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Sacrificing the pulmonary arterial branch to the spared lobe is a risk factor of bronchopleural fistula in sleeve lobectomy after chemoradiotherapy
Author(s) -
Shinichi Toyooka,
Junichi Soh,
Kazuhiko Shien,
Seiichiro Sugimoto,
Masaomi Yamane,
Takahiro Oto,
Hiroshi Date,
Shinichiro Miyoshi
Publication year - 2012
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezs323
Subject(s) - medicine , bronchopleural fistula , anastomosis , surgery , fistula , pneumonectomy , lung cancer , chemoradiotherapy , cardiothoracic surgery , radiology , radiation therapy
A sleeve lobectomy is a widely accepted procedure for enabling the pulmonary parenchyma to be spared. Induction chemoradiotherapy (CRT) followed by surgery is one treatment option for locally advanced non-small cell lung cancer (NSCLC), but CRT is considered to have a negative effect on subsequent surgery, especially for anastomotic healing. In this study, we describe our experience performing sleeve lobectomies and the associated anastomotic complications after induction CRT.

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