The Role of Minimally Invasive Surgery in the Treatment of Lung Metastases

Guerrini, Gian Piero; Faso, Felice Lo; Vagliasindi, Alessio; Lembo, Rosalba; Solaini, Luciano; Soliani, P.; Taviani, M; Porrello, Calogero

doi:10.1080/08941939.2016.1230246

Cited by 11 publications

(7 citation statements)

References 22 publications

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“…He was able to show that the VATS group suffered from significantly less postoperative pain, had shorter in hospital treatment and a better compliance with regard to adjuvant treatment. These observations were later confirmed by other authors (12,13).…”

Section: Introductionsupporting

confidence: 85%

Video assisted laser resection of lung metastases: a new surgical technique

Kirschbaum¹,

Meyer²,

Bartsch³

et al. 2020

Curr Chall Thorac Surg

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Lung metastases may be found in almost every kind of malignant tumor. If appropriate, surgical removal should be considered. The goal of surgery is complete removal of all existing lung metastases.Frequently open access is favored in order to inspect all parts of the affected lung and detected metastases are preferably removed non-anatomically applying a Nd:YAG laser. The innovative surgical technique described here allows for palpation of the entire lung via a minithoracotomy and facilitates video-assisted removal of all lung metastases. Thus the benefits of minimally invasive surgery can be harnessed for the patients at the same time offering radical tumor removal. It may be estimated that the technique described will become the future standard procedure for surgery of lung metastases.

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Section: Introductionsupporting

confidence: 85%

Video assisted laser resection of lung metastases: a new surgical technique

Kirschbaum¹,

Meyer²,

Bartsch³

et al. 2020

Curr Chall Thorac Surg

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“…Mutsaerts et al (12) reported similar survival in patients with solitary peripherally located metastasis comparing thoracoscopic and thoracoscopic followed by confirmatory thoracotomy approach. Similar results were demonstrated by other studies (13). Dong et al in a metaanalysis, including 6 retrospective studies showed that VATS resection has 1, 3, and 5-year survival rates and the 1-year disease-free survival rate which are almost equivalent to those of thoracotomy.…”

supporting

confidence: 89%

Pulmonary metastasectomy and laser-assisted resection

Patrini¹,

Lawrence²,

Scarci³

et al. 2018

J. Thorac. Dis.

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“…The authors concluded that, in selected patients, VATS is equally effective and less invasive than open surgery (39). This opinion is supported by other studies (40,41).…”

Section: Operative Techniquementioning

confidence: 54%

Survival and prognostic factors following pulmonary metastasectomy for sarcoma

Marulli¹,

Mammana²,

Comacchio³

et al. 2017

J. Thorac. Dis.

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Sarcomas are a heterogeneous group of malignancies with a marked propensity to metastasize to the lungs. Chemotherapy offers only a limited benefit in metastatic disease, whereas lung metastasectomy, in selected cases, can lead to long-term survival. Other local ablative techniques and hybrid therapies have been proposed. A multidisciplinary setting is of paramount importance for choosing the most appropriate treatment for each case. There is no randomized controlled trial providing formal evidence of the effectiveness of lung metastasectomy. Main areas of controversy concern the selection of surgical candidates, the operative approach and the role of chemotherapy. Five-year survival rates range from 15% to 50.9%, as reported mainly in retrospective case-series in which several prognostic factors were identified. In this article, the authors review the surgical management of sarcoma metastases to the lung, with a particular focus on the outcomes and prognostic factors associated with long-term survival after resection. The role of chemotherapy and other adjunctive therapies is also discussed.

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The Role of Minimally Invasive Surgery in the Treatment of Lung Metastases

Abstract: Thoracoscopic surgery is a safe and efficacious procedure, with a five-year overall survival that is equivalent to open surgery.

Cited by 11 publications

References 22 publications

Video assisted laser resection of lung metastases: a new surgical technique

Video assisted laser resection of lung metastases: a new surgical technique

Pulmonary metastasectomy and laser-assisted resection

Survival and prognostic factors following pulmonary metastasectomy for sarcoma

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