Is it safe and worthwhile to perform pulmonary resection after contralateral pneumonectomy

摘要: Abstract A best evidence topic was written according to a structured protocol. The question addressed whether pulmonary resection is safeand worthwhile in patients who have undergone previous pneumonectomy. total of 141 studies were identified using the reportedsearch, which 8 represented answer clinical question. Studies on multiple lung cancers with undergo-ing subsequent after pneumonectomy, without outcome data specifically for this group and casereports, not included analysis. authors, date, journal, country, study type, population, outcomes key results are tabu-lated. All retrospective. In total, 102 underwent contralateral which96 had sublobar resections 6 lobectomies. Postoperative complications, reported four eight studies, ranged from 21 to44% (mean 36.8%). Fourof no mortalityafter following pneumonectomy,whereas other mortality rates 6.7 43%. For undergoing resections, postoperative mortalitywas 6.2% (6/96), while those submitted lobectomy, 33.3% (2/6). Five-year survival 14% metastaticdisease 50% metachronous cancer. Due infrequent situation patient being considered resectionafter analysis based limited number reports. Nevertheless, ofthe suggests that metastatic or disease can be performed acceptable morbidity lowmortality appropriately selected previously Sublobar treatment ofchoicewhenever possible, long-term rewarding especially cancer.Keywords:Lung cancer •Pneumonectomy •Multiple •Metastatic