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Is surgery for multiple lung metastases reasonable

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Presentation on theme: "Is surgery for multiple lung metastases reasonable"— Presentation transcript:

1 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 (June 2006) DOI: /j.jtcvs Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

2 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  , DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

3 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  , DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

4 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  , DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

5 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  , DOI: ( /j.jtcvs ) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions


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