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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.64 (2018) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/676
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| タイトル: | Comparison of surgical outcomes after pneumonectomy and pulmonary function-preserving surgery for non-small cell lung cancer |
| 著者: | Higuchi, Mitsunori
Takagi, Hironori
Ozaki, Yuki
Inoue, Takuya
Watanabe, Yuzuru
Yamaura, Takumi
Fukuhara, Mitsuro
Muto, Satoshi
Okabe, Naoyuki
Matsumura, Yuki
Hasegawa, Takeo
Osugi, Jun
Hoshino, Mika
Shio, Yutaka
Suzuki, Hiroyuki |
| 学内所属: | 会津医療センター外科学講座
呼吸器外科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 64 |
| 号: | 1 |
| 開始ページ: | 30 |
| 終了ページ: | 37 |
| 発行日: | 2018年 |
| 抄録: | Background: According to previous reports, lobectomy with bronchoplasty or angioplasty is a more feasible surgery than pneumonectomy for central-type non-small cell lung cancer. However, few studies have compared both the short- and long-term outcomes between pneumonectomy and pulmonary function-preserving surgery. Methods: From January 2004 to December 2015, 18 patients underwent pneumonectomy (Group PN) and 12 patients underwent pulmonary function-preserving surgery (group PS) at Fukushima Medical University Hospital. Clinicopathological factors were statistically compared between the two groups. Results: The operation times in Group PN and Group PS were 285.9±27.9 and 271.3±99.2 min, respectively (p=0.613), while the amounts of intraoperative bleeding were 324.8±248.9 and 164.5±116.6 g, respectively (p=0.020). The duration of chest drainage and hospitalization after surgery in both groups were not significantly different but there was a tendency toward shorter periods of these durations in Group PS. The 5-year disease-free survival (DFS) rate in Group PN and PS was 51.4% and 74.1%, respectively, without a significant difference (p=0.298). The 5-year overall survival (OS) rate in Group PN and PS was 52.5% and 56.6%, respectively, also without a significant difference (p=0.748). The 5-year OS rate was inferior to the 5-year DFS rate in Group PS, and the 5-year OS rate was not better than the 5-year DFS rate in Group PN. Conclusions: The short-term results were better in Group PS than PN. However, the long-term results in both groups were similar. Other causes of death influenced OS in both groups; this result might have been affected by the surgical procedures. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/676 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/676/1/FksmJMedSci_64_p30.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2017-10 |
| PubMed番号: | 29459574 |
| 関連ページ: | https://doi.org/10.5387/fms.2017-10 |
| 権利情報: | © 2018 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.64 (2018)
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