Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis

<p>Abstract</p> <p>Aim</p> <p>It is controversial that whether sleeve lobectomy (SL) should be promoted more worthy than pneumonectomy (PN) in suitable patients.</p> <p>Methods</p> <p>We searched all studies that had been published in English fro...

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Main Authors: Shi Woda, Zhang Wei, Sun Haoliang, Shao Yongfeng
Format: Article
Language:English
Published: BMC 2012-12-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:http://www.wjso.com/content/10/1/265
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author Shi Woda
Zhang Wei
Sun Haoliang
Shao Yongfeng
author_facet Shi Woda
Zhang Wei
Sun Haoliang
Shao Yongfeng
author_sort Shi Woda
collection DOAJ
description <p>Abstract</p> <p>Aim</p> <p>It is controversial that whether sleeve lobectomy (SL) should be promoted more worthy than pneumonectomy (PN) in suitable patients.</p> <p>Methods</p> <p>We searched all studies that had been published in English from PUBMED and Embase which compared the short-term and long-term outcomes of SL and pneumonectomy (PN) in patients with non-small cell lung cancer (NSCLC).</p> <p>Results</p> <p>Nineteen studies met our criteria with a combined total of 3878 subjects, of which 1316 (33.9%) underwent SL and 2562 (66.1%) underwent PN. The odds ratio was 0.50 (95% CI: 0.34-0.72) for postoperative mortality, 1.17 (95% CI: 0.82-1.67) for postoperative complications, 0.78 (95% CI: 0.47-1.29) for locoregional recurrences. The risk difference for 1-, 3-, 5- year was 0.11 (95% CI: 0.07-0.14), 0.15 (95% CI: 0.06-0.24), 0.15 (95% CI: 0.09-0.20),respectively. The pooled hazard ratio was 0.63 (95% CI: 0.56-0.71) in favor of SL group.</p> <p>Conclusion</p> <p>SL is more worthy to be done than PN in suitable patients with less mortality and better long-term survival.</p>
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spelling doaj.art-1f08d340b0794662805956cb4e64b2f62022-12-21T20:56:21ZengBMCWorld Journal of Surgical Oncology1477-78192012-12-0110126510.1186/1477-7819-10-265Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysisShi WodaZhang WeiSun HaoliangShao Yongfeng<p>Abstract</p> <p>Aim</p> <p>It is controversial that whether sleeve lobectomy (SL) should be promoted more worthy than pneumonectomy (PN) in suitable patients.</p> <p>Methods</p> <p>We searched all studies that had been published in English from PUBMED and Embase which compared the short-term and long-term outcomes of SL and pneumonectomy (PN) in patients with non-small cell lung cancer (NSCLC).</p> <p>Results</p> <p>Nineteen studies met our criteria with a combined total of 3878 subjects, of which 1316 (33.9%) underwent SL and 2562 (66.1%) underwent PN. The odds ratio was 0.50 (95% CI: 0.34-0.72) for postoperative mortality, 1.17 (95% CI: 0.82-1.67) for postoperative complications, 0.78 (95% CI: 0.47-1.29) for locoregional recurrences. The risk difference for 1-, 3-, 5- year was 0.11 (95% CI: 0.07-0.14), 0.15 (95% CI: 0.06-0.24), 0.15 (95% CI: 0.09-0.20),respectively. The pooled hazard ratio was 0.63 (95% CI: 0.56-0.71) in favor of SL group.</p> <p>Conclusion</p> <p>SL is more worthy to be done than PN in suitable patients with less mortality and better long-term survival.</p>http://www.wjso.com/content/10/1/265Meta-analysisSleeve lobectomyPneumonectomyNon-small cell lung cancer
spellingShingle Shi Woda
Zhang Wei
Sun Haoliang
Shao Yongfeng
Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis
World Journal of Surgical Oncology
Meta-analysis
Sleeve lobectomy
Pneumonectomy
Non-small cell lung cancer
title Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis
title_full Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis
title_fullStr Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis
title_full_unstemmed Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis
title_short Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis
title_sort sleeve lobectomy versus pneumonectomy for non small cell lung cancer a meta analysis
topic Meta-analysis
Sleeve lobectomy
Pneumonectomy
Non-small cell lung cancer
url http://www.wjso.com/content/10/1/265
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AT zhangwei sleevelobectomyversuspneumonectomyfornonsmallcelllungcancerametaanalysis
AT sunhaoliang sleevelobectomyversuspneumonectomyfornonsmallcelllungcancerametaanalysis
AT shaoyongfeng sleevelobectomyversuspneumonectomyfornonsmallcelllungcancerametaanalysis