{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:18Z","timestamp":1740126858307,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Carinal sleeve resection with pneumonectomy is one of the rarest procedures in thoracic surgery, but for locally advanced central lung cancer with infiltration of the carina, it is an option to achieve complete resection. Additionally, it might be the method of choice for patients with stump insufficiency after pneumonectomy or in the cases with anastomosis dehiscence after sleeve lobectomy. The aim of this study was to evaluate the morbidity and long-term survival of patients with non-small-cell lung cancer (NSCLC) who underwent sleeve pneumonectomy, either for curative intent or as an option to treat postoperative complications.<\/jats:p><jats:p>\n          Methods\u2003All consecutive patients with NSCLC who underwent carinal sleeve pneumonectomy for the aforementioned indications in our department between December 2021 and September 2003 were included in this study. An analysis of demographic characteristics, perioperative variables, and long-term survival was carried out. Data were evaluated retrospectively.<\/jats:p><jats:p>\n          Results\u2003Fifty patients underwent pneumonectomy with carina sleeve resection. Thirty-one cases for curative treatment of NSCLC (primary sleeve pneumonectomy [pSP]) and 19 patients were treated because of postpneumonectomy bronchial stump insufficiency or bronchial anastomosis dehiscence (secondary sleeve pneumonectomy [sSP]). Complications occurred in 30 patients (60%) and the 90-day mortality was 18% (n\u2009=\u20099). Patients with pSP had an estimated overall survival of 39.6 months, compared to estimated overall survival for patients after sSP of 24.5 months (p\u2009=\u20090.01). The N status did not appear to affect outcomes.<\/jats:p><jats:p>\n          Conclusion\u2003Carinal sleeve resection with pneumonectomy is a feasible procedure with limited morbidity and mortality. This procedure is a reasonable therapeutic option for patients with locally advanced central NSCLC after mandatory patient selection.<\/jats:p>","DOI":"10.1055\/a-2199-2164","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T23:12:22Z","timestamp":1698361942000},"page":"242-249","source":"Crossref","is-referenced-by-count":0,"title":["Pneumonectomy with Carinal Sleeve Resection in Patients with Non-Small-Cell Lung Cancer"],"prefix":"10.1055","volume":"72","author":[{"given":"Dominik","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Thoraxzentrum Ruhrgebiet, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urim","family":"Starova","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Thoraxzentrum Ruhrgebiet, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Oggiano","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Thoraxzentrum Ruhrgebiet, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiza Alexandra","family":"Luta","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Thoraxzentrum Ruhrgebiet, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1764-9514","authenticated-orcid":false,"given":"Shadi","family":"Hamouri","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Urology, Jordan University of Science and Technology, Faculty of Medicine, Irbid, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Ewig","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Infectious Diseases, Thoraxzentrum Ruhrgebiet, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erich","family":"Hecker","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Thoraxzentrum Ruhrgebiet, Herne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Scheubel","sequence":"additional","affiliation":[{"name":"Clinic of Thoracic Surgery, Waldburg-Zeil Clinic, Wangen im Allg\u00e4u, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,12,6]]},"reference":[{"issue":"S 04","key":"ref1","doi-asserted-by":"crossref","first-page":"iv1","DOI":"10.1093\/annonc\/mdx222","article-title":"Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up","volume":"28","author":"P E Postmus","year":"2017","journal-title":"Ann 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