PULMONARY FISSURE COMPLETENESS: A TOOL FOR STRATIFICATION OF SURGICAL RISK OF LUNG CANCER

Background: Lung cancer is the most common cause of cancer-related deaths in both developing and developed countries. The non-small-cell lung cancer accounts for 85% of all lung cancer cases. The degree of pulmonary fissure completeness (PFC) is an important parameter for surgeons while performing lobectomy surgeries, a standard procedure for non-small-cell lung cancer. Fissural anatomy in cadaveric specimens might be more representative of the findings which surgeons might expect during thoracic surgery. Therefore, the objectives of the current study were to estimate degree of Pulmonary Fissure Completeness (PFC) in cadaveric lung specimens & to estimate their Fissure Development Score (FDS) & Fissure Sum Average (FSA). A cross-sectional study was conducted over a period of 2 months on 48 lun Methodology: g specimens obtained during routine dissection. Parameters like circumference & thickness of lungs, depth of fissures were recorded to estimate PFC, FDS & FSA. Results: Statistical analysis was performed using the SPSS Version 20. Mean & standard deviation was calculated for the relevant parameters. Regression analysis was done for certain parameters. P – values of <0.01 were regarded as statistically significant. Inclusion of degree Conclusion: of pulmonary fissure completeness (PFC) as an assessment model for determining the risk of lung cancer patients might lead to better postoperative results. A decreased FSA score also decreases the postoperative morbidity of patients.