title: Cancer resection on the residual lung after pneumonectomy for bronchogenic carcinoma.
abstract: BACKGROUND
  After pneumonectomy for bronchogenic carcinoma, the residual lung may be the site of a new lung cancer or metastatic spread.
  
  
  METHODS
  From 1989 to 1995, 13 patients with carcinoma on the residual lung after pneumonectomy for lung cancer were operated on. Three segmentectomies and 7 simple wedge resections were performed, 2 patients had multiple wedge resections, and 1 patient had an exploratory thoracotomy. Nine patients had a primary metachronous bronchogenic carcinoma, 3 had metastases from bronchogenic carcinoma, and no definite conclusion was reached in 1 case.
  
  
  RESULTS
  No postoperative mortality was observed. Four patients had postoperative complications. The mean postoperative hospital stay was 14 days. Seven patients are alive, including 5 patients without evidence of disease. Six patients died of their disease, all with pulmonary recurrences. The overall median survival was 19 months, with a probability of survival at 3 years (Kaplan-Meier) of 46% (95% confidence interval, 22% to 73%).
  
  
  CONCLUSIONS
  Limited pulmonary resection for lung cancer after pneumonectomy for bronchogenic carcinoma is feasible with very low morbidity. In highly selected patients, surgical resection might prolong survival.
authors.affiliation: Department of Thoracic Surgery, Institut Mutualiste Montsouris, Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Spaggiari
authors.forename: D
authors.initials: D
authors.lastname: Grunenwald
authors.forename: P
authors.initials: P
authors.lastname: Girard
authors.forename: P
authors.initials: P
authors.lastname: Baldeyrou
authors.forename: M
authors.initials: M
authors.lastname: Filaire
authors.forename: G
authors.initials: G
authors.lastname: Dennewald
authors.forename: O
authors.initials: O
authors.lastname: Saint-Maurice
authors.forename: L
authors.initials: L
authors.lastname: Tric
mesh_terms: D000328:Adult; D000368:Aged; D002283:Carcinoma, Bronchogenic / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000601:surgery; D011013:Pneumonectomy; D011183:Postoperative Complications; D015996:Survival Rate