Background Bilateral lung neoplasms are becoming more common, but distinguishing two primary lung cancers from metastatic disease can be difficult and only long-term follow-up after treatment can disclose the real behavior of the disease. The present study aimed to identify the appropriate candidates for bilateral surgical resections from the perspective of short-term postoperative complications and long-term outcomes. Methods Two hundred and fifteen consecutive patients undergoing bilateral pulmonary resection for lung cancers over a 20-year period were analyzed. Preoperative patient characteristics were noted, including demographic information, operative details, pathologic information including histology and tumor stage according to the eighth edition of the tumor nodes metastases staging system, and the use of neoadjuvant or adjuvant treatments. Results Patients receiving the second pulmonary resection more than 24 months from the first procedure as well as patients receiving bilateral lobectomies had higher overall 3-, 5-, and 10-year survival rates compared with the others. Conclusion Patients receiving the second resection more than 24 months from the first procedure have the best long-term results irrespective of the type of resection.

Petrella, F., Frassoni, S., Bagnardi, V., Casiraghi, M., Brambilla, D., Diotti, C., et al. (2020). Surgical Treatment of Bilateral Lung Cancers: Long-Term Outcomes and Prognostic Factors. THORACIC AND CARDIOVASCULAR SURGEON, 68(7), 646-651 [10.1055/s-0039-1685472].

Surgical Treatment of Bilateral Lung Cancers: Long-Term Outcomes and Prognostic Factors

Frassoni, Samuele;Bagnardi, Vincenzo;
2020

Abstract

Background Bilateral lung neoplasms are becoming more common, but distinguishing two primary lung cancers from metastatic disease can be difficult and only long-term follow-up after treatment can disclose the real behavior of the disease. The present study aimed to identify the appropriate candidates for bilateral surgical resections from the perspective of short-term postoperative complications and long-term outcomes. Methods Two hundred and fifteen consecutive patients undergoing bilateral pulmonary resection for lung cancers over a 20-year period were analyzed. Preoperative patient characteristics were noted, including demographic information, operative details, pathologic information including histology and tumor stage according to the eighth edition of the tumor nodes metastases staging system, and the use of neoadjuvant or adjuvant treatments. Results Patients receiving the second pulmonary resection more than 24 months from the first procedure as well as patients receiving bilateral lobectomies had higher overall 3-, 5-, and 10-year survival rates compared with the others. Conclusion Patients receiving the second resection more than 24 months from the first procedure have the best long-term results irrespective of the type of resection.
No
Articolo in rivista - Articolo scientifico
Scientifica
lung neoplasms; surgery;
English
646
651
6
Petrella, F., Frassoni, S., Bagnardi, V., Casiraghi, M., Brambilla, D., Diotti, C., et al. (2020). Surgical Treatment of Bilateral Lung Cancers: Long-Term Outcomes and Prognostic Factors. THORACIC AND CARDIOVASCULAR SURGEON, 68(7), 646-651 [10.1055/s-0039-1685472].
Petrella, F; Frassoni, S; Bagnardi, V; Casiraghi, M; Brambilla, D; Diotti, C; Spaggiari, L
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/261766
Citazioni
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 0
Social impact