title: Completion pneumonectomy for lung cancer treatment: early and long term outcomes.
abstract: BACKGROUND
  To analyze the experience of completion pneumonectomy for lung cancer at a single institution in China.
  
  
  METHODS
  From January 1988 to December 2007, 92 patients underwent completion pneumonectomy for the treatment of lung cancer. The indications were second primary lung cancer (n=51), Local metastasis (n=37) and Lung metastasis (n=4). The median interval between the primary operation and CP was 24.4 months (1.5-145 m).
  
  
  RESULTS
  There was no intraoperative deaths. The CP procedure lasted 4.3 h (1.5-8 h). Blood loss in the CP performance was 1854.5 ml (200-9100 ml) 9 (9.78%) patients died in the postoperative period: pulmonary embolism (n = 2), disseminated intravascular coagulation (DIC) after the multisystem failure (n = 1), respiratory failure after contralateral pneumonia (n = 5), bronchopleural fistula (BPF) with acute respiratory distress syndrome (ARDS) (n = 1) 31(33.7%) patients had at least one major nonfatal complication. The 1, 3 and 5 year survival rates were 81%, 26% and 14% respectively.
  
  
  CONCLUSIONS
  Completion pneumonectomy for lung cancer is a safe surgical procedure for the skilled surgeon though it has a relatively higher complications and the long-term survival is acceptable.
authors.affiliation: Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, Peoples Republic of China.
authors.forename: Peng
authors.initials: P
authors.lastname: Zhang
authors.forename: Chao
authors.initials: C
authors.lastname: Jiang
authors.forename: Wenxin
authors.initials: W
authors.lastname: He
authors.forename: Nan
authors.initials: N
authors.lastname: Song
authors.forename: Xiao
authors.initials: X
authors.lastname: Zhou
authors.forename: Gening
authors.initials: G
authors.lastname: Jiang
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D012307:Risk Factors; D016896:Treatment Outcome