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[Reoperation for recurrent or second primary lung cancer]

Y Yamato¹, T Hirono, T Souma

¹Second Department of Surgery, Ni igata University School of Medicine, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery

|January 1, 1995

Summary

Aggressive surgery for recurrent or second primary lung cancers offers a survival benefit. Reoperation, including wedge resection and segmentectomy, is recommended for improved outcomes in lung cancer patients.

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Area of Science:

Thoracic Surgery
Surgical Oncology
Pulmonary Medicine

Background:

Lung cancer recurrence and second primary tumors necessitate reoperation.
Previous surgical interventions include lobectomy, pneumonectomy, and segmentectomy.

Purpose of the Study:

To evaluate the outcomes of second or third pulmonary resections for recurrent and second primary lung cancers.
To determine optimal surgical strategies for reoperation in lung cancer patients.

Main Methods:

Retrospective analysis of 20 patients undergoing second or third pulmonary resections between 1975 and 1994.
Detailed review of initial and subsequent surgical procedures, including resections for recurrent and multiple primary lung cancers.

Main Results:

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No operative deaths occurred following second and third operations.
The overall 5-year survival rate after a second operation was 32.3%.
Survival rates were 28.6% for recurrent lung cancers and 31.2% for second primary lung cancers.

Conclusions:

An aggressive surgical approach is warranted for reappearing lung tumors.
Recommended standard procedures include wedge resection for recurrent lung cancers, completion pneumonectomy for ipsilateral primary lung cancers, and segmentectomy for contralateral primary lung cancers.