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J Thorac Cardiovasc Surg 2003;125:787-788
© 2003 The American Association for Thoracic Surgery

Editorials

Local control without resection

Thomas A. D'Amico, MD

From the Department of Surgery, Duke University Medical Center, Durham, NC.

Received for publication Sept 9, 2002. Accepted for publication Sept 19, 2002. Address for reprints: Thomas A. D'Amico, MD, Duke University Medical Center, Department of Surgery, Box 3496, Durham, NC 27710 (E-mail: damic001@mc.duke.edu).

The first 20% of the full text of this article appears below.

See related article on page 929.

Resection of early-stage non-small cell lung cancer (NSCLC) remains the standard of care for patients whose condition is considered operable on the basis of the following criteria: Complete (R0) resection is technically achievable; postresection pulmonary function is adequate; and coexisting medical conditions do not contraindicate general anesthesia and surgery. Although anatomic resection is considered the optimal procedure for NSCLC, some patients, who could not tolerate lobectomy, may nevertheless benefit from more limited (wedge) resection. In addition, selected patients with isolated pulmonary metastases may benefit from limited pulmonary resection, based on the following criteria: The primary malignant tumor is controlled; there is no evidence of extrathoracic disease; the pulmonary involvement is considered completely resectable with adequate postresection pulmonary reserve; and no other therapy (medical) . . . [Full Text of this Article]


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J. Thorac. Cardiovasc. Surg. 2003 125: 929-937. [Abstract] [Full Text] [PDF]





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