Pulmonary resection after pneumonectomy in patients with bronchogenic carcinoma
Eight patients with a previous pneumonectomy for bronchogenic carcinoma underwent an additional resection because of a second primary carcinoma in the remaining lung. One patient died of pulmonary embolism in the postoperative period. The postoperative course was otherwise uneventful except for prol...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 1993-11, Vol.106 (5), p.868-874 |
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| container_title | The Journal of thoracic and cardiovascular surgery |
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| creator | Westermann, Cornelis J.J. van Swieten, Henry A. de la Rivière, Aart Brutel van den Bosch, Jules M.M. Duurkens, Vincent A.M. |
| description | Eight patients with a previous pneumonectomy for bronchogenic carcinoma underwent an additional resection because of a second primary carcinoma in the remaining lung. One patient died of pulmonary embolism in the postoperative period. The postoperative course was otherwise uneventful except for prolonged air leak. Two patients died after 3 months (bone metastasis) and 5 months (recurrent small-cell carcinoma). Two patients were alive at the time this article was written but had evidence of recurrence after 18 months (distant metastasis) and 21 months (local recurrence at the site of positive resection margins). Three patients were alive and doing well without evidence of disease after 16, 17, and 40 months. After careful selection, even patients with a previous pneumonectomy may be good candidates for additional resection of a second primary bronchogenic carcinoma. |
| doi_str_mv | 10.1016/S0022-5223(19)34041-3 |
| format | Article |
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One patient died of pulmonary embolism in the postoperative period. The postoperative course was otherwise uneventful except for prolonged air leak. Two patients died after 3 months (bone metastasis) and 5 months (recurrent small-cell carcinoma). Two patients were alive at the time this article was written but had evidence of recurrence after 18 months (distant metastasis) and 21 months (local recurrence at the site of positive resection margins). Three patients were alive and doing well without evidence of disease after 16, 17, and 40 months. After careful selection, even patients with a previous pneumonectomy may be good candidates for additional resection of a second primary bronchogenic carcinoma.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/S0022-5223(19)34041-3</identifier><identifier>PMID: 8231209</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Carcinoma - mortality ; Carcinoma - physiopathology ; Carcinoma - surgery ; Carcinoma, Bronchogenic - mortality ; Carcinoma, Bronchogenic - physiopathology ; Carcinoma, Bronchogenic - surgery ; Female ; Follow-Up Studies ; Humans ; Lung Neoplasms - mortality ; Lung Neoplasms - physiopathology ; Lung Neoplasms - surgery ; Male ; Medical sciences ; Middle Aged ; Neoplasms, Second Primary - surgery ; Pneumonectomy ; Reoperation ; Respiratory Mechanics ; Surgery (general aspects). 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One patient died of pulmonary embolism in the postoperative period. The postoperative course was otherwise uneventful except for prolonged air leak. Two patients died after 3 months (bone metastasis) and 5 months (recurrent small-cell carcinoma). Two patients were alive at the time this article was written but had evidence of recurrence after 18 months (distant metastasis) and 21 months (local recurrence at the site of positive resection margins). Three patients were alive and doing well without evidence of disease after 16, 17, and 40 months. After careful selection, even patients with a previous pneumonectomy may be good candidates for additional resection of a second primary bronchogenic carcinoma.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma - mortality</subject><subject>Carcinoma - physiopathology</subject><subject>Carcinoma - surgery</subject><subject>Carcinoma, Bronchogenic - mortality</subject><subject>Carcinoma, Bronchogenic - physiopathology</subject><subject>Carcinoma, Bronchogenic - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - physiopathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasms, Second Primary - surgery</subject><subject>Pneumonectomy</subject><subject>Reoperation</subject><subject>Respiratory Mechanics</subject><subject>Surgery (general aspects). 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| subjects | Aged Biological and medical sciences Carcinoma - mortality Carcinoma - physiopathology Carcinoma - surgery Carcinoma, Bronchogenic - mortality Carcinoma, Bronchogenic - physiopathology Carcinoma, Bronchogenic - surgery Female Follow-Up Studies Humans Lung Neoplasms - mortality Lung Neoplasms - physiopathology Lung Neoplasms - surgery Male Medical sciences Middle Aged Neoplasms, Second Primary - surgery Pneumonectomy Reoperation Respiratory Mechanics Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system |
| title | Pulmonary resection after pneumonectomy in patients with bronchogenic carcinoma |
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