Applicability of Pulmonary Lobectomy in Treating Metastatic Lung Tumors

Purpose: Although metastases to the lung from other organs are usually removed with limited lung resections (e.g., wedge resections or segmentectomies), pulmonary lobectomies are often required to remove whole pulmonary tumors. This study investigated the clinical applicability of pulmonary lobectom...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2015, Vol.21(3), pp.189-193
Main Authors: Okamoto, Tatsuro, Kitahara, Hirokazu, Shimamatsu, Shinichiro, Morodomi, Yosuke, Tagawa, Tetsuzo, Maehara, Yoshihiko
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Humans
Japan
Kaplan-Meier Estimate
lobectomy
Lung Neoplasms - mortality
Lung Neoplasms - secondary
Lung Neoplasms - surgery
Male
Metastatic lung tumor
Middle Aged
Original
Pneumonectomy - adverse effects
Pneumonectomy - methods
Pneumonectomy - mortality
prognosis
Proportional Hazards Models
Retrospective Studies
Risk Factors
segmentectomy
Time Factors
Treatment Outcome
wedge resection
Young Adult
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Summary:Purpose: Although metastases to the lung from other organs are usually removed with limited lung resections (e.g., wedge resections or segmentectomies), pulmonary lobectomies are often required to remove whole pulmonary tumors. This study investigated the clinical applicability of pulmonary lobectomies to treat metastatic lung tumors.Methods: We retrospectively reviewed clinical records of 143 consecutive patients with metastatic tumors in the lung who underwent surgery in our department, including data sets for 100 patients treated for their first metastatic lung tumors.Results: Of the 100 patients, 23 received pulmonary lobectomies, 69 received wedge resections and eight received segmentectomies. Patients in the lobectomy group were more likely to be younger, have larger and/or multiple tumors, and to have tumors of musculoskeletal origin (sarcomas) than those who underwent segmentectomies or wedge resections (the limited resection group). The two groups did not significantly differ in survival (3-year survival rate; lobectomy vs limited resection: 75.2% vs 80.4%, P = 0.15), or post-operative morbidity, although the only post-operative morbidity was associated with post-operative prognosis in the lobectomy group.Conclusions: Pulmonary lobectomy is a safe and applicable surgical procedure for metastatic lung tumors when long survival is expected after the tumor resection.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.oa.14-00183