Sleeve lobectomy or pneumonectomy for non-small cell lung cancer? Searching for an optimal balance between oncological, surgical and functional results

The main objective in surgery for non-small cell lung cancer (NSCLC) is to achieve good oncologic safety, which includes R0 resection of the tumor and radical lymphadenectomy. Patients with centrally-located NSCLC should undergo pneumonectomy (PN) but, considering the not negligible morbidity and mortality related to this technique, they could benefit from a lung tissue-preserving resection, especially when cardio-pulmonary reserve is limited. Since Thomas (1) firstly applied this procedure for therapeutic option, “sleeve” pulmonary resection was designed to conserve as much pulmonary tissue as possible.

[1]  M. Paci,et al.  Sleeve lobectomy or pneumonectomy for non-small cell lung cancer? Searching for an optimal balance between oncological, surgical and functional results , 2016 .

[2]  G. Jiang,et al.  Uniportal video-assisted thoracoscopic bronchoplastic and carinal sleeve procedures. , 2016, Journal of thoracic disease.

[3]  I. Ilonen,et al.  Bronchial sleeve resection or pneumonectomy for non-small cell lung cancer: a propensity-matched analysis of long-term results, survival and quality of life. , 2015, Journal of thoracic disease.

[4]  N. Roche,et al.  Which is the Role of Pneumonectomy in the Era of Parenchymal-Sparing Procedures? Early/Long-Term Survival and Functional Results of a Single-Center Experience , 2015, Lung.

[5]  E. Rendina,et al.  Is sleeve lobectomy comparable in terms of short- and long-term results with pneumonectomy after induction therapy? A multicenter analysis. , 2014, The Annals of thoracic surgery.

[6]  Haoliang Sun,et al.  Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis , 2012, World Journal of Surgical Oncology.

[7]  P. Granone,et al.  Sleeve Lobectomy for NSCLC Treatment: A Simple Surgical Choice or a Mandatory Need in High-Risk Patients? , 2011, Thoracic and Cardiovascular Surgeon.

[8]  J. Gimferrer,et al.  Determining the appropriate sleeve lobectomy versus pneumonectomy ratio in central non-small cell lung cancer patients: an audit of an aggressive policy of pneumonectomy avoidance. , 2011, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[9]  Y. Shim,et al.  Sleeve Lobectomy as an Alternative Procedure to Pneumonectomy for Non-small Cell Lung Cancer , 2010, Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer.

[10]  V. Young,et al.  Comparative Analysis and Outcomes of Sleeve Resection versus Pneumonectomy , 2009, Asian cardiovascular & thoracic annals.

[11]  P. V. Van Schil,et al.  Quality of Life after Lung Cancer Surgery: A Prospective Pilot Study comparing Bronchial Sleeve Lobectomy with Pneumonectomy , 2007, Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer.

[12]  M. Ohta,et al.  Comparison of surgical results after pneumonectomy and sleeve lobectomy for non-small cell lung cancer: trends over time and 20-year institutional experience. , 2006, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[13]  C. Foucault,et al.  Sleeve lobectomy versus pneumonectomy: tumor characteristics and comparative analysis of feasibility and results. , 2005, The Annals of thoracic surgery.

[14]  C. Kang,et al.  Local control of disease related to lymph node involvement in non-small cell lung cancer after sleeve lobectomy compared with pneumonectomy. , 2005, The Annals of thoracic surgery.

[15]  M. Olschewski,et al.  Comparison of morbidity, 30-day mortality, and long-term survival after pneumonectomy and sleeve lobectomy for non-small cell lung carcinoma. , 2005, The Annals of thoracic surgery.

[16]  Y. Lacasse,et al.  Sleeve lobectomy versus pneumonectomy for lung cancer: a comparative analysis of survival and sites or recurrences. , 2004, The Annals of thoracic surgery.

[17]  P. Dartevelle,et al.  Sleeve lobectomy for bronchogenic cancers: factors affecting survival. , 2002, The Annals of thoracic surgery.

[18]  D. Waller,et al.  Can pneumonectomy for non-small cell lung cancer be avoided? An audit of parenchymal sparing lung surgery. , 2002, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[19]  L. Voltolini,et al.  Survival after bronchoplastic lobectomy for non small cell lung cancer compared with pneumonectomy according to nodal status. , 2002, Journal of Cardiovascular Surgery.

[20]  H. Schäfers,et al.  Bronchial and bronchovascular sleeve resection for treatment of central lung tumors. , 2000, The Annals of thoracic surgery.

[21]  W. Brannath,et al.  Bronchoplastic procedures in malignant and nonmalignant disease: multivariable analysis of 144 cases. , 2000, Journal of Thoracic and Cardiovascular Surgery.

[22]  M. Okada,et al.  Survival related to lymph node involvement in lung cancer after sleeve lobectomy compared with pneumonectomy. , 2000, The Journal of thoracic and cardiovascular surgery.

[23]  G. Patterson,et al.  Favorable results after sleeve lobectomy or bronchoplasty for bronchial malignancies. , 1999, The Annals of thoracic surgery.

[24]  Y. Ichinose,et al.  Comparison of the surgical results of lobectomy with bronchoplasty and pneumonectomy for lung cancer , 1997, Journal of surgical oncology.

[25]  J. Wain,et al.  Survival and function after sleeve lobectomy for lung cancer. , 1996, The Journal of thoracic and cardiovascular surgery.

[26]  C. Thomas.  Conservative resection of the bronchial tree. , 1956, Journal of the Royal College of Surgeons of Edinburgh.