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 journalArticlepeer-review


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
Issue number1
Publication statusPublished - 2002


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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery


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