Survival after incomplete resection or exploratory thoracotomy in patients with advanced non small cell lung cancer

G. B. Ratto, F. Fabiano, S. Rovida, F. Baracco, M. De Palma

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

In order to evaluate the effects of incomplete resection or exploratory thoracotomy on survival, 75 patients with Stage III non small-cell lung cancer (NSCLC) were studied. Twenty-five subjects underwent incomplete resection, 25 had exploratory thoracotomy and 25 patients who were denied surgery served as controls. Standard radio-therapy and chemotherapy regimens were given to most patients. The 2-year survival rates were 14%, 7% and 9% following incomplete resection, exploratory thoracotomy or conservative treatment, respectively. The survival curve was significantly worse in the exploratory thoracotomy group than in the control group (p <0.05). Major complications occurred in 2 patients after incomplete resection (bronchopleural fistula; chylothorax) and in 3 patients following surgical exploration (atelectasis). Two post-operative deaths were recorded in the exploratory thoracotomy group. In conclusion, the survival rate at 2 years in patients with Stage III NSCLC is not modified by incomplete or exploratory surgery. Moreover, exploration seems to worsen the outlook of patients during the first 2 years from diagnosis.

Original languageEnglish
Pages (from-to)377-383
Number of pages7
JournalItalian Journal of Surgical Sciences
Volume18
Issue number4
Publication statusPublished - 1988

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Thoracotomy
Non-Small Cell Lung Carcinoma
Survival
Survival Rate
Chylothorax
Pulmonary Atelectasis
Radio
Fistula
Drug Therapy
Control Groups

ASJC Scopus subject areas

  • Surgery

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Survival after incomplete resection or exploratory thoracotomy in patients with advanced non small cell lung cancer. / Ratto, G. B.; Fabiano, F.; Rovida, S.; Baracco, F.; De Palma, M.

In: Italian Journal of Surgical Sciences, Vol. 18, No. 4, 1988, p. 377-383.

Research output: Contribution to journalArticle

Ratto, G. B. ; Fabiano, F. ; Rovida, S. ; Baracco, F. ; De Palma, M. / Survival after incomplete resection or exploratory thoracotomy in patients with advanced non small cell lung cancer. In: Italian Journal of Surgical Sciences. 1988 ; Vol. 18, No. 4. pp. 377-383.
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