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European Journal of Cardio-Thoracic Surgery, Vol 6, 639-640, Copyright © 1992 by European Association for Cardio-thoracic Surgery

ARTICLES

Cancer surgery on a single residual lung

P Levasseur, JF Regnard, P Icard and P Dartevelle
Service de Chirurgie Thoracique et Vasculaire, Hopital Marie Lannelongue, Le Plessis Robinson, France.

A series of nine patients with single lungs operated on for lung cancer is reported. This represents 10% of all the synchronous and metachronous lung cancers operated during the same period. There were three early postoperative deaths and a further three patients died subsequently at 15, 20 and 24 months, respectively, after operation; the remaining three are alive 6, 12 and 29 months, respectively, following their surgery. The analysis of the results of this small series indicates that wedge and segmental resection, when feasible, may be undertaken in patients with a single lung with reasonable life expectancy. The fact that lobectomy is not tolerated in such patients emphasizes the importance of early diagnosis when minimal local excision can be undertaken.

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