Salamanca. España
Correspondence. Dr. M.F. Jiménez. Sección de Cirugía Torácica. Hospital Universitario. P.o de San Vicente, 58–182. 37007 Salamanca. España
Sectión de Cirugía Torácia, Hospital Universitario, Salamanca, Spain
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"apellidos" => "Jiménez" "email" => array:1 [ 0 => "mfjl@usal.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Varela" ] 2 => array:2 [ "nombre" => "N." "apellidos" => "Novoa" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Aranda" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sectión de Cirugía Torácia, Hospital Universitario, Salamanca, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence. Dr. M.F. Jiménez. Sección de Cirugía Torácica. Hospital Universitario. P.o de San Vicente, 58–182. 37007 Salamanca. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-04-28" "fechaAceptado" => "2005-11-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154301" "palabras" => array:5 [ 0 => "Sleeve lobectomy" 1 => "Lung cancer" 2 => "Sleeve resection" 3 => "Survival" 4 => "Pneumonectomy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154300" "palabras" => array:5 [ 0 => "Lobectomia broncoplástica" 1 => "Cáncer de pulmón" 2 => "Resecciones broncoplásticas" 3 => "Supervivencia" 4 => "Neunonectomía" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To compare survival, morbidity, and mortality rates for a series of patients who underwent either bronchoplastic sleeve lobectomy or pneumonectomy to treat non-small cell lung cancer (NSCLC).</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p class="elsevierStyleSimplePara elsevierViewall">We reviewed the clinical records for patients who underwent sleeve lobectomy or pneumonectomy for NSCLC from January 1994 through December 2003.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">From January 1994 through December 2003, 35 sleeve lobectomies and 220 pneumonectomies were performed at our department on patients with NSCLC. The perioperative mortality rate was 2.8% for the lobectomy group and 9.1% for the pneumonectomy group. The mean survival time for the pneumonectomy group was 45 months (95% confidence interval [CI], 37–53), with a 5-year survival rate of 32% (SE, 5.1%). The mean survival time for the sleeve lobectomy group was 72 months (95% CI, 56–87) (P≤.0041), with a 5-year survival rate of 56% (SE, 9.6%). If we stratify the groups according to node involvement, patients classified as N0-N1 had a mean survival time of 52 months (95% CI, 43–61), with a 5-year survival rate of 39% (SE, 6.2%) for the pneumonectomy group. The mean survival time for patients undergoing sleeve lobectomy was 75 months (95% CI, 59–92) (P≤.018), with a 5-year survival rate of 60% (SE, 10.4%). Survival for patients with N2 disease was similar to that of patients with N0-N1 disease.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">For patients with N0-N1 non-small cell lung cancer, sleeve lobectomy offers better survival than pneumonectomy.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Comparar la supervivencia, morbilidad y mortalidad de una serie de pacientes operados por cáncer de pulmón no microcítico (CPNM) mediante lobectomía broncoplástica o neumonectomía.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p class="elsevierStyleSimplePara elsevierViewall">Hemos revisado los datos de pacientes a quienes se realizó una lobectomía broncoplástica o una neumonectomía por CPNM entre enero de 1994 y diciembre de 2003.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre enero de 1994 y diciembre de 2003 se realizaron en nuestra unidad 35 lobectomías con broncoplastia y 220 neumonectomías en pacientes con CPNM. La mortalidad perioperatoria fue del 2,8% en el grupo de las lobectomías y del 9,1% para las neumonectomías. La media de supervivencia de las neumonectomías fue de 45 meses (intervalo de confianza [IC] del 95%, 37–53) y la supervivencia a los 5 años del 32% (error estándar [EE]: 5,1). En el grupo de lobectomías broncoplásticas la media de supervivencia fue de 72 meses (IC del 95%, 56–87) (p ≤ 0,0041) y la supervivencia a los 5 años del 56% (EE: 9,6). Si estratificamos los grupos según la afectación ganglionar, entre los pacientes clasificados como N0-N1 la media de supervivencia fue de 52 meses (IC del 95%, 43–61) y la supervivencia a los 5 años del 39% (EE: 6,2) en las neumonectomías. Los pacientes con lobectomía broncoplástica presentaron una media de supervivencia de 75 meses (IC del 95%, 59–92) (p ≤ 0,018) y la supervivencia a los 5 años del 60% (EE: 10,4). La supervivencia no fue diferente en caso de enfermedad N2.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">La lobectomía broncoplástica ofrece mejor supervivencia que la neumonectomía en pacientes con CPNM con afectación N0-N1.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long-term results of sleeve lobectomy for lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F Tronc" 1 => "J Grégoire" 2 => "J Rouleau" 3 => "J Deslauriers" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 1 | 3 |
| 2024 October | 32 | 14 | 46 |
| 2024 September | 38 | 9 | 47 |
| 2024 August | 48 | 26 | 74 |
| 2024 July | 31 | 21 | 52 |
| 2024 June | 39 | 16 | 55 |
| 2024 May | 35 | 27 | 62 |
| 2024 April | 25 | 22 | 47 |
| 2024 March | 26 | 15 | 41 |
| 2024 February | 20 | 17 | 37 |
| 2023 March | 2 | 3 | 5 |
| 2023 February | 19 | 16 | 35 |
| 2023 January | 18 | 33 | 51 |
| 2022 December | 21 | 27 | 48 |
| 2022 November | 15 | 14 | 29 |
| 2022 October | 26 | 31 | 57 |
| 2022 September | 15 | 26 | 41 |
| 2022 August | 15 | 28 | 43 |
| 2022 July | 23 | 41 | 64 |
| 2022 June | 15 | 31 | 46 |
| 2022 May | 20 | 27 | 47 |
| 2022 April | 25 | 29 | 54 |
| 2022 March | 20 | 35 | 55 |
| 2022 February | 12 | 29 | 41 |
| 2022 January | 15 | 39 | 54 |
| 2021 December | 17 | 50 | 67 |
| 2021 November | 18 | 52 | 70 |
| 2021 October | 21 | 51 | 72 |
| 2021 September | 17 | 44 | 61 |
| 2021 August | 13 | 25 | 38 |
| 2021 July | 14 | 25 | 39 |
| 2021 June | 16 | 47 | 63 |
| 2021 May | 19 | 20 | 39 |
| 2021 April | 39 | 59 | 98 |
| 2021 March | 12 | 25 | 37 |
| 2021 February | 12 | 16 | 28 |
| 2021 January | 13 | 8 | 21 |
| 2020 December | 10 | 13 | 23 |
| 2020 November | 10 | 9 | 19 |
| 2020 October | 12 | 4 | 16 |
| 2020 September | 10 | 9 | 19 |
| 2020 August | 6 | 13 | 19 |
| 2020 July | 17 | 13 | 30 |
| 2020 June | 7 | 8 | 15 |
| 2020 May | 13 | 18 | 31 |
| 2020 April | 16 | 11 | 27 |
| 2020 March | 21 | 16 | 37 |
| 2020 February | 13 | 11 | 24 |
| 2020 January | 13 | 17 | 30 |
| 2019 December | 14 | 12 | 26 |
| 2019 November | 12 | 13 | 25 |
| 2019 October | 8 | 7 | 15 |
| 2019 September | 11 | 8 | 19 |
| 2019 August | 10 | 7 | 17 |
| 2019 July | 7 | 27 | 34 |
| 2019 June | 7 | 8 | 15 |
| 2019 May | 10 | 21 | 31 |
| 2019 April | 7 | 14 | 21 |
| 2019 March | 4 | 17 | 21 |
| 2019 February | 4 | 11 | 15 |
| 2019 January | 0 | 8 | 8 |
| 2018 December | 5 | 17 | 22 |
| 2018 November | 10 | 10 | 20 |
| 2018 October | 12 | 12 | 24 |
| 2018 September | 10 | 10 | 20 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 5 | 8 | 13 |
| 2018 March | 5 | 5 | 10 |
| 2018 February | 4 | 4 | 8 |
| 2018 January | 4 | 12 | 16 |
| 2017 December | 5 | 8 | 13 |
| 2017 November | 2 | 3 | 5 |
| 2017 October | 4 | 9 | 13 |
| 2017 September | 2 | 6 | 8 |
| 2017 August | 5 | 6 | 11 |
| 2017 July | 2 | 2 | 4 |
| 2017 June | 9 | 10 | 19 |
| 2017 May | 3 | 9 | 12 |
| 2017 April | 3 | 14 | 17 |
| 2017 March | 2 | 3 | 5 |
| 2017 February | 1 | 0 | 1 |
| 2017 January | 2 | 2 | 4 |
| 2016 December | 9 | 8 | 17 |
| 2016 November | 10 | 6 | 16 |
| 2016 October | 19 | 7 | 26 |
| 2016 September | 7 | 3 | 10 |
| 2016 August | 6 | 4 | 10 |
| 2016 July | 6 | 2 | 8 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 65 | 15 | 80 |
| 2015 September | 53 | 10 | 63 |
| 2015 August | 55 | 5 | 60 |
| 2015 July | 61 | 17 | 78 |
| 2015 June | 49 | 5 | 54 |
| 2015 May | 57 | 7 | 64 |
| 2015 April | 29 | 4 | 33 |
| 2015 March | 48 | 8 | 56 |
| 2015 February | 45 | 3 | 48 |
| 2015 January | 30 | 6 | 36 |
| 2014 December | 66 | 5 | 71 |
| 2014 November | 53 | 9 | 62 |
| 2014 October | 69 | 9 | 78 |
| 2014 September | 54 | 7 | 61 |
| 2014 August | 50 | 9 | 59 |
| 2014 July | 71 | 4 | 75 |
| 2014 June | 61 | 8 | 69 |
| 2014 May | 81 | 10 | 91 |
| 2014 April | 67 | 4 | 71 |
| 2014 March | 55 | 11 | 66 |
| 2014 February | 49 | 6 | 55 |
| 2014 January | 63 | 7 | 70 |
| 2013 December | 47 | 11 | 58 |
| 2013 November | 37 | 2 | 39 |
| 2013 October | 48 | 9 | 57 |
| 2013 September | 41 | 12 | 53 |
| 2013 August | 44 | 16 | 60 |
| 2013 July | 58 | 10 | 68 |
| 2013 June | 49 | 7 | 56 |
| 2013 May | 36 | 8 | 44 |
| 2013 April | 27 | 4 | 31 |
| 2013 March | 9 | 2 | 11 |
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