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[Completion Pneumonectomy for the Recurrence of Lung Cancer]
Ryota Myobatake1, Hiroyoshi Tsubochi, Keisuke Ono
1Department of Thoracic Surgery, Jichi Medical University, Shimotsuke, Japan.
Introductions:
The morbidity and mortality after completion pneumonectomy (CP) are reportedly high. We, herein, report the outcomes of CP at our institution.
Subjects:
Nine consecutive patients [7 men and 2 women, average age of 72 years(range 44~84 years)] who underwent CP for recurrence of lung cancer during 2012~2018 were retrospectively reviewed.
Results:
Right-sided sleeve CP was performed in two cases and left-sided CP in seven cases. The indications for surgery were lymph node metastasis of the cancer, pulmonary metastasis, and bronchial stump recurrence in 4, 3, and 2 cases, respectively. Postoperative complications occurred in six patients. One of the patients who underwent right sleeve pneumonectomy developed bronchopleural fistula and died 68 days after the surgery. The mean follow-up period was 33 months, and four patients died during follow-up. Of the 5 patients still alive, 4 had no recurrence and 1 had recurrence in the stump of the main bronchus. The five-year overall survival rate was 78%.
Conclusions:
Although only few cases were assessed, the prognosis after CP at our institution was relatively good.
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