Surgical treatment of pulmonary recurrence after hepatectomy for XXXX .

@entity1 @entity420 @entity14 @entity3
BACKGROUND/AIMS: Although pulmonary recurrence is frequent among the extrahepatic recurrences after hepatectomy, the efficacy of surgical treatment for pulmonary recurrence after hepatectomy has not been confirmed. Surgical resection of pulmonary recurrence after hepatectomy for colorectal @entity3 was reviewed retrospectively to evaluate the survival benefit. METHODOLOGY: From 1990 to 1995, 10 of the 17 @entity1 with pulmonary recurrence after hepatectomy for colorectal @entity3 underwent surgical treatment. Ten @entity1 underwent resection of pulmonary recurrence. RESULTS: Operative mortality was 0%, and a postoperative complication was observed in 1 @entity1 after pulmonary metastasectomy. The overall 5-year survival rate after pulmonary metastasectomy was 10.0%, and the median survival was 21.7 (range: 2.4-77.9) months. One @entity1 underwent resection two times for remnant lung recurrence after first lung metastasectomy, and is alive with no evidence of recurrence 77.9 months after the first pulmonary resection, and 50.7 months after the third pulmonary resection. In 3 @entity1 with well-differentiated @entity420 , the median survival time was 6.2 months (range: 2.4-9.7). The other hands, 7 @entity1 with moderately differentiated @entity420 have a longer median survival time of 29.2 months (range: 16.0-77.9). CONCLUSIONS: Pulmonary metastasectomy after hepatectomy for @entity3 from @entity14 is a safe treatment, and might offer prolonged survival for highly selected @entity1 .
