Three cases of sleeve segmentectomy for central-type squamous cell carcinoma with impaired lung function due to COPD

DOI 26 References
  • Nagasawa Ayako
    Niigata University Medical and Dental Hospital, Department of Thoracic and Cardiovascular Surgery
  • Tsuchida Masanori
    Niigata University Medical and Dental Hospital, Department of Thoracic and Cardiovascular Surgery
  • Hashimoto Takehisa
    Niigata University Medical and Dental Hospital, Department of Thoracic and Cardiovascular Surgery
  • Shinohara Hirohiko
    Niigata University Medical and Dental Hospital, Department of Thoracic and Cardiovascular Surgery
  • Hayashi Jun-ichi
    Niigata University Medical and Dental Hospital, Department of Thoracic and Cardiovascular Surgery

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  • 閉塞性換気障害を合併した肺門型扁平上皮癌に対して気管支形成を伴う区域切除を行った３例

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Sleeve segmentectomy for central-type squamous cell carcinoma of the lung was performed in three patients with impaired lung function. All patients were male, and their preoperative FEV1.0 (FEV1.0%) was 1,070 ml (37.8%), 1,020 ml (41.0%), and 1,240 ml (51.2%), respectively. Since the predicted postoperative FEV1.0 after lobectomy was estimated to be less than 700 ml/m2 in each case, sleeve segmentectomy was performed to preserve the lung function as much as possible. The surgical procedures were S6 segmentectomy with bronchoplasty, sleeve segmentectomy of the left superior segment, and sleeve segmentectomy of the left apical segment (S1+2). The pathological stage was I B, II B, and I A. Two patients were alive without any evidence of recurrence fifty and eighty-one months after surgery. One patient died of gastric cancer without the recurrence of lung cancer.

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