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Pulmonary resection in patients after pneumonectomy
The Annals of Thoracic Surgery
|September 1, 1985
Summary
Pulmonary resection after pneumonectomy is feasible, offering prolonged survival for patients with secondary lung tumors. This study shows low operative mortality and worthwhile outcomes for carefully selected patients.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Pneumonectomy, a major lung resection, presents challenges for subsequent pulmonary interventions.
- Development of new lesions in the remaining lung after pneumonectomy requires careful management.
Purpose of the Study:
- To evaluate the feasibility and outcomes of pulmonary resection in patients who have previously undergone pneumonectomy.
- To assess the survival rates and operative mortality associated with secondary lung tumor resection post-pneumonectomy.
Main Methods:
- Retrospective analysis of 15 patients who underwent a second pulmonary resection after a prior pneumonectomy.
- Resections included lobectomy and wedge excisions for primary or metastatic malignancies.
Main Results:
- Low operative mortality was observed.
- Six patients are alive with long-term follow-up; three have no evidence of disease, and three have recurrent disease.
- Survival ranged from 18 to 73 months post-second operation.
Conclusions:
- Pulmonary resection following pneumonectomy is a feasible procedure.
- Resection of secondary lung tumors after pneumonectomy can lead to prolonged and meaningful survival.