Indication of passive limited resection for primary lung cancer and probability of leaving cancer tissure unresected

• Published in: Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 6; no. 5; pp. 550 - 554
• Main Authors: Koike, Teruaki, Terashima, Masanori, Takizawa, Tsuneyo, Hirono, Tatsuhiko, Yamoto, Yasushi, Yoshiya, Katsuo, Nakayama, Kenzi, Tsuchida, Masanori
• Format: Journal Article
• Language: English
• Published: The Japanese Association for Chest Surgery 1992
• Subjects: for lung cancer; marked impairment of pulmonary function; operative indication; passive limited resection; postoperative pulmonary complication
• ISSN: 0919-0945; 1881-4158
• DOI: 10.2995/jacsurg.6.550

From 1975 through 1990, 621 patients were operated on for primary lung cancer. Postoperative pulmonary complications appeared more often in the patients with preoperative FEV1.0 less than 1 l/m2. Passive limited resection is applied to those patients with preoperative FEV, 1.t less than 0.7 l/m2, and for those with preoperative FEV1.0 0.7-1 l/m2, the type of resection is determined taking other factors into consideration. When limited resection is applied for patients with primary lung cancer, there is a probability of leaving cancer tissue in lymph node or pulmonary metastase in the same lobe. Postoperative pathological studies of the 164 cases of c-NO peripheral type non-small cell lung cancer showed that when limited resection is perfomed, the risk of leaving cancer tissue unresected was 28.7%.