Ipsilateral Lung Resections for Postoperative Recurrent or Second Primary Lung Cancer

Masahiro Miyajima, Yucky Takahashi, Ryunosuke Maki, Makoto Tada, Kodai Tsuruta, Tajirou Mishina and Atsushi Watanabe

Department of Thoracic Surgery, Sapporo Medical University School of Medicine, Japan

^*Correspondance to: Masahiro Miyajima 

 PDF  Full Text DOI: 10.25107/2474-1647.2193

Abstract

in patients with local recurrent and second primary lung cancer, and to assess operative mortality and long-term outcomes.
Methods: The medical records of all patients who underwent a second ipsilateral lung resection for local recurrent and second primary lung cancer from 2000 to 2016 were reviewed.Results: Thirteen (0.9%) patients (group 1) had a local recurrence. The second operation consisted of completion pneumonectomy in three cases, completion lobectomy in two, segmentectomy in three, and wedge resection in five. The remaining eight (0.6%) patients (group 2) had a new primary lung cancer. The second pulmonary resection was completion pneumonectomy in one, completion lobectomy in one, lobectomy in four, and segmentectomy in two. Overall hospital mortality was 4.8%, including one postoperative death. Five-year survival after the second operation was 35% and 85% with a median survival of 29 and 36 months in groups 1 and 2, respectively (p>0.05).Conclusion: These long-term results justify the need for complete work-up of patients with ipsilateral local recurrent or second primary lung cancer in our hospital. Surgical treatment should be considered when the patients have no distant metastasis and are in good health.

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Cite the article

Miyajima M, Takahashi Y, Maki R, Tada M, Tsuruta K, Mishina T, et al. Ipsilateral Lung Resections for Postoperative Recurrent or Second Primary Lung Cancer. Clin Surg. 2018; 3: 2193.