Salazar-Islas TL, Romero-Garza HH, Álvarez-Cano A, Wong-Jaén M, Muñoz-Maldonado G

Language: Spanish
References: 5
Page: 18-22
PDF size: 156.13 Kb.

ABSTRACT

Pulmonary metastases are a sign of advanced oncological disease and the lung is the second most frequent place in the organism where they occur. Pulmonary metastasectomy is a procedure that is important for the control of oncological disease by increasing the survival of patients with cancer. The current selection criteria for patients who are candidates for a metastasectomy are: control of the primary tumor or the possibility of resecting the complete tumor simultaneously with metastasectomy, the capacity for complete resection of metastatic lesions, the patient's ability to tolerate the pulmonary resection necessary to completely remove the tumor, the absence of extrathoracic disease and the absence of alternative treatment. Pulmonary metastasectomy can be approached through open thoracotomy (TA) and video assisted thoracic surgery (VATS). We present a series of 13 cases where the procedure carried out, the postoperative follow-up, complications and mortality were evaluated retrospectively. The results reported in our institution were: a greater number of days of in-hospital stay and complications associated with open thoracotomy compared to video assisted thoracoscopic surgery, however the choice of the type of procedure will depend mainly on the experience of the surgeon with each of these procedures. In addition, an adequate preoperative assessment will optimize the future selection of candidates for this procedure in order to achieve a greater impact in favor of survival.

REFERENCES

1. Pastorino U. Long-term results of lung metastasectomy: prognostic analyses based on 5206 cases. J Thorac Cardiovasc Surg. 1997; 113(1): 37-49. doi: 10.1016/S0022-5223(97)70397-0.

2. Ripley RT, Rush VW. Lung metastases. In: Abeloff's clinical oncology. 5th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2014. pp. 764-777.

3. Srinivas S, Varadhachary G. Spontaneous pneumothorax in malignancy: a case report and review of the literature. An Oncology. 2000; 11(7): 887-889. doi: 10.1023/a:1008323632078.

4. Mccormack PM, Ginsberg KB, Bains MS, Burt ME, Martini N, Rusch VW et al. Accuracy of lung imaging in metastases with implications for the role of thoracoscopy. An Thorac Surg. 1993; 56(4): 863-866. doi: 10.1016/0003-4975(93)90344-h.

5. Internullo E, Cassivi SD, Raemdonck DV, Friedel G, Treasure T. Pulmonary metastasectomy: a survey of current practice amongst members of the european society of thoracic surgeons. J Thorac Oncol. 2008; 3(11): 1257-1266. doi: 10.1097/jto.0b013e31818bd9da.