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Reoperation for recurrent bronchogenic carcinoma.

O S Nielsen, J Boas, S Bertelsen

Scandinavian Journal of Thoracic and Cardiovascular Surgery

|January 1, 1984

Summary

Reoperation for recurrent bronchogenic carcinoma (lung cancer) is rarely recommended. While nine patients underwent a second surgery, only two remain tumor-free, suggesting limited benefit except in highly selective cases.

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Area of Science:

Thoracic Surgery
Surgical Oncology
Pulmonology

Background:

Bronchogenic carcinoma (lung cancer) can recur after initial surgical treatment.
The efficacy of reoperation for recurrent lung cancer is not well-established.

Purpose of the Study:

To evaluate the outcomes of patients undergoing a second operation for recurrent bronchogenic carcinoma.
To determine the feasibility and success rate of reoperation in selected lung cancer cases.

Main Methods:

Retrospective analysis of 869 patients primarily operated on for bronchogenic carcinoma.
Identification of nine patients who underwent a second operation for tumor recurrence.
Detailed review of surgical procedures, intervals between operations, and patient outcomes.

Main Results:

The median interval between the first and second operation was 16 months.
Surgical procedures for recurrence varied, including ipsilateral and contralateral resections.
Out of nine patients, four are alive, but only two are tumor-free after short-term follow-up.

Conclusions:

Reoperation for recurrent bronchogenic carcinoma shows limited success.
The study does not support routine reoperation for lung cancer recurrence.
Reoperation should be considered only in very rare, carefully selected individual cases.

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