Abstract
Objective: to review the surgical experience of intrapericardial pneumonectomy for lung cancer. Methods: 59 patients with lung cancer received intrapericardial pneumonectomy. Results: Intrapericardial pneumonectomy was done in 41.8% of all pnermonectomies for lung cancer during 1958 to 2000. The operative mortality rate was 3.4%; the morbidity rate was 13.6%. 1-, 3- and 5-year surviv al rates were 86.0%, 31.6% and 26.3%, respectively. None of three patients with small cell carcinoma survived more than three years. There was no significant difference in mortality and morbidity rate between intrapericardial pneumonectomy and the routine pneumonectomy (P＞0.05). The prognoses were similar in both group, but they were better than exploration group. Conclusion: Intrapericardial pneumonectomy improves the resectability rate, the quality of life and 5-year survival rate.
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