Thoracoscopic resection of pulmonary metastasis: Current practice and results

Perentes, Jean Yannis; Krueger, Thorsten; Lovis, Alban; Ris, Hans‐Beat; Gonzalez, Michel

doi:10.1016/j.critrevonc.2015.02.005

Cited by 37 publications

(29 citation statements)

References 47 publications

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“…M, man; F, female. Drainage removal (hours) 14 Postoperative pain at 1 hour (VAS 1-10) 5 [2][3][4][5][6] Postoperative pain at 24 hours (VAS 1-10) 3 [1][2][3][4] Hospital stay (days) 3 [2][3][4] Major morbidity rate 5.6% (4/67)…”

Section: Resultsmentioning

confidence: 99%

“…Estimated costs (euro)** 3,300 [2,500] with the significant (from 102 to 39 min, P=0.001) progression of the learning curve ( Table 2). Similarly, we documented a significant reduction in global in-operating room time, compared to the intubated group (134 vs. 57 min, P=0.003).…”

Section: -Day Mortality Ratementioning

confidence: 99%

“…Set for rapid double lumen intubation and bronchoscope should be kept readily available. Adequate patient monitoring is essential for approaching a non-intubated operation: electrocardiogram, pulse oxymeter, systemic and central venous blood pressure, body temperature, arterial line, and end-tidal CO 2 by insertion of one detector into a nostril. Objective intraoperative monitoring of the effect of sedative drugs on neurological function was carried out with the bispectral index (12).…”

Section: Anesthesiamentioning

confidence: 99%

“…One hour after surgery, the patient himself is able to evaluate the postoperative recovery by the Quality of Recovery (QoR-40), which is a 40-item self-administered questionnaire (19). Each item is linked to a 5-point Likert scale [1][2][3][4][5] with a minimum cumulative score of 40 (global maximal impairment) and maximum of 200 (no impairment).…”

Section: Postoperative Carementioning

confidence: 99%

“…These lesions are mostly peripherally located and seem to be ideal target for a video-assisted thoracoscopy (VATS) (2,3) despite the impossibility of manual palpation (4,5). More recently, the introduction of new devices and instruments has made possible to accomplish the operation through a unique portal access thus significantly reducing morbidity, postoperative pain and hospital stay (6).…”

Section: Introductionmentioning

confidence: 99%

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Uniportal non-intubated lung metastasectomy

Mineo¹,

Sellitri²,

Fabbi³

et al. 2017

J. Vis. Surg.

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Background: More than 15 years ago, we started a program of uniportal video-assisted thoracoscopies (VATS) lung metastasectomy in non-intubated local anesthesia. Hereby we present the short and long-term results of this combined surgical-anesthesiological technique.Methods: Between 2005 and 2015, 71 patients (37 men and 34 women) with pulmonary oligometastases, at the first episode, underwent uniportal VATS metastasectomy under non-intubated anesthesia.Results: Four patients (5.6%) required intubation for intolerance. Mean number of lesions resected per patient was 1.51. There was no mortality. The study group demonstrated a significant reduction of operative time from the beginning of the experience (P=0.001), good level of consciousness at Richmond scale and quality of recovery after both 24 and 48 hours. Median hospital stay was 3 days and major morbidity rate was 5.5%. Both disease-free survival and overall survival were similar to those achieved with intubated surgery.Conclusions: VATS lung metastasectomy in non-intubated local anesthesia was safely performed in selected patients with oligometastases with significant advantages in overall operative time, hospital stay and economical costs. Long-term results were similar.

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Section: Resultsmentioning

confidence: 99%

Section: -Day Mortality Ratementioning

confidence: 99%

Section: Anesthesiamentioning

confidence: 99%

Section: Postoperative Carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Uniportal non-intubated lung metastasectomy

Mineo¹,

Sellitri²,

Fabbi³

et al. 2017

J. Vis. Surg.

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A prognostic score from a multicentric retrospective analysis of patients affected by sarcoma with metachronous lung metastases undergoing metastasectomy

Gallina

Melis

Bertolaccini

et al. 2023

Journal of Surgical Oncology

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Background Despite the lack of evidence‐based on prospective randomized studies, surgery has become the cornerstone of the treatment in patients with pulmonary oligometastatic sarcomas. Our study aimed to construct a composite prognostic score for metachronous oligometastatic sarcoma patients. Methods A retrospective analysis was performed on data patients who underwent radical surgery for metachronous metastases in six research institutes from January 2010 to December 2018. The log‐hazard ratio (HR) obtained from the Cox model was used to derive weighting factors for a continuous prognostic index designed to identify differential outcome risks. Results A total of 251 patients were enrolled in the study. In the multivariate analysis, a longer disease‐free interval (DFI) and a lower neutrophil‐to‐lymphocytes ratio (NLR) were predictive of a better overall survival (OS) and disease‐free survival (DFS). A prognostic score was developed based on DFI and NLR data, identifying 2 risk class groups for DFS (3‐years DFS 20.2% for the high‐risk group [HRG]and 46.4% for the low‐risk group [LRG] [<0.0001]) and 3 risk groups for OS (3 years OS 53.9% for the HRG vs. 76.9% for the intermediate‐risk group and 100% of the LRG (p < 0.0001)). Conclusion The proposed prognostic score effectively predicts outcomes for patients with lung metachronous oligo‐metastases from the surgically treated sarcoma.

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Minimalinvasive Verfahren in der onkologischen Thoraxchirurgie

Haager¹,

Passlick

2021

Springer Reference Medizin

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Thoracoscopic resection of pulmonary metastasis: Current practice and results

Cited by 37 publications

References 47 publications

Uniportal non-intubated lung metastasectomy

Uniportal non-intubated lung metastasectomy

A prognostic score from a multicentric retrospective analysis of patients affected by sarcoma with metachronous lung metastases undergoing metastasectomy

Minimalinvasive Verfahren in der onkologischen Thoraxchirurgie

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