Abstract
Resection of indeterminate pulmonary lesions in patients with a history of malignancy is indicated, as the presence of metastases will provide prognostic information and often dictate further therapy. Pulmonary metastasectomy also improves survival in select patients with favorable tumor histologies. We reported the results of video-assisted thoracoscopic surgery (VATS) resection of indeterminate lung nodules in 72 patients with a history of malignancy. All lesions identified on preoperative high-resolution CT scan were found at surgery with visual inspection, digital palpation, or (in 13 cases) CT-guided needle localization. All lesions were resected nonanatomically with a rim of normal parenchyma, as is done with open techniques; 63 patients were found to have metastases and 9 patients had benign disease. There was no mortality, minimal morbidity, and decreased hospital stays in patients undergoing VATS resection compared with historical control subjects. These data and other reports have led to the widespread use of VATS for patients undergoing resection to establish a diagnosis. The role of VATS in patients with favorable tumor histology and limited tumor burden for whom metastasectomy may result in a survival advantage rem...Continue Reading
References
Mar 1, 1978·Cancer Treatment Reviews·J A van Dongen, E A van Slooten
Nov 1, 1978·The Annals of Thoracic Surgery·J D CooperF G Pearson
Oct 1, 1992·Cancer·R D DowlingR J Landreneau
Aug 1, 1991·The Annals of Thoracic Surgery·L A GorensteinJ A Roth
Aug 1, 1986·The Annals of Thoracic Surgery·J A RothC Seipp
Mar 15, 1985·Cancer·J A RothS A Rosenberg
Sep 1, 1971·The Annals of Thoracic Surgery·N MartiniE J Beattie
Jun 1, 1981·Cancer·J CrowL Kreel
Oct 1, 1995·The Australian and New Zealand Journal of Surgery·A P YimJ K Ho
Jan 1, 1995·Cancer Investigation·R J LandreneauP F Ferson
Jun 1, 1995·Chest·V W Rusch
Jan 1, 1995·Chest·H P LiuC H Chang
Jan 1, 1995·The Annals of Thoracic Surgery·G L Walsh, J C Nesbitt
Jan 1, 1995·The Annals of Thoracic Surgery·W A FryH Mostafavi
Oct 1, 1993·The Annals of Thoracic Surgery·P M McCormackR J Ginsberg
Sep 1, 1993·Chest·S R HazelriggP E Seifert
May 1, 1993·Radiology·M Remy-JardinC H Marquette
Citations
May 17, 2006·Surgical Endoscopy·D SortiniA Sortini
Jul 10, 2001·Surgical Endoscopy·J NakajimaT Fukami
Jun 16, 2011·General Thoracic and Cardiovascular Surgery·Tadashi AkibaToshiaki Morikawa
Jul 9, 2013·General Thoracic and Cardiovascular Surgery·Kook Nam HanYoung Tae Kim
Nov 21, 2002·The Annals of Thoracic Surgery·Joachim PfannschmidtHendrik Dienemann
Sep 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Joachim PfannschmidtHendrik Dienemann
Sep 6, 2003·Surgical Oncology·Jules Lin, Mark D Iannettoni
Dec 13, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·R J LandreneauG F Coloni
Jan 22, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Davide SortiniAndrea Sortini
Nov 26, 1998·Thorax·D I FieldingS G Bown
Jul 4, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·K KodamaT Kabuto
Dec 1, 2001·Surgical Endoscopy·T OnukiS Nitta
Mar 1, 2011·The Annals of Thoracic Surgery·Hao LongJinfeng Wang
Jan 28, 2010·The Annals of Thoracic Surgery·Shinji NakashimaTetsuya Higami
Jul 29, 2008·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A D BarlowD A Waller
Apr 9, 2008·Seminars in Oncology·Roderick M Quiros, Walter J Scott
Jun 15, 2007·AORN Journal·Fadi M Khraim
Jul 22, 2010·Journal of Surgical Oncology·Jussuf T KaifiKevin F Staveley-O'Carroll
Apr 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Geoffrey A PorterPeter W T Pisters
Nov 26, 2009·The Annals of Thoracic Surgery·Loretta Erhunmwunsee, Thomas A D'Amico
Dec 21, 2002·Best Practice & Research. Clinical Anaesthesiology·Ian D Conacher
Oct 4, 2017·Acta Radiologica·Keisuke NagaiKoji Takami