Determination of a Low Risk Group for Having Metastatic Nodules Not Detected by Computed Tomography Scan in Lung Metastases Surgery

Zabaleta, Jon; Aguinagalde, Borja; Izquierdo, José Miguel; Mendoza, Mikel; Basterrechea, Francisco Leyva; Martin-Arruti, Maialen; Lobo, Carmen; Emparanza, José Ignacio

doi:10.1016/j.arbr.2013.10.002

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…One disadvantage is that an effective palpation of the whole lung is not possible. A study by Zabaleta et al 13 recommends video-assisted surgery in patients who are older than 60 years with one or at most two lung metastases, as the risk of further lung metastases is relatively low. Therefore, only solitary peripheral lung metastases smaller than 3 cm usually are resected using video-assisted thoracoscopy.…”

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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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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“…Компьютер-ная томография позволяет выявить около 85% легоч-ных метастазов [18]. Рентгенологически метастазы легких чаще всего имеют округлую форму, четкие ровные контуры, связаны с мелкими артериальными сосудами, что указывает на гематогенный путь их диссеминации.…”

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Atypical pulmonary metastases in children with conventional osteosarcoma

Терещенко¹,

Tikhonov²,

Konovalov³

et al. 2017

VGOIP

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Determination of a Low Risk Group for Having Metastatic Nodules Not Detected by Computed Tomography Scan in Lung Metastases Surgery

Cited by 2 publications

References 28 publications

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

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

Atypical pulmonary metastases in children with conventional osteosarcoma

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