Extensive Resections: Pancoast Tumors, Chest Wall Resections, En Bloc Vascular Resections


D'Andrilli A., Venuta F., Menna C., Rendina E. A.

SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA, vol.20, no.4, pp.733-757, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 4
  • Publication Date: 2011
  • Doi Number: 10.1016/j.soc.2011.07.007
  • Journal Name: SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.733-757
  • Keywords: Lung cancer, Pancoast tumor, Chest wall, Superior vena cave, Aorta, CELL LUNG-CANCER, SUPERIOR VENA-CAVA, LONG-TERM SURVIVAL, BRONCHIAL SLEEVE RESECTION, PULMONARY-ARTERY RECONSTRUCTION, PATHOLOGICAL COMPLETE RESPONSE, SINGLE-CENTER EXPERIENCE, LYMPH-NODE INVOLVEMENT, SURGICAL-TREATMENT, BRONCHOGENIC-CARCINOMA
  • Dokuz Eylül University Affiliated: No

Abstract

Infiltration by lung tumor of adjacent anatomic structures including major vessels, main bronchi, and chest wall not only influences the oncologic severity of the disease but also increases the technical complexity of surgery, requiring extended resections and demanding reconstructive procedures. Completeness of resection represents in every case one of the main factors influencing the long-term outcome of patients. Technical and oncologic aspects of extended operations, including resection of Pancoast tumors and chest wall, bronchovascular sleeve resections, and en bloc resections of major thoracic vessels, are reported in this article.