[Resected cases with primary XXXX after preoperative high dose irradiation].

@entity1 @entity5 @entity2 @entity260 @entity292
After greater than 60 gray (Gy) irradiation, we performed the pulmonary resection in the 18 primary @entity2 cases. The mean irradiation dose to the @entity5 was 68.2 (range 60-101) Gy, and the mean irradiation dose to the bronchial stump was 47.1 (range 0-82) Gy. Median time from end of irradiation to surgical resection was 136 (range 20-894) days. One partial resection, 9 single lobectomies, 3 double lobectomies, and 5 pneumonectomies were done. Mainly, we closed the bronchial stump by the automatic stapling device and additional hand suturing. The bronchial stump was covered in the 12 cases by the owner stalk thymus, the intercostals muscular flap, the omentum flap, and et al. The major @entity260 due to preoperative irradiation were not seen. @entity292 did not occur. Pathologically, the wall of the submucosal capillary vessels were getting thick in the @entity1 operated more than 3 months later after irradiation. In such cases with the decrease of the blood flow, the bronchial stump should be covered. The pulmonary resection after the high dose irradiation was considered to be tolerable.
