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lüll Factors affecting survival after bronchoplasty and broncho-angioplasty for lung cancer: single institutional review of 147 patients Nagayasu T; Matsumoto K; Tagawa T; Nakamura A; Yamasaki N; Nanashima AEur J Cardiothorac Surg 2006[Apr]; 29 (4): 585-90OBJECTIVE: We compared the results of bronchoplasty and bronchoplasty with pulmonary angioplasty (broncho-angioplasty). Multivariate analysis was done to determine potential prognostic factors for both procedures based on our 20-year single-center experience. METHODS: Between January 1985 and December 2004, 163 bronchoplastic procedures were done in 1405 patients who underwent lung resections for lung cancer at Nagasaki University Hospital. After excluding 16 carino-plasty patients, 147 patients (118 bronchoplasty and 29 broncho-angioplasty) were included. RESULTS: In the bronchoplasty group, the postoperative morbidity was 22.9% (27/118) and the 90-day postoperative mortality was 5.9% (7/118), while in the broncho-angioplasty group the postoperative morbidity was 27.6% (8/29) and the postoperative mortality was 17.2% (5/29). The 5-year survival for all patients was 56.0%. Among patients with stage I or II, the 5-year survival was 76.2% in the bronchoplasty group and 51.9% in the broncho-angioplasty group (p=0.1791). On the other hand, among patients with stage III or IV, 5-year survival was 43.5% in the bronchoplasty group and 7.9% in the broncho-angioplasty group (p=0.0192). Multivariate analysis indicated that the type of operation, postoperative complications, histologic type, and pN status were significant factors affecting survival. CONCLUSIONS: Both bronchoplasty and broncho-angioplasty are useful for the treatment of patients with lung cancer and should be performed in stage I or II. However, careful patient selection is mandatory in patients with advanced tumor stages and in those with nonsquamous cell carcinoma, especially if broncho-angioplasty is being considered.|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Angioplasty/*methods[MESH]|Bronchi/*surgery[MESH]|Chemotherapy, Adjuvant[MESH]|Child[MESH]|Epidemiologic Methods[MESH]|Female[MESH]|Humans[MESH]|Lung Neoplasms/pathology/*surgery/therapy[MESH]|Male[MESH]|Middle Aged[MESH]|Neoplasm Staging[MESH]|Pneumonectomy[MESH]|Postoperative Complications[MESH]|Prognosis[MESH]|Radiotherapy, Adjuvant[MESH]|Treatment Outcome[MESH] |