CHEST WALL RESECTION FOR LUNG CANCER: A 20-YEAR EXPERIENCE IN A SINGLE CENTER
2022; Elsevier BV; Volume: 161; Issue: 6 Linguagem: Inglês
10.1016/j.chest.2021.12.343
ISSN1931-3543
AutoresM. Rebei, M. Abdennadher, A. Abdelkebir, H. Zribi, Imen Bouacida, Sarra Zairi, Sonia Ouerghi, Adel Marghli,
Tópico(s)Lung Cancer Diagnosis and Treatment
ResumoTYPE: Abstract TOPIC: Lung Cancer PURPOSE: Lung cancers are known by their invasive character. Sometimes, a chest wall resection is imperative. We have been suposed to study the results of wall resection for lung cancer. METHODS: A retrospective study including patients who underwent a surgery of lung cancer with chest wall resection, in the Thoracic Surgery Department, Abderrahmen Mami's Hospital, Ariana,Tunisia, from 2001 to 2020. RESULTS: Our study included 74 patients: 69 males and 5 females. The mean age was 60 years old. The tumor was located in the right upper lobe in 47 cases, the left upper lobe in 16 cases, the right lower lobe in 5 cases and the left lower lobe in 3 cases. Nine patients had a 1 rib resection. Thirty patients had a resection of 2 ribs, and 32 patients had a resection of more than 3 ribs. The resection was extended to the vertebrae in 2 cases, who had a hemivertebrectomy. The postoperative outcomes were simple in 52 cases(70%). A postoperative complication was noted in 22 cases, including 6 deaths. Thirteen cases of atelectasis, 5 cases of pneumonia, 2 cases of heart rhythm disorders and 4 cases of prolonged air leaks were noted. The average postoperative hospital stay was 10 days. Sixty two patients had adjuvant CT and 12 patients had adjuvant RT-CT. CONCLUSIONS: Resection's quality is a main oncological prognostic factor. Chest wall resection in locally invasive lung cancer, may increase the postoperative morbi-mortality, but it, enhances the results of surgical treatment and the prognosis. CLINICAL IMPLICATIONS: Full resection extended to chest wall improves surgery's results DISCLOSURE: Nothing to declare. KEYWORD: lung cancer
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