Is surgery for multiple lung metastases reasonable

Slides:

Advertisements

Similar presentations

Improved survival with pulmonary metastasectomy: An analysis of 1720 patients with pulmonary metastatic melanoma Rebecca P. Petersen, MD, MSc, Steven.

Advertisements

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Manuel J. Antunes, MD, PhD, DSc

Stephen R. Broderick, MD, MPHS

The eighth edition TNM stage classification for lung cancer: What does it mean on main street? Frank C. Detterbeck, MD The Journal of Thoracic and Cardiovascular.

One in every 14 patients with early-stage lung cancer is not being treated! Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular Surgery

It is not just about surgery versus stereotactic ablative radiotherapy, it is about curing as many patients with lung cancer as possible Alessandro Brunelli,

Pulmonary resection for metastases from hepatocellular carcinoma: Factors influencing prognosis Takahito Nakagawa, MD, Toshiya Kamiyama, MD, Kazuaki.

Does the method of lung preservation influence outcome after transplantation? An analysis of 681 consecutive procedures J. Saravana Ganesh, FRCS, Chris.

Outcomes of unexpected pathologic N1 and N2 disease after video-assisted thoracic surgery lobectomy for clinical stage I non–small cell lung cancer Hong.

Ground glass opacity of the lung: The veil that needs lifting

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Victor van Berkel, MD, PhD

William M. DeCampli, MD, PhD

The Journal of Thoracic and Cardiovascular Surgery

Application of a neuroscience research model to study neuroprotection in children with congenital heart disease Nobuyuki Ishibashi, MD, Richard A. Jonas,

How should we treat air leaks?

Go on-pump or off-pump in diabetic patients?

The lord of the rings Antonio Miceli, MD, PhD

Esophagectomy versus endoscopic resection for patients with early-stage adenocarcinoma: Mercedes versus Tesla Toni Lerut, MD The Journal of Thoracic.

Is tissue the issue? Brian E. Louie, MD, MHA, MPH, FRCSC, FACS

Lung adenocarcinoma: Are skip N2 metastases different from non-skip?

Aditya K. Kaza, MD The Journal of Thoracic and Cardiovascular Surgery

Impact of positive pleural lavage cytology on survival in patients having lung resection for non–small-cell lung cancer: An international individual patient.

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Bartley P. Griffith, MD, FACS, FRCS

A first start for lung transplantation?

Stephen R. Broderick, MD, MPHS

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Resection of primary lung cancer with incidental pleural seeding: Seeds of change or reap what you sow? Jules Lin, MD The Journal of Thoracic and Cardiovascular.

Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

The impact of lymph node station on survival in 348 patients with surgically resected malignant pleural mesothelioma: Implications for revision of the.

Frank C. Spencer, MD, FACS, pioneering cardiothoracic surgeon

A fate worse than death Jennifer S. Lawton, MD

Internal validation of risk models in lung resection surgery: Bootstrap versus training- and-test sampling Alessandro Brunelli, MD, Gaetano Rocco, MD

Manuel J. Antunes, MD, PhD, DSc

Video-assisted resection for lung cancer results in fewer complications Lunxu Liu, PhD, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery

Commentary: Do the right thing! Ethical versus legal

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Prognosis and “granularity”: Building on staging foundations?

The harder one looks, the more one finds

Improved survival with pulmonary metastasectomy: An analysis of 1720 patients with pulmonary metastatic melanoma Rebecca P. Petersen, MD, MSc, Steven.

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

Multifocal lung cancer within ground glass lesions: Are favorable outcomes consequent to surgical resection or inherent to the disease? Mara B. Antonoff,

Sebastien Gilbert, MD, Andre B. Martel, BSc, Andrew J

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

The continuing challenge of congenital heart disease in China

Vinay Badhwar, MD, John S. Ikonomidis, MD, PhD, Jeffrey P. Jacobs, MD

Therapeutic R2 resection for pleural mesothelioma

The Journal of Thoracic and Cardiovascular Surgery

“The more things change…”: The challenges ahead

Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know Harold L. Lazar,

Managing conflicts of interest

More than vital: Who bears the burden?

Energized lung resections

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

Is there a benefit to continuing with resection of all sites of disease when clinically occult pleural metastases from non–small cell carcinoma are found?

Did you like Terminator 3 better than Terminator 2

Samuel Kim, MD The Journal of Thoracic and Cardiovascular Surgery

Journal changes and initiatives

Reappraise the advanced technique for tumor localization and sentinel lymph node assessment in clinical early-stage non–small cell lung cancer Chengwu.

Deciding how much to pay for effective care

Presentation transcript:

Is surgery for multiple lung metastases reasonable Is surgery for multiple lung metastases reasonable? A total of 328 consecutive patients with multiple-laser metastasectomies with a new 1318-nm Nd:YAG laser Axel Rolle, MD, PhD, Arpad Pereszlenyi, MD, PhD, Rainer Koch, MD, PhD, Mathias Richard, MD, Barbara Baier The Journal of Thoracic and Cardiovascular Surgery Volume 131, Issue 6, Pages 1236-1242 (June 2006) DOI: 10.1016/j.jtcvs.2005.11.053 Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Overall survival after complete (R0) resection versus significantly poorer incomplete (R1/R2) resection (P = .0001). Squares = R0; bullets = R1/R2. The Journal of Thoracic and Cardiovascular Surgery 2006 131, 1236-1242DOI: (10.1016/j.jtcvs.2005.11.053) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Overall survival after complete resection of metastases with (R0 N1/2) or without (R0 N0) lymph node disease (no significance P = .2). Squares = R0 N0; bullets = R0 N1/N2. The Journal of Thoracic and Cardiovascular Surgery 2006 131, 1236-1242DOI: (10.1016/j.jtcvs.2005.11.053) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Overall survival after complete resections. Unilateral versus staged bilateral surgery for lung metastases (no significance P = .35). Squares = R0 unilateral; bullets = R0 bilateral. The Journal of Thoracic and Cardiovascular Surgery 2006 131, 1236-1242DOI: (10.1016/j.jtcvs.2005.11.053) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Influence of the number of completely resected metastases on survival. Dark squares = 1 metastasis (n = 78); bullets = 2 to 5 metastases (n = 106); stars = 6 to 9 metastases (n = 37); diamonds = 10 to 19 metastases (n = 32); light squares = 20 or more metastases (n = 25). The Journal of Thoracic and Cardiovascular Surgery 2006 131, 1236-1242DOI: (10.1016/j.jtcvs.2005.11.053) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions