Our Summary

This research paper looks at the outcomes of a specific type of surgery for lung cancer, known as ‘second anatomical pulmonary resection’, performed at the researchers’ medical institution. This surgery is used when lung cancer returns in the same lung (referred to as ‘ipsilateral metachronous lung cancer’) after the patient has already had a portion of their lung removed in a previous surgery.

The study reviewed the cases of 16 patients (10 men and 6 women, with an average age of 70) who had this surgery between 2009 and 2020. All surgeries took place on the right lung, and different portions of the lung were removed depending on the patient’s previous surgery and cancer growth.

After surgery, three patients experienced complications, and three patients passed away during the follow-up period. Out of the 13 patients still alive, six had their cancer return. However, overall, the survival rate five years after surgery was 80%, which the researchers consider to be a satisfactory outcome.

Despite the small number of cases, the researchers conclude that this type of surgery can be a good option for treating lung cancer that returns in the same lung after previous surgery.

FAQs

  1. What is ‘second anatomical pulmonary resection’ and when is it used?
  2. What were the overall outcomes for patients who had a ‘second anatomical pulmonary resection’?
  3. What is the survival rate five years after a ‘second anatomical pulmonary resection’ surgery?

Doctor’s Tip

A doctor might tell a patient undergoing lung resection to follow their post-operative care instructions closely, including taking prescribed medications, attending follow-up appointments, and avoiding smoking or exposure to secondhand smoke. They may also advise the patient to engage in gentle exercise to aid in their recovery and to contact their healthcare provider immediately if they experience any concerning symptoms such as shortness of breath, chest pain, or fever. It is important for the patient to communicate openly with their healthcare team throughout the recovery process.

Suitable For

Patients who are typically recommended for lung resection are those with early-stage lung cancer that has not spread to other parts of the body. Additionally, patients who have a good overall health status and are able to undergo surgery are considered for lung resection. In the case of ‘ipsilateral metachronous lung cancer’, like in the study mentioned above, patients who have already had a portion of their lung removed in a previous surgery may be recommended for a second anatomical pulmonary resection if the cancer returns in the same lung.

It is important for patients to discuss their specific case with their healthcare provider to determine if lung resection is the best treatment option for them. Factors such as the stage of the cancer, the patient’s overall health, and the potential risks and benefits of the surgery will all be taken into consideration when making a recommendation for lung resection.

Timeline

Before lung resection:

  1. Patient undergoes initial diagnosis of lung cancer through imaging tests and biopsies.
  2. Treatment options are discussed, and surgery is recommended as the best course of action.
  3. Patient undergoes pre-operative preparation, which may include tests, consultations, and lifestyle adjustments.
  4. Surgery is scheduled, and the patient is admitted to the hospital.
  5. Lung resection surgery is performed to remove the portion of the lung affected by cancer.

After lung resection:

  1. Patient wakes up in the recovery room post-surgery and is monitored closely for any complications.
  2. Patient is transferred to a hospital room for further recovery and pain management.
  3. Patient undergoes post-operative care, including physical therapy, breathing exercises, and monitoring of vital signs.
  4. Patient is discharged from the hospital and continues recovery at home, following a prescribed care plan.
  5. Patient attends follow-up appointments with their healthcare team to monitor recovery, discuss any concerns, and review next steps in treatment or surveillance.

What to Ask Your Doctor

  1. What is the success rate of this type of surgery for lung cancer that returns in the same lung after previous surgery?
  2. What are the potential complications or risks associated with lung resection surgery?
  3. How long is the recovery period after lung resection surgery?
  4. Will I need any additional treatments, such as chemotherapy or radiation therapy, after the surgery?
  5. How often will I need follow-up appointments and scans to monitor for cancer recurrence?
  6. Are there any specific lifestyle changes or precautions I should take after undergoing lung resection surgery?
  7. How experienced is the surgical team in performing this type of surgery?
  8. What is the likelihood of the cancer returning after this surgery?
  9. Are there any alternative treatment options for lung cancer that returns in the same lung after previous surgery?
  10. What can I do to improve my chances of a successful outcome after lung resection surgery?

Reference

Authors: Sakurai H, Tsubochi H, Minegishi K, Myobatake R, Shibano T, Otani S, Kanai Y, Yamamoto S, Endo S. Journal: Kyobu Geka. 2021 Jan;74(1):28-32. PMID: 33550316