Thoracoscopic lobectomy as salvage surgery for local recurrence of non-small cell lung cancer after carbon ion radiotherapy in an initially operable patient

Seiichiro Sugimoto, Shinichi Toyooka, Ken Suzawa, Kouichi Ichimura, Osamu Fujii, Shinichiro Miyoshi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Carbon ion radiotherapy (CIRT) for patients with early-stage non-small cell lung cancer (NSCLC) has recently provided favorable local control with very few toxic reactions. Because CIRT for NSCLC has been mostly performed for elderly or inoperable patients, salvage surgery for NSCLC after CIRT has rarely been reported. We describe a case of complete thoracoscopic right upper lobectomy with mediastinal lymphadenectomy performed as salvage surgery for local recurrence of stage IA NSCLC after CIRT in an initially operable patient who had refused surgery 27 months previously. Pleural adhesions caused by CIRT were localized to the pulmonary apex and the central pulmonary structures were intact at the time of the salvage surgery, which allowed us to successfully perform thoracoscopic lobectomy without any complications. Thus, salvage surgery for NSCLC after CIRT may be feasible in an initially operable patient, as CIRT appears to be unlikely to cause any difficulties in the salvage surgery.

Original languageEnglish
Pages (from-to)501-504
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume20
DOIs
Publication statusPublished - 2014

Fingerprint

Heavy Ion Radiotherapy
Non-Small Cell Lung Carcinoma
Recurrence
Lung
Poisons
Lymph Node Excision

Keywords

  • Heavy ion radiotherapy
  • Lung cancer
  • Radiotherapy
  • Salvage therapy
  • Thoracoscopy

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Gastroenterology
  • Medicine(all)

Cite this

@article{44a9dbc7bba44d778f353b7d7d6030f7,
title = "Thoracoscopic lobectomy as salvage surgery for local recurrence of non-small cell lung cancer after carbon ion radiotherapy in an initially operable patient",
abstract = "Carbon ion radiotherapy (CIRT) for patients with early-stage non-small cell lung cancer (NSCLC) has recently provided favorable local control with very few toxic reactions. Because CIRT for NSCLC has been mostly performed for elderly or inoperable patients, salvage surgery for NSCLC after CIRT has rarely been reported. We describe a case of complete thoracoscopic right upper lobectomy with mediastinal lymphadenectomy performed as salvage surgery for local recurrence of stage IA NSCLC after CIRT in an initially operable patient who had refused surgery 27 months previously. Pleural adhesions caused by CIRT were localized to the pulmonary apex and the central pulmonary structures were intact at the time of the salvage surgery, which allowed us to successfully perform thoracoscopic lobectomy without any complications. Thus, salvage surgery for NSCLC after CIRT may be feasible in an initially operable patient, as CIRT appears to be unlikely to cause any difficulties in the salvage surgery.",
keywords = "Heavy ion radiotherapy, Lung cancer, Radiotherapy, Salvage therapy, Thoracoscopy",
author = "Seiichiro Sugimoto and Shinichi Toyooka and Ken Suzawa and Kouichi Ichimura and Osamu Fujii and Shinichiro Miyoshi",
year = "2014",
doi = "10.5761/atcs.cr.13-00223",
language = "English",
volume = "20",
pages = "501--504",
journal = "Annals of Thoracic and Cardiovascular Surgery",
issn = "1341-1098",
publisher = "Japanese Association for Coronary Artery Surgery",

}

TY - JOUR

T1 - Thoracoscopic lobectomy as salvage surgery for local recurrence of non-small cell lung cancer after carbon ion radiotherapy in an initially operable patient

AU - Sugimoto, Seiichiro

AU - Toyooka, Shinichi

AU - Suzawa, Ken

AU - Ichimura, Kouichi

AU - Fujii, Osamu

AU - Miyoshi, Shinichiro

PY - 2014

Y1 - 2014

N2 - Carbon ion radiotherapy (CIRT) for patients with early-stage non-small cell lung cancer (NSCLC) has recently provided favorable local control with very few toxic reactions. Because CIRT for NSCLC has been mostly performed for elderly or inoperable patients, salvage surgery for NSCLC after CIRT has rarely been reported. We describe a case of complete thoracoscopic right upper lobectomy with mediastinal lymphadenectomy performed as salvage surgery for local recurrence of stage IA NSCLC after CIRT in an initially operable patient who had refused surgery 27 months previously. Pleural adhesions caused by CIRT were localized to the pulmonary apex and the central pulmonary structures were intact at the time of the salvage surgery, which allowed us to successfully perform thoracoscopic lobectomy without any complications. Thus, salvage surgery for NSCLC after CIRT may be feasible in an initially operable patient, as CIRT appears to be unlikely to cause any difficulties in the salvage surgery.

AB - Carbon ion radiotherapy (CIRT) for patients with early-stage non-small cell lung cancer (NSCLC) has recently provided favorable local control with very few toxic reactions. Because CIRT for NSCLC has been mostly performed for elderly or inoperable patients, salvage surgery for NSCLC after CIRT has rarely been reported. We describe a case of complete thoracoscopic right upper lobectomy with mediastinal lymphadenectomy performed as salvage surgery for local recurrence of stage IA NSCLC after CIRT in an initially operable patient who had refused surgery 27 months previously. Pleural adhesions caused by CIRT were localized to the pulmonary apex and the central pulmonary structures were intact at the time of the salvage surgery, which allowed us to successfully perform thoracoscopic lobectomy without any complications. Thus, salvage surgery for NSCLC after CIRT may be feasible in an initially operable patient, as CIRT appears to be unlikely to cause any difficulties in the salvage surgery.

KW - Heavy ion radiotherapy

KW - Lung cancer

KW - Radiotherapy

KW - Salvage therapy

KW - Thoracoscopy

UR - http://www.scopus.com/inward/record.url?scp=84923822459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84923822459&partnerID=8YFLogxK

U2 - 10.5761/atcs.cr.13-00223

DO - 10.5761/atcs.cr.13-00223

M3 - Article

C2 - 24492171

AN - SCOPUS:84923822459

VL - 20

SP - 501

EP - 504

JO - Annals of Thoracic and Cardiovascular Surgery

JF - Annals of Thoracic and Cardiovascular Surgery

SN - 1341-1098

ER -