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Eur J Cardiothorac Surg 2002;22:30-34
© 2002 Elsevier Science NL

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

^a Division of Thoracic Surgery , Ospedale Maggiore, Azienda Ospedaliera, Verona, Italy
^b Division of Medical Oncology, Azienda Ospedaliera/University of Verona, Verona, Italy

Received 12 September 2001; received in revised form 27 March 2002; accepted 5 April 2002.

* Corresponding author. Tel. +39-045-8072312; fax: +39-045-8072046
e-mail: aterzi{at}tiscalinet.it

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.

Key Words: Lung cancer • Completion pneumonectomy • Second primary lung cancer • Local recurrence

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