Lung Resection for Non-Small Cell Lung Cancer following Bronchoscopic Lung Volume Reduction for Heterogenous Emphysema. 2024

Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
Division of Thoracic Surgery, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.

Bronchoscopic lung volume reduction (BLVR) is a minimally invasive treatment for emphysema. Lung cancer may be associated with emphysema due to common risk factors. Thus, a growing number of patients undergoing BLVR may develop lung cancer. Herein, we evaluated the effects of lung resection for non-small cell lung cancer in patients undergoing BLVR. The clinical data of patients undergoing BLVR followed by lung resection for NSCLC were retrospectively reviewed. For each patient, surgical and oncological outcomes were recorded to define the effects of this strategy. Eight patients were included in our series. In all cases but one, emphysema was localized within upper lobes; the tumor was detected during routine follow-up following BLVR and it did not involve the treated lobe. The comparison of pre- and post-BLVR data showed a significant improvement in FEV1 (29.7 ± 4.9 vs. 33.7 ± 6.7, p = 0.01); in FVC (28.5 ± 6.6 vs. 32.4 ± 6.1, p = 0.01); in DLCO (31.5 ± 4.9 vs. 38.7 ± 5.7, p = 0.02); in 6MWT (237 ± 14 m vs. 271 ± 15 m, p = 0.01); and a reduction in RV (198 ± 11 vs. 143 ± 9.8, p = 0.01). Surgical resection of lung cancer included wedge resection (n = 6); lobectomy (n = 1); and segmentectomy (n = 1). No major complications were observed and the comparison of pre- and post-operative data showed no significant reduction in FEV1% (33.7 ± 6.7 vs. 31.5 ± 5.3; p = 0.15) and in DLCO (38.7 ± 5.7 vs. 36.1 ± 5.4; p = 0.15). Median survival was 35 months and no cancer relapses were observed. The improved lung function obtained with BLVR allowed nonsurgical candidates to undergo lung resection for lung cancer.

UI MeSH Term Description Entries

Related Publications

Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
February 2005, The Annals of thoracic surgery,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
January 2005, Respiration; international review of thoracic diseases,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
January 2012, Respiration; international review of thoracic diseases,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
July 2014, Ugeskrift for laeger,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
June 2012, The European respiratory journal,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
May 2008, Proceedings of the American Thoracic Society,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
March 2006, Orvosi hetilap,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
August 2022, Seminars in respiratory and critical care medicine,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
August 2023, Zentralblatt fur Chirurgie,
Alfonso Fiorelli, and Beatrice Leonardi, and Gaetana Messina, and Luca Luzzi, and Piero Paladini, and Chiara Catelli, and Fabrizio Minervini, and Peter Kestenholz, and Leonardo Teodonio, and Antonio D'Andrilli, and Erino Angelo Rendina, and Giovanni Natale
January 2024, Current opinion in pulmonary medicine,
Copied contents to your clipboard!