Author of

• 18670

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  P3.04 - Poster Session with Presenters Present (ID 474)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/07/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 18695

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    P3.04-025 - Repeated Lung Resection of Ipsilateral Lung Cancer That is Detected after Segmentectomy for Primary Lung Cancer (ID 4526)

    14:30 - 14:30  |  Author(s): T. Goto
    • Abstract

    Background:
    Small peripheral lung cancer has increasingly been treated by segmentectomy as a limited resection for both curative and compromised intent. Few reports have described repeated resection of a new lesion originating in the lung of same side during postoperative follow-up.
    
    Methods:
    We experienced five cases of repeated ipsilateral lung resection after segmentectomy. Clinicopathological data and operative procedure were analyzed retrospectively.
    
    Results:
    Figure 1 The reason of limited resection for the first lung cancer was compromised intent in three cases and curative intent in two cases. Median time to second operation after initial resection was 63 months (20 to 106 months). Preoperative pulmonary function test before repeated operation was normal in all cases. In four cases, location of second cancer was in the same lobe of the first cancer. Procedure of repeated resection was partial resection in one, segmentectomy in two, completion lobectomy in one and completion pneumonectomy in one. All tumor were resected completely. There was no morbidity nor mortality. Histological diagnosis of second cancer was surgical-margin recurrence in two, second primary cancer in three. All cases except partial resection required intrapericardial vascular exposure due to severe adhesion around pulmonary artery and vein. Among five cases, completion lobectomy of the left upper lobe was the most difficult surgery due to adhesion between pulmonary artery and bronchus.
    
    
    
    Conclusion:
    Repeated resection of ipsilateral lung cancer detected after segmentectomy was undergone safely. The difficulty of the procedure depends on the location of the tumor and the type of procedures.