title: [Stump recurrence after pulmonary metastasectomy from colorectal cancer].
abstract: Pulmonary metastasectomy with wedge resection is an ideal procedure in terms of less invasiveness and preservation of respiratory function, while local recurrence is a major problem. The goal of this study was to verify risk factors of stump recurrence after pulmonary metastasectomy from colorectal cancer. Pulmonary metastasectomies including 112 operations for 131 lesions in 85 patients with colorectal cancer were performed in our department since March, 2005 until the end of 2010. In our cases, stump recurrence significantly occurred in patients who underwent wedge resection than segmentectomy or lobectomy. Stump recurrence developed in 14 operations among 62 wedge resections (recurrence rate: 23%). Diameter more than 10 mm and distance between pleura and deepest end of the tumor (depth value) more than 14 mm were risk factors as stump recurrence. Tumor diameter and depth value can be a decisional factor for wedge resection in pulmonary metastasectomy in the colorectal cancer patients.
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kanai
authors.forename: Sayaka
authors.initials: S
authors.lastname: Mitsuda
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Nakano
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Endo
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Tezuka
authors.forename: Noriko
authors.initials: N
authors.lastname: Saito
authors.forename: Shinichi
authors.initials: S
authors.lastname: Otani
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Tsubochi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Kenji
authors.initials: K
authors.lastname: Tetsuka
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Endo
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D008297:Male; D059146:Metastasectomy; D009364:Neoplasm Recurrence, Local; D011013:Pneumonectomy