[Surgery of pulmonary metastasis].

Rev Port Cir Cardiotorac Vasc

Serviço de Cirurgia Cardio-Torácica, de Pneumologia e de Oncologia médica do Hospital de Santa Maria, Lisboa e Serviçde Pneumologia do Hospital Distrital da Guarda.

Published: November 2009

Unlabelled: Between April 1993 and December 2007, 92 patients underwent the complete resection of pulmonary metastases, 47 mens (51.1%) and 45 womens (49.9%). 26 patients (27.2%) had solitary pulmonary metastasis, 25 (26.1%) multiple pulmonary metastasis and 41 (44.5%) patients presented bilateral pulmonary metastasis. 42 patients (45.6%) presented pulmonary metastasis recurrence, 14 patients (15.2%) a second recurrence and 6 patients (6.5%) a third pulmonary metastasis recurrence. 49 patients (53.2%) were reoperated. The mean cumulative survival after complete resection was 78.4 months (+/- 52.5 months). There were no operative mortality.

Conclusion: Thys work demonstrated that every attempt should be made to completely ressect all clinically detected metastases. Complete resection of pulmonary metastasis, even in recurrent disease is compatible with long-term survival.

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