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Chinese Journal of Thoracic Surgery(Electronic Edition) ›› 2018, Vol. 05 ›› Issue (01): 6-9. doi: 10.3877/cma.j.issn.2095-8773.2018.01.02

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical analysis of local recurrence after radical resection of lung cancer

Xiaokai Zhang1, Chunyi Jia1, Lixin Zhang1, Zhe Wang1, Shaolin Sun1, Qiwen Wang1,()   

  1. 1. Department of Thoracic Surgery, Jilin Province Tumor Hospital, Changchun 130012, China
  • Received:2017-04-10 Online:2018-02-28 Published:2018-02-28
  • Contact: Qiwen Wang
  • About author:
    Corresponding author: Wang Qiwen, Email:

Abstract:

Objective

To investigate the clinical effect of partial resection of lung cancer after radical resection of lung cancer.

Methods

A retrospective analysis of the clinical data of 1 127 cases of Jilin Province Tumor Hospital Department of Thoracic Surgery from January 2010 to January 2012, during the period for radical resection of lung cancer patients, duration of 5 years of follow-up, 98 patients with local recurrence. According to the patient’s heart and lung function and the clinical stage of tumor, including 37 cases of lung cancer recurrence underwent re excision (thoracotomy for lung cancer in 16 cases, full thoracoscopic lung resection in 21 cases), 61 cases underwent conservative treatment (17 cases underwent radiotherapy, 39 cases of targeted therapy, 5 cases of traditional Chinese medicine and symptomatic treatment).

Results

Ninety-eight cases of patients with local recurrence in patients with local recurrence, first open surgery rate was 8.6% (57/665), patients with local recurrence for thoracoscope surgery rate was 8.9% (41/462), the two groups had no statistically significant difference (P=0.564). But for the first time for thoracoscopic surgery in patients with relapse surgery department the proportion is 51.2% (21/41), significantly higher than the proportion of patients with reoperation for open surgery (28.1%, 16/57), the difference was statistically significant (P=0.039). Again 1, 3, 5 surgery group after survival, the rates were 86.5% (32/37), 40.5% (15/37) and 29.7% (11/37), significantly higher than those in the conservative group (81.9%) (50/61), 26.2% (16/61) and 14.8% (9/61) (P=0.048).

Conclusions

Strict control over pulmonary resection indications for primary lung cancer after radical surgery for patients with total resection of pulmonary side can get good survival, is an effective way to treat lung cancer recurrence after surgery. Patients with local recurrence after surgery again for the first time thoracoscope surgery more than open surgery patients for the first time.

Key words: Radical resection of lung cancer, Local recurrence, Resection

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