Second surgery for metachronous primary lung cancer

: As curative surgeries for early-stage non-small cell lung cancer (NSCLC) increase and longer postoperative survival becomes possible, metachronous primary (MPLC) have become more common in recent years. Lung survivors a high risk of MPLC the rest their lives, so long-term follow-up close surveillance are needed. is often detected relatively early by routine after initial surgery, 64.7% to 85.2% cases reported date been stage I. Operative mortality resection has be 0% 13.0%. morbidity 19.7% 36.2%. The Five-year overall from second surgery was recently 42% 78.7%. If new lesion solitary cardiopulmonary function preserved, complete surgical should considered, regardless duration disease-free surgery. Lung-sparing such as segmentectomy or wedge lobectomy comparable outcomes. Sublobar would acceptable depending on tumor size location tumor. Because residual pulmonary most important factor decision-making regarding MPLC, preservation attempted much possible at time