دورية أكاديمية
Metastasectomy for colorectal pulmonary metastases: a survey among members of the European Society of Thoracic Surgeons.
| العنوان: | Metastasectomy for colorectal pulmonary metastases: a survey among members of the European Society of Thoracic Surgeons. |
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| المؤلفون: | van Dorp M; Department of Thoracic Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands., Gonzalez M; Department of Thoracic Surgery, University Hospital of Lausanne, Lausanne, Switzerland., Daddi N; Department of Thoracic Surgery, Bologna University School of Medicine, Bologna, Italy., Batirel HF; Department of Thoracic Surgery, Marmara University School of Medicine, Istanbul, Turkey., Brunelli A; Department of Thoracic Surgery, St James's University, Leeds, UK., Schreurs WH; Department of Surgery, Northwest Clinics, Alkmaar, Netherlands. |
| المصدر: | Interdisciplinary cardiovascular and thoracic surgery [Interdiscip Cardiovasc Thorac Surg] 2023 Feb 06; Vol. 36 (2). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9918540787006676 Publication Model: Print Cited Medium: Internet ISSN: 2753-670X (Electronic) Linking ISSN: 2753670X NLM ISO Abbreviation: Interdiscip Cardiovasc Thorac Surg Subsets: PubMed not MEDLINE; MEDLINE |
| أسماء مطبوعة: | Original Publication: [Oxford, England] : Oxford University Press, [2023]- |
| مستخلص: | Objectives: Surgical management of pulmonary metastases in colorectal cancer patients is a debated topic. There is currently no consensus on this matter, which sparks considerable risk for international practice variation. The European Society of Thoracic Surgeons (ESTS) ran a survey to assess current clinical practices and to determine criteria for resection among ESTS members. Methods: All ESTS members were invited to complete an online questionnaire of 38 questions on current practice and management of pulmonary metastases in colorectal cancer patients. Results: In total, 308 complete responses were received (response rate: 22%) from 62 countries. Most respondents consider that pulmonary metastasectomy for colorectal pulmonary metastases improves disease control (97%) and improves patients' survival (92%). Invasive mediastinal staging in case of suspicious hilar or mediastinal lymph nodes is indicated (82%). Wedge resection is the preferred type of resection for a peripheral metastasis (87%). Minimally invasive approach is the preferred approach (72%). For a centrally located colorectal pulmonary metastasis, the preferred form of treatment is a minimally invasive anatomical resection (56%). During metastasectomy, 67% of respondents perform mediastinal lymph node sampling or dissection. Routine chemotherapy is rarely or never given following metastasectomy (57% of respondents). Conclusions: This survey among the ESTS members underlines the change in practice of pulmonary metastasectomy with an increasing tendency in favour of minimally invasive metastasectomy and surgical resection is preferred over other types of local treatment. Criteria for resectability vary and controversy remains regarding lymph node assessment and the role of adjuvant treatment. (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.) |
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| فهرسة مساهمة: | Keywords: Colorectal metastases; Lung metastases; Lymphadenectomy; Metastasectomy; Survey; Video-assisted thoracic surgery |
| تواريخ الأحداث: | Date Created: 20230227 Latest Revision: 20230303 |
| رمز التحديث: | 20230303 |
| مُعرف محوري في PubMed: | PMC9932002 |
| DOI: | 10.1093/icvts/ivad002 |
| PMID: | 36847670 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2753-670X |
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| DOI: | 10.1093/icvts/ivad002 |