pubmed-article:1389253 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:1389253 | lifeskim:mentions | umls-concept:C0442504 | lld:lifeskim |
pubmed-article:1389253 | lifeskim:mentions | umls-concept:C0007121 | lld:lifeskim |
pubmed-article:1389253 | pubmed:issue | 8 | lld:pubmed |
pubmed-article:1389253 | pubmed:dateCreated | 1992-11-12 | lld:pubmed |
pubmed-article:1389253 | pubmed:abstractText | From 1978 to 1988, 148 bilobectomies (21 upper and middle and 127 lower and middle) were performed for bronchogenic carcinoma. A conservative procedure was mandatory in 29 patients in whom a pneumonectomy was not functionally feasible while bilobectomy was deliberately performed in 119 patients with near normal lung function. Overall mortality was 6% compared to 4% and 3%, respectively, following pneumonectomies and lobectomies. Preoperative functional status did not significantly influence mortality. The complication rate was 55%. The incidence of bronchopleural fistula electively observed after lower and middle lobe resection was significantly higher (11%) compared to 4% after pneumonectomy and 1.4% after lobectomy (P less than 0.01). The overall 5-year survival was 43% and was similar to that observed at comparable TNM stage after other pulmonary resections. Residual right pulmonary function demonstrated by perfusion isotopic scan was 24% +/- 10 in 21 long-term survivors. These results indicate that bilobectomy can reasonably be considered in patients requiring more than a lobectomy but in whom lung conservation is mandatory despite a significant increase in morbidity. The risk appears justifiable regarding late survival results and functional benefit of the remaining right lobe. | lld:pubmed |
pubmed-article:1389253 | pubmed:language | eng | lld:pubmed |
pubmed-article:1389253 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:1389253 | pubmed:citationSubset | IM | lld:pubmed |
pubmed-article:1389253 | pubmed:status | MEDLINE | lld:pubmed |
pubmed-article:1389253 | pubmed:issn | 1010-7940 | lld:pubmed |
pubmed-article:1389253 | pubmed:author | pubmed-author:LevasseurPP | lld:pubmed |
pubmed-article:1389253 | pubmed:author | pubmed-author:Rojas-Miranda... | lld:pubmed |
pubmed-article:1389253 | pubmed:author | pubmed-author:DartevellePP | lld:pubmed |
pubmed-article:1389253 | pubmed:author | pubmed-author:DeneuvilleMM | lld:pubmed |
pubmed-article:1389253 | pubmed:author | pubmed-author:RégnardJ FJF | lld:pubmed |
pubmed-article:1389253 | pubmed:author | pubmed-author:CoggiaMM | lld:pubmed |
pubmed-article:1389253 | pubmed:issnType | Print | lld:pubmed |
pubmed-article:1389253 | pubmed:volume | 6 | lld:pubmed |
pubmed-article:1389253 | pubmed:owner | NLM | lld:pubmed |
pubmed-article:1389253 | pubmed:authorsComplete | Y | lld:pubmed |
pubmed-article:1389253 | pubmed:pagination | 446-51 | lld:pubmed |
pubmed-article:1389253 | pubmed:dateRevised | 2006-11-15 | lld:pubmed |
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pubmed-article:1389253 | pubmed:year | 1992 | lld:pubmed |
pubmed-article:1389253 | pubmed:articleTitle | The place for bilobectomy in bronchogenic carcinoma. | lld:pubmed |
pubmed-article:1389253 | pubmed:affiliation | Department of Thoracic and Vascular Surgery, Centre Chirurgical Marie Lannelongue, University Paris-Sud, France. | lld:pubmed |
pubmed-article:1389253 | pubmed:publicationType | Journal Article | lld:pubmed |
pubmed-article:1389253 | pubmed:publicationType | Comparative Study | lld:pubmed |