Residual middle lobectomy after right upper or lower lobectomy: indications and outcome
Tóm tắt
Residual middle lobectomy after upper lobectomy and lower lobectomy differs in their indications and perioperative outcomes. Therefore, we aimed to evaluate the indications and perioperative outcomes of residual middle lobectomy after upper and lower lobectomy. The data of 14 patients who underwent residual middle lobectomy after upper or lower lobectomy between January 1997 and December 2021 were extracted and analyzed. Overall, six patients underwent residual middle lobectomy after upper lobectomy. The indication was second primary lung cancer in five patients and local recurrence in the hilar lymph node between the middle and lower lobar bronchi in one patient. However, one patient was treated with the R2 operation. The remaining eight patients underwent residual middle lobectomy after lower lobectomy. The indication was second primary lung cancer and bronchopleural fistula or stenosis in two and six patients, respectively. No postoperative 90-day mortality was observed. Residual middle lobectomy for second lung cancer after upper lobectomy is difficult because of severe hilar adhesions. Simultaneous resection of hilar structures or pulmonary artery and parenchyma might be an option. Residual middle lobectomy could be a treatment option for bronchopleural fistula or stenosis after lower lobectomy.
Tài liệu tham khảo
Martini N, Bains MS, Burt ME, Zakowski MF, McCormack P, Rusch VW, et al. Incidence of local recurrence and second primary tumors in resected stage I lung cancer. J Thorac Cardiovasc Surg. 1995;109:120–9.
Hattori A, Matsunaga T, Watanabe Y, Fukui M, Takamochi K, Oh S, et al. Repeated anatomical pulmonary resection for metachronous ipsilateral second non–small cell lung cancer. J Thorac Cardiovasc Surg. 2021;162:1389-98.e2.
Bae MK, Byun CS, Lee CY, Lee JG, Park IK, Kim DJ, et al. The role of surgical treatment in second primary lung cancer. Ann Thorac Surg. 2011;92:256–62.
Rice D, Kim HW, Sabichi A, Lippman S, Lee JJ, Williams B, et al. The risk of second primary tumors after resection of stage I nonsmall cell lung cancer. Ann Thorac Surg. 2003;76:1001–7.
Hamaji M, Allen MS, Cassivi SD, Deschamps C, Nichols FC, Wigle DA, et al. Surgical treatment of metachronous second primary lung cancer after complete resection of non-small cell lung cancer. J Thorac Cardiovasc Surg. 2013;145:683–90.
Cardillo G, Galetta D, Van Schil P, Zuin A, Filosso P, Cerfolio RJ, et al. Completion pneumonectomy: a multicentre international study on 165 patients. Eur J Cardiothorac Surg. 2012;42:405–9.
Pan X, Fu S, Shi J, Yang J, Zhao H. The early and long-term outcomes of completion pneumonectomy: report of 56 cases. Interact Cardiovasc Thorac Surg. 2014;19:436–40.
Miyahara N, Nii K, Benazzo A, Iwasaki A, Klepetko W, Hoetzenecker K. Completion pneumonectomy for second primary/primary lung cancer and local recurrence lung cancer. Ann Thorac Surg. 2021. https://doi.org/10.1016/j.athoracsur.2021.04.063.
White A, Kucukak S, Lee DN, Bueno R, Jaklitsch M, Mentzer S, et al. Completion pneumonectomy is safe and effective in select patients with recurrent non-small cell lung cancer. J Thorac Dis. 2020;12:217–22.
Takamori S, Oizumi H, Suzuki J, Suzuki K. Thoracoscopic completion bilobectomy for bronchial stenosis. Ann Thorac Surg. 2022;113:e247–9.
Wang YQ, Zhuang W. Treat bronchopleural fistula after right lower lobectomy by extra right middle lobectomy-a neglected approach. Interact Cardiovasc Thorac Surg. 2020;31:63–70.
Martini N, Melamed MR. Multiple primary lung cancers. J Thorac Cardiovasc Surg. 1975;70:606–12.
Sato S, Shimizu Y, Goto T, Koike T, Koizumi T, Watanabe T, et al. Surgical outcomes of ipsilateral metachronous second primary lung cancer. Interact Cardiovasc Thorac Surg. 2021;32:896–903.
Lewis RJ. Simultaneously stapled lobectomy: A safe technique for video-assisted thoracic surgery. J Thorac Cardiovasc Surg. 1995;109:619–25.
Motono N, Iwai S, Iijima Y, Usuda K, Uramoto H. Repeat pulmonary resection for lung malignancies does not affect the postoperative complications: a retrospective study. BMC Pulm Med. 2021;21:109.
Fabian T, Van Backer JT, Ata A. Perioperative outcomes of thoracoscopic reoperations for clinical recurrence of pulmonary malignancy. Semin Thorac Cardiovasc Surg. 2021;33:230–7.
Chen D, Mao R, Kadeer X, Sun W, Zhu E, Peng Q, et al. Video-assisted thoracic surgery is an optimal alternative to conventional thoracotomy for reoperations for ipsilateral pulmonary lesions. Thorac Cancer. 2018;9:1421–8.
Tsuda T, Nakamura T, Yamamoto Y, Teramachi M, Kiyotani T, Lee YH, et al. Prevention of postoperative air leakage from lungs using a purified human collagen membrane–polyglycolic acid sheet. Ann Thorac Surg. 1999;68:339–42.
Okazaki M, Sano Y, Mori Y, Sakao N, Yukumi S, Shigematsu H, et al. Two cases of granuloma mimicking local recurrence after pulmonary segmentectomy. J Cardiothorac Surg. 2020;15:7.
Kurihara M, Mizobuchi T, Kataoka H, Sato T, Kumasaka T, Ebana H, et al. A total pleural covering for lymphangioleiomyomatosis prevents pneumothorax recurrence. PLoS ONE. 2016;11: e0163637.
Takamori S, Oizumi H, Suzuki J, Suzuki K, Watanabe H, Sato K. Completion lobectomy after anatomical segmentectomy. Interact Cardiovasc Thorac Surg. 2022;34:1038–44.
Takahashi Y, Miyajima M, Tada M, Maki R, Mishina T, Watanabe A. Outcomes of completion lobectomy long after segmentectomy. J Cardiothorac Surg. 2019;14:116.
Murakami J, Ueda K, Hayashi M, Sano F, Hamano K. Simultaneous stapling of the lobar bronchus and pulmonary artery: is it actually dangerous? Interact Cardiovasc Thorac Surg. 2016;22:671–3.
Kamiyoshihara M, Igai H, Ibe T, Ohtaki Y, Atsumi J, Nakazawa S, et al. Pulmonary lobar root clamping and stapling technique: return of the “en masse lobectomy.” Gen Thorac Cardiovasc Surg. 2013;61:280–91.
Qiang G, Nakajima J. Simultaneous stapling of pulmonary vein and bronchus in video-assisted thoracic surgery lobectomy. Ann Thorac Cardiovasc Surg. 2015;21:78–80.
Mao R, Ying PQ, Xie D, Dai CY, Zha JY, Chen T, et al. Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years. J Thorac Dis. 2016;8:1577–86.
Endoh H, Yamamoto R, Nishizawa N, Satoh Y. Thoracoscopic surgery using omental flap for bronchopleural fistula. Surg Case Rep. 2019;5:5.
Suzuki J, Oizumi H, Kato H, Hamada A, Watarai H, Nakahashi K, et al. Pedicled gastric seromuscular patch for one-stage closure of a bronchopleural fistula: a case report. Surg Case Rep. 2018;4:38.
Cardillo G, Carbone L, Carleo F, Galluccio G, Di Martino M, Giunti R, et al. The rationale for treatment of postresectional bronchopleural fistula: analysis of 52 patients. Ann Thorac Surg. 2015;100:251–7.
Thomas PA, Falcoz PE, Bernard A, Le Pimpec-Barthes F, Jougon J, Brouchet L, et al. Bilobectomy for lung cancer: contemporary national early morbidity and mortality outcomes. Eur J Cardiothorac Surg. 2016;49:e38-43.