TY  - JOUR
AU  - Bertoglio, Pietro
AU  - Lyberis, Paraskevas
AU  - Viti, Andrea
AU  - Terzi, Alberto C.
AU  - Guerrera, Francesco
PY  - 2017
TI  - Surgery after pneumonectomy: it is all a matter of balance
JF  - AME Medical Journal; Vol 2 (November 2017): Ame Medical Journal
Y2  - 2017
KW  - 
N2  - Pneumonectomy is a feasible and sometimes necessary therapeutic option in case of resectable central lung cancer (1); nevertheless, postoperative morbidity and mortality are higher compared with more limited lung resections. Consequently, pneumonectomy is often defined as “a disease itself” and a careful preoperative work-up providing good lung function and performance status is required (2). In case of a second metachronous cancer in the contralateral lung after pneumonectomy, the correct choice on the best therapeutic path to follow is not always easy to make and a multidisciplinary discussion is therefore mandatory. However, surgical option should not be a priori excluded, even though locally advanced cancer stages, lymph-node involvement after the first intervention as well as an impaired pulmonary function and cardiovascular performance status should be considered exclusion criteria for any additional lung resection.
UR  - https://amj.amegroups.org/article/view/4158