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Bilobectomy for Lung Cancer: Analysis of Indications, Postoperative Results, and Long- Term Outcomes  Domenico Galetta, MD, PhD, Piergiorgio Solli, MD,

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Presentation on theme: "Bilobectomy for Lung Cancer: Analysis of Indications, Postoperative Results, and Long- Term Outcomes  Domenico Galetta, MD, PhD, Piergiorgio Solli, MD,"— Presentation transcript:

1 Bilobectomy for Lung Cancer: Analysis of Indications, Postoperative Results, and Long- Term Outcomes 
Domenico Galetta, MD, PhD, Piergiorgio Solli, MD, PhD, Alessandro Borri, MD, Francesco Petrella, MD, Roberto Gasparri, MD, Daniela Brambilla, MS, Lorenzo Spaggiari, MD, PhD  The Annals of Thoracic Surgery  Volume 93, Issue 1, Pages (January 2012) DOI: /j.athoracsur Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Computed tomographic scans showing the radiologic conditions that lead the surgeon to perform a bilobectomy: (A) Presence of a tumor extended across the fissure; (B) neoplastic lymph nodes infiltrating the pulmonary artery (arrow); (C) bronchus involvement by the internal extension of the tumor and by external involvement by lymph nodes. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Overall 5-year (58%) survival curve including postoperative deaths (n = 146). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Survival curves at 5 years according to the stage of disease: stage I (n = 59), 70%; stage II (n = 52), 55%; stage III (n = 35), 40%. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Survival curves at 5 years according to the N status; N0 69%, N1 56%, N2 40%. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Survival curves at 5 years according to type of bilobectomy; upper and middle (UMB; n = 77), 43%; middle and lower (MLB; n = 69), 76.2%. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Survival curves at 5 years according to the extension of resection: extended (n = 24), 27.2%; not extended (n = 122), 72.2%. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions


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