Survival following resection for second primary XXXX .

@entity1 @entity5 @entity153
A second resective procedure has been done on 64 @entity1 with multiple primary @entity153 , and a third operation has been performed in six. Fifty-three initial resections and all repeat procedures were performed at Rush-Presbyterian-St. Luke's Medical Center. Six @entity1 had @entity5 , and in the 58 with metachronous disease the cumulative probability of @entity5 -free interval was 47% at 3 years. The initial resection performed was pneumonectomy in seven, lobectomy in 40, and segmentectomy in 17 @entity1 . At the second operation, segmental resection was done in 41, lobectomy in six, completion lobectomy in four, and completion pneumonectomy in 13 @entity1 . At the third operation, segmentectomy was done in three, completion lobectomy in two, and completion pneumonectomy in one @entity1 . Ten @entity1 had a @entity5 of different histologic type identified at the second procedure, but all @entity1 with three operations had the same @entity5 cell type in each specimen. Six @entity1 died following the second operation (a postoperative mortality of 9.3%), but there were no deaths in the six @entity1 undergoing three procedures. Cumulative survival following the second resection was 36% at 5 years, 22% at 10 years and 13% at 15 years. In summary, second or third surgical efforts for reappearing @entity5 are justified and have significantly prolonged survival. The use of segmental or subsegmental resective techniques have provided superior survival results.
