Study shows partial lung removal favorable over full removal as treatment for lung cancer

Apr 01, 2010

Research published in the April edition of the Journal of Thoracic Oncology sought to compare the outcomes of a sleeve lobectomy and a pneumonectomy procedure, in order to determine which is a more acceptable standard treatment for patients with non-small cell lung cancer.

A pneumonectomy treatment involves removing one entire lung, whereas a sleeve lobectomy removes only a section of the lung that contains the . The sleeve lobectomy was first introduced for patients with who were unable to tolerate a pneumonectomy due to compromised . Initially, the sleeve lobectomy was considered by surgeons as an alternative procedure, because of the complex surgical technique and the possibility of not removing all of the tumor compared with the pneumonectomy. This newly released study investigated whether the sleeve lobectomy can be accepted as a favorable alternative procedure to pneumonectomy in patients with sufficient pulmonary function.

Researchers in South Korea analyzed 210 lung cancer patients who underwent either a sleeve lobectomy or pneumonectomy from 1996 to 2005 and compared mortality, morbidity, survival, recurrence and postoperative pulmonary function rates related to the surgical treatment used. The results indicated that patients in the pneumonectomy group had poorer survival than those in the sleeve lobectomy group - 41.8 percent 3-year survival and 32.14 percent 5-year survival for those who underwent a pneumonectomy versus 71.4 percent and 58.43 percent with a sleeve lobectomy, respectively. Overall, the study results show that a sleeve lobectomy can be performed with low operative risk and may offer superior survival and better postoperative pulmonary function compared with the pneumonectomy in selected patients.

 MortalityMorbidity3-year survival5-year survival
Sleeve Lobectomy1.0%33.4%71.4%58.43%
Pneumonectomy8.6%29.5%41.8%32.14%

"Initially, the sleeve lobectomy was introduced for patients with lung cancer who were unable to tolerate a full pneumonectomy," stated the study's lead investigator, Yong Soo Choi, MD. "The results of our study indicate that a sleeve lobectomy is a safe and effective operation. If anatomically feasible, a sleeve lobectomy is recommended as a favorable alternative to pneumonectomy in patients even with good pulmonary function."

Explore further: Two studies identify a detectable, pre-cancerous state in the blood

More information: journals.lww.com/jto

Provided by International Association for the Study of Lung Cancer

4 /5 (1 vote)
add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Gene test aids cancer profile

3 hours ago

The first round of chemotherapy did little to suppress Ron Bose's leukemia. The second round, with 10 times the dose, knocked the proliferating blast cells down, but only by half.

How a common antacid could lead to cheaper anti-cancer drugs

20 hours ago

A popular indigestion medication can increase survival in colorectal cancer, according to research published in ecancermedicalscience. But in fact, scientists have studied this for years - and a group of cancer advocates want t ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.