The predictive accuracy of sentinel nodes mapping in the setting of pulmonary metastasectomy

Kim, Hyun Koo; Lee, Kwanghyoung; Han, Kook Nam; Eo, Jae Seon; Kim, Sungeun; Choi, Young Ho

doi:10.1007/s10585-016-9834-6

Cited by 3 publications

(2 citation statements)

References 25 publications

(38 reference statements)

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“…In the preoperative evaluation, lymph node sampling or dissection may not be performed in patients without lymph node presence. However, although there are negative findings in PET-CT, there are publications reporting that unexpected lymph node positivity has been detected [9]. For this reason, mediastinal lymph node sampling or dissection is recommended during pulmonary metastasectomy.…”

Section: Introductionmentioning

confidence: 99%

Is video-assisted thoracoscopic surgery sufficient for lymph node dissection in pulmonary metastasectomy?

Kermenli

2020

kitp

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Aim: We evaluated the results of patients undergoing pulmonary metastasectomy with video-assisted thoracoscopic surgery (VATS) and aimed to investigate postoperative lymph node positivity after lymph node dissection (PM-LND). Material and methods: Patients who underwent pulmonary metastasectomy and mediastinal lymph node dissection with VATS between March 2015 and March 2020 in our clinic were included in the study. Results: The mean age of 58 patients who underwent pulmonary metastasectomy and mediastinal lymph node dissection with VATS was 56.5. Thirty-four of the patients were female and 24 were male. A total of 61 surgical procedures, 3 of which were bilateral, were performed in 58 patients. The mean number of resected pulmonary metastases was 1.72. The total number of dissected lymph nodes was 191, with an average of 3.1 per surgical procedure. Colon carcinoma (20 patients) and breast carcinoma (16 patients) were the most common primary tumor origin. Others were thyroid, sarcoma, renal cell carcinoma and melanoma. Unexpected lymph node positivity was present in 9 of 58 patients. Conclusions: Video-assisted thoracoscopic surgery is a technique that can be applied in pulmonary metastasectomy with its advantages such as a low complication rate and rapid recovery. In these patients, lymph node dissection, which is one of the determining factors of prognosis, can be performed effectively with VATS. Mediastinal and hilar lymph node dissection combined with pulmonary metastasectomy is effective in detecting unexpected lymph node positivity.

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Section: Introductionmentioning

confidence: 99%

Is video-assisted thoracoscopic surgery sufficient for lymph node dissection in pulmonary metastasectomy?

Kermenli

2020

kitp

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“…Is systematic lymph node dissection always required when performing lung metastasectomy, or should it be offered in selected cases only? Which patients can benefit of iterative surgical excision of secondary lung localizations and what is the expected survival benefit (13)(14)(15)(16)?…”

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confidence: 99%

Management of pulmonary metastases: the surgeon’s perspective

Muriana¹,

Muriana²

2021

AME Surg J

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Correction of Severe Short Nose Using a Costal Cartilage Extension Framework

et al. 2020

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Background Various techniques for the aesthetic correction of short noses have been described, but the selection of the adequate graft material remains controversial. Previous reports have mainly focused on the application of septal cartilage or alloplastic materials for short nose elongation, but the lengthening effect is often unsatisfactory for severe short noses. We propose costal cartilage as an alternative treatment for short noses, describe the technique, and discuss outcomes, patient selection, and complications based on our 15-year experience. Methods From February 2004 to December 2018, 611 patients with varying degrees of short noses were included in this retrospective study. All patients underwent nose elongation surgery using a costal cartilage graft. Nasal length before and after surgery was measured based on a 3-dimensional simulation technology. Outcomes and complications including possible underlying reasons were analyzed. Patient satisfaction was evaluated using a self-assessment survey. Results Nasal elongation using costal cartilage was successfully achieved, with a mean increase in nasal length of 4.06 ±0.79 mm. Patients were followed up for a period of 8.5 months on average, ranging from 6 months to 8 years. Follow-up examinations demonstrated stable results. The overall complication rate was 3.8%. Complications included infection, implant extrusion, migration, deviation, visibility, prominence, and reddening of the nasal skin. Most patients (95.2%) rated their outcome as improved and much improved. Conclusion Nasal elongation using costal cartilage grafting is an effective therapeutic approach for patients with severe short noses. Reliable outcomes and the use of autologous tissue along with minimal donor site morbidity contribute to the high patient acceptance. Meticulous surgical technique and careful patient selection are prerequisites for successful results.

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The predictive accuracy of sentinel nodes mapping in the setting of pulmonary metastasectomy

Cited by 3 publications

References 25 publications

Is video-assisted thoracoscopic surgery sufficient for lymph node dissection in pulmonary metastasectomy?

Is video-assisted thoracoscopic surgery sufficient for lymph node dissection in pulmonary metastasectomy?

Management of pulmonary metastases: the surgeon’s perspective

Correction of Severe Short Nose Using a Costal Cartilage Extension Framework

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