Surgical options for complete resectable lung cancer invading the phrenic nerve.

We describe a 58-year-old male diagnosed with a tumour of the left lung, which on subsequent thoracotomy proved to be invading the phrenic nerve. The clinical and spirometric outcome of a lobectomy, which resulted in a postoperative ipsilateral hemidiaphragmatic paralysis, versus the alternative surgical option of a pneumonectomy is discussed.

Sleeve lobectomy for non-small cell lung cancer.

Unlabelled: Sleeve lobectomy is a procedure in which the involved lobe with part of the main stembronchus is removed. The remaining lobe (s) is reimplanted on the main stembronchus. This procedure is indicated for central tumors of the lung as an alternative to pneumonectomy.

Clinical-radiological presentation and outcome of surgically treated pulmonary carcinoid tumours: a long-term single institution experience.

Purpose: To determine the presenting features and the outcome of surgically treated pulmonary carcinoid tumours.

Methods: Retrospective analysis of all consecutive cases with preoperatively suspected or proven pulmonary carcinoid, treated between 1964 and 1994, in order to have full 5-year survival data.

Results: Seventy-three patients were retrieved, six had a postoperative histology other than carcinoid.

Practical approach to patients presenting with multiple synchronous suspect lung lesions: a reflection on the current TNM classification based on 54 cases with complete follow-up.

Objectives: To examine the survival after surgical treatment of patients presenting with two synchronous suspect lung lesions, and to reflect on the recent TNM classification, which has upgraded patients with two malignant lung lesions of the same histology into the T4 (both lesions in the same ipsilateral lobe) or M1 (different lobes or lungs) category.

Methods: Retrieval of all consecutive patients with a diagnosis of two synchronous suspect lung lesions in the prospective database of the Leuven Lung Cancer Group in the interval between 1990 and 1994. Analysis of characteristics and survival of all patients, who underwent surgical resection with intention to cure for both lesions.

Pulmonary sequestration: a comparison between pediatric and adult patients.

Objective: Modern large single institutional reports on pulmonary sequestration (PS) are extremely rare. We were interested in comparing patients with PS referred by our pediatric versus adult pulmonologists.

Methods: Hospital notes of all patients operated on between 1978 and 1997 for a congenital broncho-pulmonary malformation were reviewed.