Completion pneumonectomy for non-small cell lung cancer: Experience with 59 cases

A. Terzi, A. Lonardoni, G. Falezza, P. Scanagatta, A. Santo, G. Furlan, F. Calabrò

Research output: Contribution to journalArticle

Abstract

Objective: The objective of this study was to assess the results of completion pneumonectomy performed for non-small cell lung cancer, classified as second primary or recurrence/metastasis. Methods: From 1982 to 2000, 59 patients underwent completion pneumonectomy for lung cancer, classified second primary or recurrence/metastasis according to a modified form of Martini's criteria, after a mean interval from first resection of 60 months for second primary lung cancers and 19 months for recurrences/metastases. Results: Operative mortality was 3.4% and complications occurred in 30% of patients. Five-year survival rate for completely resected patients was 25% (median 20 months). No significant difference in long-term survival was detected between second primary and recurrent tumors; survival was not adversely affected by a resection interval of less than 2 years or less than 12 months. Conclusions: Completion pneumonectomy for non-small cell lung cancer is a safe surgical procedure in experienced hands; long-term survival is acceptable and the best results are obtained for stage I lung cancer. Distinction between second primary lung cancer and recurrence failed to demonstrate a prognostic value.

Original languageEnglish
Pages (from-to)30-34
Number of pages5
JournalEuropean Journal of Cardio-thoracic Surgery
Volume22
Issue number1
DOIs
Publication statusPublished - 2002

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Pneumonectomy
Non-Small Cell Lung Carcinoma
Lung Neoplasms
Recurrence
Second Primary Neoplasms
Neoplasm Metastasis
Survival
Survival Rate
Mortality
Neoplasms

Keywords

  • Completion pneumonectomy
  • Local recurrence
  • Lung cancer
  • Second primary lung cancer

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Completion pneumonectomy for non-small cell lung cancer : Experience with 59 cases. / Terzi, A.; Lonardoni, A.; Falezza, G.; Scanagatta, P.; Santo, A.; Furlan, G.; Calabrò, F.

In: European Journal of Cardio-thoracic Surgery, Vol. 22, No. 1, 2002, p. 30-34.

Research output: Contribution to journalArticle

Terzi, A. ; Lonardoni, A. ; Falezza, G. ; Scanagatta, P. ; Santo, A. ; Furlan, G. ; Calabrò, F. / Completion pneumonectomy for non-small cell lung cancer : Experience with 59 cases. In: European Journal of Cardio-thoracic Surgery. 2002 ; Vol. 22, No. 1. pp. 30-34.
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