Short-term and long-term outcomes of repeated surgeries for lung metastases

Background . There is still no consensus on the feasibility of repeated surgeries for lung metastases. Aim To compare short-term and long-term outcomes primary Materials methods This retrospective study included patients with metastases from colorectal cancer, germ cell tumors, renal carcinoma, osteogenic sarcomas, soft tissue sarcomas operated in N. Blokhin National Medical Research Center Oncology between 1997 2017. Overall survival incidence postoperative complications (Clavien–Dindo classification) were main parameters evaluated. Results We identified 613 who had undergone resection metastases; them, 65 (10.6) R0 was only prognostic factor overall (hazard ratio 7.691; 95 % confidence interval 3.163–18.702; р <0.001). Postoperative observed 48 after (7.8 %) 11 (16.9 (р = 0.02). Five (0.8 2 secondary (3.1 died 0.139). resections achieved 576 (94 57 (87.7 surgeries, respectively 0.065). The five-year rate 61.2 surgery 53 0.91). Conclusions Repeated resectable ensure comparable to those operations. are associated an increased risk complications, but not mortality