@article{oai:kanazawa-u.repo.nii.ac.jp:00044670, author = {Watanabe, Shun-ichi and Oda, Makoto and Tomita, Y. and Tazawa, K. and Oyama, K. and Hirano, Y. and Nozaki, Z. and Ohta, Yasuhiko and Murakami, Shinya and Urayama, Hiroshi and Watanabe, Yoh and 渡辺, 俊一 and 小田, 誠 and 富田, 剛治 and 田沢, 希久子 and 尾山, 佳永子 and 平能, 康充 and 野崎, 善成 and 太田, 安彦 and 村上, 眞也 and 浦山, 博 and 渡辺, 洋宇}, issue = {1}, journal = {胸部外科 = 日本心臓血管外科学会雑誌, The Japanese journal of thoracic surgery}, month = {Jan}, note = {From 1973 to 1998, we resected and reconstructed the great vessels in 44 patients with primary lung cancer or mediastinal tumor. Among them, 39 patients (28 with lung cancer and 11 with mediastinal tumor) and 5 patients (all with lung cancer) underwent reconstruction of the superior vena cava (SVC) and aorta, respectively. The SVC was repaired by expanded polytetrafluoroethylene (EPTFE) graft (n = 8), prosthetic patch (n = 5) or direct suture (n = 26). The aorta was repaired with temporary subclavian artery-descending aorta (n = 3), or left atrium-femoral artery bypass (n = 2). No complication or operative death occurred after surgery. The survival rate of the patients with lung cancer who underwent SVC reconstruction at 3 year and 5 year were 26.2% and 11.2%, respectively. Five of 11 (45.5%) patients with mediastinal tumor are alive at 5 years. We concluded that extended resection for primary lung cancer or mediastinal tumor invading the SVC is acceptable operation method for some patients., 金沢大学医薬保健研究域医学系}, pages = {4--7}, title = {大血管再建を伴った肺癌および縦隔腫瘍切除例の検討}, volume = {52}, year = {1999} }