Thoracoscopic resection of pulmonary metastasis: Current practice and results.

Détails

ID Serval
serval:BIB_3AA7282DD25C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Thoracoscopic resection of pulmonary metastasis: Current practice and results.
Périodique
Critical Reviews in Oncology/Hematology
Auteur⸱e⸱s
Perentes J.Y., Krueger T., Lovis A., Ris H.B., Gonzalez M.
ISSN
1879-0461 (Electronic)
ISSN-L
1040-8428
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
95
Numéro
1
Pages
105-113
Langue
anglais
Notes
Publication types: <Publication Status: ppublishDocument Type: Review
Résumé
Video-assisted thoracoscopic surgery (VATS) is currently a routinely performed procedure for the management of early non small cell lung cancer. The oncological results of VATS in terms of local recurrence and overall survival are equivalent or superior to those of conventional thoracotomy with lower morbidity and hospital stay. In the field of pulmonary metastasectomy, current guidelines support a thoracotomy approach in order to properly palpate the lung and detect nodules too small to be identified on standard radiological examinations (typically less than 5mm in diameter). However, the oncological and clinical significance of these millimetric nodules is not known. This has led some thoracic surgeons to rethink the approach of solitary pulmonary metastasectomy: because of improvements in thin slice helical CT-scans, some support a VATS approach for solitary pulmonary nodules without formal bimanual palpation and suggest this allows equivalent oncological results and decreased surgical morbidity.
Pubmed
Web of science
Création de la notice
20/07/2015 10:05
Dernière modification de la notice
20/08/2019 13:30
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