PMID- 23186081 OWN - NLM STAT- MEDLINE DCOM- 20140929 LR - 20131202 IS - 1445-2197 (Electronic) IS - 1445-1433 (Linking) VI - 83 IP - 12 DP - 2013 Dec TI - Survival outcome in New Zealand after resection of colorectal cancer lung metastases. PG - 959-62 LID - 10.1111/ans.12012 [doi] AB - BACKGROUND: Colorectal cancer is the second most common type of solid organ cancer in New Zealand behind prostate cancer. Even with treatment, distant disease may develop in the liver and lungs. Surgical resection of isolated liver and/or lung metastasis is now commonly considered, but survival outcomes from the latter are not well described. This study aims to review the 5-year survival and prognostic factors of patients who have resection for lung metastasis of colorectal origin. METHODS: A retrospective audit of surgical resection for lung metastasis performed by thoracic departments of several tertiary referral centres within New Zealand was performed. The study period was between 1997 and 2011. Patients were identified through operative logs, audit databases, clinical case mix codes and pathology databases. Patient demographics, preoperative and post-operative variables were recorded. All patients were followed up for survival analysis. Mann-Whitney and chi-square tests were performed for data analysis. A P-value of less than 0.05 was significant. RESULTS: There were 106 (59 male) patients. Median age was 64 (inter-quartile range (IQR) 57-73) years. Median follow-up period was 30 (IQR 16-46) months. The 5-year overall and cancer-specific survival was 40% and 43%, respectively. The only good prognostic factor for survival after lung resection was a long disease-free interval (P = 0.04) between surgery for the colorectal primary and lung metastasis. CONCLUSION: Lung resection for isolated colorectal metastases provides a reasonable 5-year survival. Outcomes from lung resection for colorectal metastases in New Zealand are comparable to that from international series. CI - (c) 2012 The Authors. ANZ Journal of Surgery (c) 2012 Royal Australasian College of Surgeons. FAU - Goonerante, Dinuk AU - Goonerante D AD - Colorectal Unit, Department of Surgery, Christchurch Hospital, Christchurch, New Zealand. FAU - Gray, Chris AU - Gray C FAU - Lim, Michael AU - Lim M FAU - Dixon, Liane AU - Dixon L FAU - Dobbs, Bruce AU - Dobbs B FAU - Wakeman, Chris AU - Wakeman C FAU - Frizelle, Frank AU - Frizelle F CN - Colorectal Lung Metastases Research Group (CRLMRG) LA - eng PT - Journal Article DEP - 20121127 PL - Australia TA - ANZ J Surg JT - ANZ journal of surgery JID - 101086634 SB - IM MH - Aged MH - Colonic Neoplasms/surgery MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*mortality/secondary/*surgery MH - Male MH - Middle Aged MH - New Zealand/epidemiology MH - Pneumonectomy MH - Prognosis MH - Rectal Neoplasms/surgery MH - Retrospective Studies MH - Time Factors OTO - NOTNLM OT - colorectal cancer OT - pulmonary metastases FIR - Goonerante, D IR - Goonerante D FIR - Dixon, L IR - Dixon L FIR - Lim, M IR - Lim M FIR - Gray, C IR - Gray C FIR - Wakeman, C IR - Wakeman C FIR - Dobbs, B IR - Dobbs B FIR - Frizelle, F IR - Frizelle F FIR - Thompson-Fawcett, Mark IR - Thompson-Fawcett M FIR - Ho, Christine IR - Ho C FIR - Bissett, Ian IR - Bissett I FIR - van den Heever, Ursula IR - van den Heever U FIR - Dennett, Elizabeth IR - Dennett E FIR - Reddy, Sumeet IR - Reddy S FIR - Lolohea, Simione IR - Lolohea S FIR - Van Dalen, Ralph IR - Van Dalen R FIR - Delasau, Ilaita IR - Delasau I FIR - Singh, Harsh IR - Singh H EDAT- 2012/11/29 06:00 MHDA- 2014/09/30 06:00 CRDT- 2012/11/29 06:00 PHST- 2012/10/20 00:00 [accepted] PHST- 2012/11/29 06:00 [entrez] PHST- 2012/11/29 06:00 [pubmed] PHST- 2014/09/30 06:00 [medline] AID - 10.1111/ans.12012 [doi] PST - ppublish SO - ANZ J Surg. 2013 Dec;83(12):959-62. doi: 10.1111/ans.12012. Epub 2012 Nov 27.