Video-assisted pulmonary metastectomy is equivalent to thoracotomy regarding resection status and survival

Surgical resection of pulmonary metastases leads to prolonged survival if strictly indicated. Usually, thoracotomy with manual palpation of the entire lung with lymph node dissection or sampling is performed. The aim of this study was to evaluate the role of video-assisted thoracoscopic surgery (VAT...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2021-04, Vol.16 (1), p.84-84, Article 84
Main Authors: Markowiak, Till, Dakkak, Beshir, Loch, Elena, Großer, Christian, Klinkhammer-Schalke, Monika, Hofmann, Hans-Stefan, Ried, Michael
Format: Article
Language:English
Subjects:
Colorectal cancer
Confidence intervals
Dissection
Embolism
Histology
Hospitals
Lung cancer
Lung metastases
Lungs
Lymph nodes
Lymphatic system
Medical research
Medicine, Experimental
Metastases
Metastasis
Metastectomy
Mortality
Ostomy
Patients
Prognosis
Pulmonary embolism
Pulmonary metastases
Statistical analysis
Surgery
Survival
Survival analysis
Thoracic surgery
Thorax
Video-assisted thoracoscopic surgery
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Summary:Surgical resection of pulmonary metastases leads to prolonged survival if strictly indicated. Usually, thoracotomy with manual palpation of the entire lung with lymph node dissection or sampling is performed. The aim of this study was to evaluate the role of video-assisted thoracoscopic surgery (VATS) in pulmonary metastectomy with curative intent. In this study, all patients with suspected pulmonary metastasis (n = 483) who visited the Center for Thoracic Surgery in Regensburg, between January 2009 and December 2017 were analysed retrospectively. A total of 251 patients underwent metastectomy with curative intent. VATS was performed in 63 (25.1%) patients, 54 (85.7%) of whom had a solitary metastasis. Wedge resection was the most performed procedure in patients treated with VATS (82.5%, n = 52) and thoracotomy (72.3%, n = 136). Postoperative revisions were necessary in nine patients (4.8%), and one patient died of pulmonary embolism after thoracotomy (0.5%). Patients were discharged significantly faster after VATS than after thoracotomy (p 
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-021-01460-8