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 journalArticlepeer-review

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

ASJC Scopus subject areas

  • Surgery

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