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Completion pneumonectomy for recurrent or second primary lung cancer.

M Muraoka1, T Oka, T Takahashi

  • 1First Department of Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8102, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|August 24, 2001
PubMed
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Completion pneumonectomy for recurrent or second primary lung cancer in 8 male patients showed a 75% complication rate and 12.5% mortality. Long-term survival was 37.5%, suggesting careful patient selection is crucial.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Completion pneumonectomy is a complex procedure for managing recurrent or second primary lung cancers.
  • Patient selection and risk stratification are critical for optimizing outcomes in these challenging cases.

Purpose of the Study:

  • To evaluate the outcomes of completion pneumonectomy in a cohort of patients with recurrent or second primary lung cancer.
  • To assess postoperative complications, mortality, and long-term survival following the procedure.

Main Methods:

  • Retrospective analysis of 8 male patients undergoing completion pneumonectomy.
  • Preoperative staging and prediction of postoperative pulmonary function (FEV1.0) were performed.
  • Outcomes including complications, mortality, and actuarial survival were recorded.

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Main Results:

  • The study included 6 patients with initial p-stage I and 2 with p-stage II disease.
  • Postoperative complications occurred in 6 patients (75% morbidity).
  • Overall operative mortality was 12.5% (1/8), with a 5-year actuarial survival of 37.5%.

Conclusions:

  • Completion pneumonectomy requires careful consideration, especially in patients with prior radiation therapy.
  • Patients with recurrent squamous cell carcinoma (p-stage I) or second primary lung cancer (p-stage I/II) may achieve long-term survival.
  • The procedure can be considered for select patients with a potentially satisfactory prognosis.