Pneumonectomy for lung metastases: Indications, risks, and outcome

Lorenzo Spaggiari, Dominique H. Grunenwald, Philippe Girard, Piergiorgio Solli, Thierry Le Chevalier

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Resection of pulmonary metastases (PM) by pneumonectomy is infrequently performed and benefits are uncertain. Methods. From 1985 to 1995, 42 patients underwent pneumonectomy for PM. Twenty-nine patients had PM from sarcomas, 12 patients from carcinomas, and 1 patient from melanoma. The indications for pneumonectomy were pulmonary recurrences in 12 patients, PM centrally located in 26 patients, and high number of PM in 4 patients. There were 11 intrapericardial and 6 extended pneumonectomies. The average number of PM resected was 3. Twenty-two patients (52%) had lymph nodes involvement. Results. There were 2 postoperative deaths (4.8%) related to pneumonectomy and one death within 30 days for rapidly evolving disease; 4 patients (9.5%) had major postoperative complications that were medically treated. Five patients (12%) were operated on for recurrences on the residual lung. At the completion of the study, 12 patients were still alive, 8 without recurrences. The median survival was 6.5 months (range, 1 to 144 months); the 5-year survival was 16.8%. Conclusions. Pneumonectomy should not be considered an absolute contraindication in patients with PM, but the poor outcome of our series suggests strict criteria of selection.

Original languageEnglish
Pages (from-to)1930-1933
Number of pages4
JournalAnnals of Thoracic Surgery
Volume66
Issue number6
DOIs
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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