Result Summary for Survey: Approaches to surgical management after induction therapy for resectable lung cancer [1]
Approaches to surgical management after induction therapy for resectable
lung cancer.
This survey was posted during January and February, 2007.
- There were a total of 71 survey respondents, most of whom were
from North America and Europe. - The majority of surgeons perform resection between 2 and 6
weeks after completion of induction therapy. - The preferred surgical approach is a muscle sparing thoracotomy
or a lateral thoracotomy. - The vast majority of surgeons perform routine lymph node dissection
or, less commonly, lymph node sampling as part of the operation. - Most surgeons staple the bronchus, the majority preferring
use of a stapler that does not also cut the tissue. - Three fourths of surgeons routinely use a local tissue flap
to cover the bronchial stump.
Assume for purposes of this survey that the patient in question
is a 60 year old man who has a peripheral T2 RUL lung squamous cell cancer for
which chemotherapy (2 cycles, platinum based) and radiation therapy (55 Gy) were
administered for biopsy-proven N2 disease. A substantial clinical response
to the treatment has been documented. The patient is a good surgical risk from
a cardiopulmonary standpoint.
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Approaches to surgical management after induction therapy for resectable
lung cancer.
This survey was posted during January and February, 2007.
- There were a total of 71 survey respondents, most of whom were
from North America and Europe. - The majority of surgeons perform resection between 2 and 6
weeks after completion of induction therapy. - The preferred surgical approach is a muscle sparing thoracotomy
or a lateral thoracotomy. - The vast majority of surgeons perform routine lymph node dissection
or, less commonly, lymph node sampling as part of the operation. - Most surgeons staple the bronchus, the majority preferring
use of a stapler that does not also cut the tissue. - Three fourths of surgeons routinely use a local tissue flap
to cover the bronchial stump.
Assume for purposes of this survey that the patient in question
is a 60 year old man who has a peripheral T2 RUL lung squamous cell cancer for
which chemotherapy (2 cycles, platinum based) and radiation therapy (55 Gy) were
administered for biopsy-proven N2 disease. A substantial clinical response
to the treatment has been documented. The patient is a good surgical risk from
a cardiopulmonary standpoint.
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