초록접수 현황
| 17F-109 | 포스터 발표 |
Complete Resection of Primary Lung Cancer Invading the Left Atrium under Cardiopulmonary Bypass: Two Cases of Left Upper and Left Lower Lobectomy
Young Woo Do, Joon Yong Cho, Deok Heon Lee
Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University College of Medicine, Daegu, Republic of Korea
Purpose : Resections of locally advanced lung cancer invading the left atrium (LA) are still challenging. Lung resections under cardiopulmonary bypass (CPB) are also rarely offered because of concerns of an inevitably poor prognosis or of CPB-induced tumor dissemination.
Methods : Here, we report two successful cases of complete resection of locally advanced lung cancer invading the LA with the support of CPB via median sternotomy.
Results : Both patients complained of cough and hemoptysis. A 34-year-old male patient’s chest computed tomography scan revealed a 5×5-cm pulmonary mass in the left lower lobe that had extensively invaded the left atrium. The other 66-year-old male patient’s scan revealed a 4.5×5.5-cm pulmonary mass in the left upper lobe with extensive invasions of the left atrium. The patients’ conditions were discussed at a multidisciplinary conference before performing the resections with CPB. The patients underwent left lower lobectomy and left upper lobectomy, respectively. The total CPB durations were 109 and 127 minutes, total operation duration were 200 and 225 minutes, and total anesthesia durations were 245 and 255 minutes, respectively. Pathological examinations revealed synovial sarcoma and squamous cell carcinoma with clear resection margins, respectively. The patients were discharged on postoperative days 9 and 12, respectively, without complications.
Conclusion : The operations with CPB in the locally advanced lung cancer patients were performed safely and quickly. Left side lobectomy was possible without many difficulties through a median sternotomy. Our experiences encourage the application of CPB in extended left pulmonary resections to achieve complete resection.
Methods : Here, we report two successful cases of complete resection of locally advanced lung cancer invading the LA with the support of CPB via median sternotomy.
Results : Both patients complained of cough and hemoptysis. A 34-year-old male patient’s chest computed tomography scan revealed a 5×5-cm pulmonary mass in the left lower lobe that had extensively invaded the left atrium. The other 66-year-old male patient’s scan revealed a 4.5×5.5-cm pulmonary mass in the left upper lobe with extensive invasions of the left atrium. The patients’ conditions were discussed at a multidisciplinary conference before performing the resections with CPB. The patients underwent left lower lobectomy and left upper lobectomy, respectively. The total CPB durations were 109 and 127 minutes, total operation duration were 200 and 225 minutes, and total anesthesia durations were 245 and 255 minutes, respectively. Pathological examinations revealed synovial sarcoma and squamous cell carcinoma with clear resection margins, respectively. The patients were discharged on postoperative days 9 and 12, respectively, without complications.
Conclusion : The operations with CPB in the locally advanced lung cancer patients were performed safely and quickly. Left side lobectomy was possible without many difficulties through a median sternotomy. Our experiences encourage the application of CPB in extended left pulmonary resections to achieve complete resection.
책임저자: Deok Heon Lee
Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University College of Medicine, Daegu, Republic of Korea
발표자: Young Woo Do, E-mail : cssurgery12@gmail.com