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The Clinical Evaluation of Radical Lobectomy with Sleeve Resection of both the Bronchus and the Pulmonary Artery for Lung Cancer


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Title: The Clinical Evaluation of Radical Lobectomy with Sleeve Resection of both the Bronchus and the Pulmonary Artery for Lung Cancer
Authors: Tomita, Masao / Koga, Yasunori / Shibata, Koichiro / Matsumoto, Kazuhisa / Onizuka, Toshio / Sakoda, Koichiro / Maeda, Takami / Hamasuna, Shigehito / Wake, Norio / Ichinose, Yukito / Nakamura, Yuzuru / Ayabe, Kimihiro / Tsuji, Yasukuni
Authors (alternative): 富田, 正雄 / 古賀, 保範 / 柴田, 紘一郎 / 松本, 和久 / 鬼塚, 敏男 / 追田, 耕一郎 / 前田, 隆美 / 浜砂, 重仁 / 和気, 典雄 / 一瀬, 幸人 / 中村, 譲 / 綾部, 公懿 / 辻, 泰邦
Issue Date: 25-Oct-1979
Citation: Acta medica Nagasakiensia. 1979, 24(1-4), p.25-31
Abstract: Operative procedures of lobectomy with sleeve anastomosis of both the bronchus and pulmonary artery were evaluated in 5 patients undergone surgery. 1) The indications of this operation exist in patients with hillar type of lung cancer with cancerous invasion into the wall of the pulmonary artery segmentally. The lesions in left side were not infrequently indicated rather than that in right side. 2) Three patients were followed for three months to 2 years and 3 months. Two of them are alive from 3 months to 2 years and 3 months without recurrence respectively. The remaining one died in one year and half postoperatively of local recurrence and distant metastasis. 3) We encountered in 2 cases of hospital death unrelated operative techiniques. From one experience of autopsy on postoperative 12th day, the ischemic lesion of the lung was detected following the cessation of pulmonary flow by torsion in the anastomotic site. It was emphasized that pulmonary blood flow is necessary to nourish the lung under interruption of bronchial flow by bronchoplastic procedure. The cause of the remaining one was hemorrhagic diathesis owing to hyperfibrinolytic activity.
URI: http://hdl.handle.net/10069/15612
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 24, No. 1-4

Citable URI : http://hdl.handle.net/10069/15612

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