Hand-Assisted Thoracoscopic Surgery for Pulmonary Metastasectomy through Sternocostal Triangle Access: Superiority in Detection of Non-Imaged Pulmonary Nodules

Hand-Assisted Thoracoscopic Surgery for pulmonary metastasectomy through sternocostal triangle access allows manual palpation of both lungs, thus permitting effective treatment of lung metastases. In our research, 62 patients from November 2001 to January 2012 underwent our Hand-Assisted Thoracoscop...

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Bibliographic Details
Published in:Scientific reports 2014-04, Vol.4 (1), p.4539-4539, Article 4539
Main Authors: Hao, Long, Long, Jiang, YongBin, Lin, DongRong, Situ, Yan, Zheng, YiGong, Zhang, GuoWei, Ma
Format: Article
Language:English
Subjects:
59/78
692/308/409
692/699/67/322
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Follow-Up Studies
Humanities and Social Sciences
Humans
Lung Neoplasms - diagnosis
Lung Neoplasms - mortality
Lung Neoplasms - secondary
Lung Neoplasms - surgery
Male
Metastasectomy
Middle Aged
multidisciplinary
Positron-Emission Tomography
Science
Solitary Pulmonary Nodule - pathology
Thoracoscopy - methods
Tomography, X-Ray Computed
Treatment Outcome
Tumor Burden
Young Adult
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Summary:Hand-Assisted Thoracoscopic Surgery for pulmonary metastasectomy through sternocostal triangle access allows manual palpation of both lungs, thus permitting effective treatment of lung metastases. In our research, 62 patients from November 2001 to January 2012 underwent our Hand-Assisted Thoracoscopic Surgery procedures for pulmonary metastasectomy. Clinical data, including the number of pulmonary metastases determined by Computed Tomography/Positron Emission Tomography-Computed Tomography, surgical findings and survival data of these patients were collected. We found that the median follow-up time was 23.7 months (range 2.4 to 85.6 months). 30 cases of them had post-operative recurrences and the median disease-free survival period was 27.4 months. For Computed Tomography scan, the overall sensitivity for proved metastases was 63% (115/182). 67 non-imaged malignant nodules were palpated and removed in 14 cases. For Positron Emission Tomography-Computed Tomography scan, the overall sensitivity was 66% (79/120). 41 non-imaged malignant nodules were palpated and removed in 12 cases. This study show that the Hand-Assisted Thoracoscopic Surgery provides an easier way for routine bilateral pleural exploration and thus is critical and effective in detection of non-imaged malignant pulmonary metastases, which might contribute to long-term disease-free survival.
ISSN:2045-2322
2045-2322
DOI:10.1038/srep04539