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Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division.

Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division. Research Abstract Details 

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  • Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division. Abstract Text:

    a iwasakiA Iwasaki,w hamanakaW Hamanaka,t hamadaT Hamada,m hiratsukaM Hiratsuka,s yamamotoS Yamamoto,t shiraishiT Shiraishi,t shirakusaT Shirakusa,a iwasakiA Iwasaki,w hamanakaW Hamanaka,t hamadaT Hamada,m hiratsukaM Hiratsuka,s yamamotoS Yamamoto,t shiraishiT Shiraishi,t shirakusaT Shirakusa,

    BACKGROUND: Although an increasing number of approaches for pulmonary segmentectomy to treat early lung cancer are being used, there have been few reports on left upper lobe trisegmentectomy, which is midway between single segmentectomy and lobectomy, for lung cancer. METHODS: We retrospectively reviewed the medical charts of 86 clinical stage I case-matched patients with a tumor size of less than 2.0 cm in diameter located in the left upper division who underwent resection between June 1998 and December 2005. The patients were divided into two groups as follows: LTS (31), left upper lobe trisegmentectomy; LUL (55), left upper lobectomy. We evaluated these groups with respect to several factors. RESULTS: The characteristics of the two groups (LTS vs. LUL) demonstrated no significant differences with respect to gender, histological type, tumor size, or upstaging of pathological node, or the mode of video-assisted thoracic surgery (VATS). Patients with LTS had a significantly lower pulmonary function compared to the LUL group. There were no significant differences between the two groups with respect to factors such as blood loss and duration of chest tube drainage. Morbidity and recurrence rates did not differ between the two groups, and there was no mortality in our series. The overall survival rate at 5 years was 69.7 % in the LTS and 72.5 % in the LUL group. There was no significant difference in survival rates between the LTS and the LUL group after resection. CONCLUSION: LTS may be suitable as a standard treatment if the tumor is small and the suspected margins are well away from the lingula.

    Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division. Publishing Authors By Initials

    a iwasakiA Iwasaki,w hamanakaW Hamanaka,t hamadaT Hamada,m hiratsukaM Hiratsuka,s yamamotoS Yamamoto,t shiraishiT Shiraishi,t shirakusaT Shirakusa,a iwasakiA Iwasaki,w hamanakaW Hamanaka,t hamadaT Hamada,m hiratsukaM Hiratsuka,s yamamotoS Yamamoto,t shiraishiT Shiraishi,t shirakusaT Shirakusa,

    For similar abstracts research abstracts see: abstracts research

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    Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: The Thoracic and cardiovascular surgeon

    VOLUME: 55

    Page Numbers: 454-7

    Journal Abbreviation:

    ISSN: 0171-6425

    DAY: 28

    MONTH: Oct

    YEAR: 2007

    Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division. Information

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    LANGUAGE: eng

    NlmUniqueID: 7903387

    Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division. Keywords Mesh Terms:

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    Grant and Affiliation Information for Comparison between a case-matched analysis of left upper lobe trisegmentectomy and left upper lobectomy for small size lung cancer located in the upper division.

    AFFILIATION: Department of Thoracic Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan. akinori@fukuoka-u.ac.jp

    Country: Germany

    Germany Research PublicationGermany Research Publication

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    MEDLINETA: Thorac Cardiovasc Surg

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