Second primary lung cancer after bronchial sleeve resection

Extended sleeve lobectomy for lung cancer: The avoidance of pneumonectomy

“…If a second primary lung cancer develops, subsequent resection may be offered to selected patients. 8,9 Although in most cases sleeve lobectomy may involve resection of one lobe or of the right middle and lower lobes, we have tried various complex atypical resections for patients with noncompromised lung function and larger centrally located tumors to avoid pneumonectomy. This study summarizes our experi-T he risk of perioperative mortality and morbidity is greater for pneumonectomy than for smaller pulmonary resections.…”

Follow-up and Surveillance of the Lung Cancer Patient Following Curative-Intent Therapy*

“…Consistent with these findings has been the observation that central lung cancers that have been treated with sleeve resection also may have a high rate of metachronous tumors. Van Schil et al 47 found that metachronous tumors developed in 11 of 145 patients undergoing sleeve resection.…”