Chirurgische Therapie von Lungenmetastasen

Schirren, Moritz; Bölükbas, Servet; Oguzhan, S.; Sponholz, Stefan; Schirren, J.

doi:10.1007/s00104-013-2685-7

Cited by 8 publications

(3 citation statements)

References 25 publications

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“…As the number of pulmonary metastases increases, the likelihood of incomplete resection, the burden of widespread occult disease in the lungs, and the probability of recurrence in the lung are higher. 23,24 Consistent with the literature, in this research, the number of nodules is between 1-2. 21 Outcomes are better with fewer metastases.…”

Section: Discussionsupporting

confidence: 87%

Determination of the timing for thoracic imaging prior to pulmonary metastasectomy: an analysis on surgical planning and lesion detection

Buz,

Kahraman,

Çimenoğlu

et al. 2024

Journal of Medicine and Palliative Care

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Aims: The aim of this study is to reveal the relationship between the timing of thoracic computed tomography (CT) imaging conducted prior to surgery and the pre-surgical period in patients planned for pulmonary metastasectomy (PM), and to determine a safe pre-surgical timing for thoracic CT. Methods: This study is a retrospective cohort study examining the data of patients who underwent pulmonary metastasectomy (PM). The research includes 96 patients who underwent PM between January 2017 and July 2022. Patients’ demographic data, primary malignancy diagnoses, type of operation, sizes of masses requiring anatomical resection, the number of lesions detected in thoracic CT, the number of lesions identified during surgery, and the timing of thoracic tomography were recorded. The timing of thoracic CT imaging was compared with the number of lesions detected preoperatively and postoperatively. Results: The study included 96 patients, comprising 49 females and 47 males. The most common primary pathological diagnosis was colon cancer at 36.5%, followed by breast cancer at 12.5%. 66.6% of the patients were operated on with thoracotomy, 29.1% with video-assisted thoracoscopic surgery (VATS), and 4.2% with rethoracotomy. The average number of lesions detected in preoperative thoracic tomography was 1.67±0.96, while the average number of lesions detected during surgery was 2.03±1.41. In patient groups where thoracic CT was performed 10 days or less before the operation, no significant difference was found between the number of lesions detected during surgery and the number of lesions in the CT. However, in patients where thoracic CT was performed more than 10 days before the operation, the number of lesions detected during surgery was significantly higher than the number of lesions detected in the CT. Conclusion: In this research, it was concluded that for patients planned for PM, repeating thoracic CT after the 10th day following the initial detection of metastases in the pre-surgical phase may contribute to the detection of more lesions.

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Section: Discussionsupporting

confidence: 87%

Determination of the timing for thoracic imaging prior to pulmonary metastasectomy: an analysis on surgical planning and lesion detection

Buz,

Kahraman,

Çimenoğlu

et al. 2024

Journal of Medicine and Palliative Care

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“…In 30 to 50% of all patients with extrathoracic tumors, lung metastases develop during the course of the disease. 1 If special conditions are fulfilled, the resection of lung metastases can improve long-term survival. [2][3][4] In recent years, the use of a diode pumped neodymiumdoped yttrium aluminium garnet (Nd:YAG) laser has become increasingly popular in surgical resections of lung metastases.…”

Section: Introductionmentioning

confidence: 99%

Video-Assisted Laser Resection of Lung Metastases—Feasibility of a New Surgical Technique

Meyer

Bartsch

Mirow³

et al. 2017

Thorac cardiovasc Surg

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Our pilot study describes our initial experience to do a laser resection of lung metastases under video-assisted thoracoscopic control via a minithoracotomy. With this approach, if needed, mediastinal lymphadenectomy is also possible. In this study, 15 patients (11 men and 4 women, mean age: 60 years) with resectable lung metastases of different solid primary tumors (colorectal cancer in seven patients, melanoma in three patients, renal cell carcinoma in two patients, and one each with oropharyngeal cancer, breast cancer, and seminoma) were included. An anterior minithoracotomy incision (approximately 5-7 cm length) was created in the fifth intercostal space and a soft tissue retractor (Alexis Protector; Applied Medical) was positioned. Two additional working ports were inserted. The entire lung was palpated via the minithoracotomy. All detected lung metastases were removed under thoracoscopic control. Nonanatomic resections were performed using a diode-pumped neodymium-doped yttrium aluminium garnet laser (LIMAX120; KLS Martin GmbH& Co KG) with a laser power of 80 W in a noncontact modus. Deeper parenchymal lesions were sutured. A total of 29 lung metastases up to 30 mm in size were resected and all metastases diagnosed on preoperative imaging were detected. All diagnosed lung metastases were completely resected (R0). The median operation time was 102 (range: 85-120) minutes. Median blood loss was 47.6 mL and no postoperative complications occurred. Neither local recurrences nor new lung metastases were observed within 6 months after the procedures. Video-assisted laser resection of lung metastases is safe, effective, and fulfills the requirements of modern lung metastases surgery.

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“…Although many tumors can metastasize to the bronchus, the most common extrathoracic malignancies associated with EBM are colorectal, breast, kidney, stomach, ovarian, thyroid, uterine, testicular, nasopharynx, prostate, and adrenal carcinomas and sarcomas. [ 4 5 6 ] The time between the diagnosis of the primary tumor and appearance of EBM is approximately 9 months–5 years. [ 7 8 9 ] Most of the times, it is difficult to diagnose EBM from primary bronchogenic carcinoma without the prior history of extrathoracic malignancy, because clinical, radiological, and bronchoscopic findings cannot differentiate these two entities.…”

Section: Introductionmentioning

confidence: 99%

Endobronchial metastasis from extrathoracic malignancies: A clinicopathological study of 11 cases

et al. 2019

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Chirurgische Therapie von Lungenmetastasen

Cited by 8 publications

References 25 publications

Determination of the timing for thoracic imaging prior to pulmonary metastasectomy: an analysis on surgical planning and lesion detection

Determination of the timing for thoracic imaging prior to pulmonary metastasectomy: an analysis on surgical planning and lesion detection

Video-Assisted Laser Resection of Lung Metastases—Feasibility of a New Surgical Technique

Endobronchial metastasis from extrathoracic malignancies: A clinicopathological study of 11 cases

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