Surgical resection and survival of patients with unsuspected single node positive lung cancer (NSCLC) invading the descending aorta

Peter Wex, Thomas Graeter, Francesco Zaraca, Victor Haas, Steffen Decker, Hansanali Bugdayev & Heinrich Ebner
Background: Surgical treatment of non-small cell lung cancer (NSCLC) with aortic invasion is still debated. Methods: Thirteen patients with locally advanced (T4) NSCLC and invasion of the descending aorta underwent pneumonectomy (n=9) or lobectomy (n=4) together with aorta en bloc resection and reconstruction (n=8) or subadventitial dissection (n=5), complete lymph node dissection, and had microscopic unsuspected node metastasis at N1 (n=5) and N2/3 (n=8) levels of whom 12 received radiation therapy. Clamp-and-sew was used to...