6533b85dfe1ef96bd12be01f
RESEARCH PRODUCT
Wider implications of video-assisted thoracic surgery versus open approach for lung metastasectomy
Alessandra CriscioneMassimo CajozzoNicola CiancioStefano PalmucciGiuseppe PriviteraMarcello MiglioreCorrado SpatolaGiuseppe Di MariaDamiano CalvoEctor Soto Parrasubject
Cancer Researchmedicine.medical_specialtyLung Neoplasmslung metastasectomymedicine.medical_treatmentSettore MED/21 - Chirurgia ToracicaSingle Centersurvivallunglaw.inventionRandomized controlled triallawmedicineHumanspulmonary metastasesThoracotomyLungThoracic Surgery Video-Assistedbusiness.industryGeneral surgeryGold standardgold standardMetastasectomyGeneral Medicinegold standard lung lung metastasectomy pulmonary metastases survival thoracotomy VATS video-assisted thoracic surgerygold standard; lung; lung metastasectomy; pulmonary metastases; survival; thoracotomySurgerymedicine.anatomical_structureThoracotomyOncologyCardiothoracic surgeryVideo assisted thoracic surgeryMetastasectomybusinessdescription
ABSTRACT Lung metastasectomy is considered a safe and potentially curative procedure despite there is not a strong evidence that metastasectomy prolongs long-term survival in patients with lung metastases. Moreover, the debate is open regarding the best approach for lung metastasectomy, video-assisted thoracic surgery versus open approach. A systematic review of literature to clarify what is the best approach to prolong survival in patients with lung metastases was performed. Our study confirms that overall survival is equivalent for video-assisted thoracic surgery and thoracotomy, therefore the ‘gold standard’ surgical treatment for lung metastases remains a point of debate. The choice of the surgical approach still depends more on the single center or surgeon practice than on strong scientific evidence. A prospective randomized trial could clarify the question.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2015-02-10 |