The Journal of Thoracic and Cardiovascular Surgery
Volume 125, Issue 1 , Pages 101-107 , January 2003

Intraoperative lavage cytologic analysis of surgical margins in patients undergoing limited surgery for lung cancer

Received 18 December 2001 ,Revised 2 July 2002 ,Accepted 15 July 2002.

References 

  1. Kodama K, Doi O, Yasuda T, Higashiyama M, Yokouchi H. Radical laser segmentectomy for T1 N0 lung cancer. Ann Thorac Surg. 1992;54:1193–1195
  2. Yano T, Yokoyama H, Yoshino I, Tayama K, Asoh H, Hata K, et al.  Results of a limited resection for compromised or poor-risk patients with clinical stage I non-small cell carcinoma of the lung. J Am Coll Surg. 1995;181:33–37
  3. Martini N, Bains MS, Burt ME, Zakowski MF, McCormack P, Rusch VW, et al.  Incidence of local recurrence and second primary tumors in resected stage I lung cancer. J Thorac Cardiovasc Surg. 1995;109:120–129
  4. Kodama K, Doi O, Higashiyama M, Yokouchi H. Intentional limited resection for selected patients with T1 N0 M0 non-small-cell lung cancer: a single-institute study. J Thorac Cardiovasc Surg. 1997;114:347–353
  5. Lacasse Y, Bucher HC, Wong E, Griffith L, Walter S, Ginsberg RJ, et al.  Incomplete resection in non-small cell lung cancer: need for a new definition. Canadian Lung Oncology Group. Ann Thorac Surg. 1998;65:220–226
  6. Tsubota N, Ayabe K, Doi O, Mori T, Namikawa S, Taki T, et al.  Ongoing prospective study of segmentectomy for small lung tumors. Study Group of Extended Segmentectomy for Small Lung Tumor. Ann Thorac Surg. 1999;67:1787–1790
  7. Okada M, Yoshikawa K, Hatta T, Tsubota N. Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller?. Ann Thorac Surg. 2001;71:956–960
  8. Kodama K, Higashiyama M, Yokouchi H, Takami K, Kuriyama K, Kusunoki Y, et al.  Natural history of pure ground-glass opacity after long-term follow-up of more than two years. Ann Thorac Surg. 2002;73:386–393
  9. Higashiyama M, Kodama K, Yokouchi H, Takami K, Mano M, Kido S, et al.  Prognostic value of bronchiolo-alveolar carcinoma component of small lung adenocarcinoma. Ann Thorac Surg. 1999;68:2069–2073
  10. Higashiyama M, Kodama K, Yokouchi H, Takami K, Nakayama T, Horai T. A novel test of the surgical margin in patients with lung cancer undergoing limited surgery: Lavage cytologic technique. J Thorac Cardiovasc Surg. 2000;120:412–413
  11. Higashiyama M, Kodama K, Takami K, Higaki N, Yokouchi H, Nakayama T, et al.  Intraoperative lavage cytologic analysis of surgical margins as a predictor of local recurrence in pulmonary metastasectomy. Arch Surg. 2002;137:469–474
  12. Kodama K, Doi O, Higashiyama M, Tatsuta M, Iwanaga T. Surgical management of lung metastases: usefulness of resection with the neodymium:yttrium-aluminum-garnet laser with median sternotomy. J Thorac Cardiovasc Surg. 1991;101:901–908
  13. Higashiyama M, Doi O, Kodama K, Yokouchi H, Tateishi R, Horai T, et al.  Pleural lavage cytology immediately after thoracotomy and before closure of the thoracic cavity for lung cancer without pleural effusion and dissemination: clinicopathological and prognostic analysis. Ann Surg Oncol. 1997;4:409–415
  14. Kodama K, Higashiyama M, Yokouchi H, Takami K, Kuriyama K, Mano M, et al.  Prognostic value of ground-glass opacity found in small lung adenocarcinoma on high-resolution CT scanning. Lung Cancer. 2001;33:17–25
  15. Sawabata N, Mori T, Iuchi K, Maeda H, Ohta M, Kuwahara O. Cytologic examination of surgical margin of excised malignant pulmonary tumor: methods and early results. J Thorac Cardiovasc Surg. 1999;117:618–619
  16. Jensik RJ. The extent of resection for localized lung cancer: segmental resection. In:  Kittle CF editors. Current controversies in thoracic surgery. Philadelphia: WB Saunders; 1986;p. 175–182
  17. Warren WH, Faber LP. Segmentectomy versus lobectomy in patients with stage I pulmonary carcinoma. J Thorac Cardiovasc Surg. 1994;107:1087–1094
  18. Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995;60:615–623

☆ Supported in part by Grant-in-Aid for Cancer Research 13-9 from the Ministry of Health, Labor, and Welfare of Japan.

☆☆ Address for reprints: Masahiko Higashiyama, MD, Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Nakamichi 1-3-3, Higashinari-ku, Osaka, 537-8511, Japan (E-mail: higamasa@rj8.so-net.ne.jp or higasiyama-ma@mc.pref.osaka.jp).

★ 0022-5223/2003 $30.00+0

PII: S0022-5223(02)73339-4

doi: 10.1067/mtc.2003.92

The Journal of Thoracic and Cardiovascular Surgery
Volume 125, Issue 1 , Pages 101-107 , January 2003

Article Tools

* Image Usage & Resolution