ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Vincenzo Ambrogi
Peter Goldstraw
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Robert, J. H.
Right arrow Articles by Goldstraw, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Robert, J. H.
Right arrow Articles by Goldstraw, P.
Related Collections
Right arrowRelated Article

Ann Thorac Surg 1997;63:777-784
© 1997 The Society of Thoracic Surgeons

Original Article: General Thoracic

Factors Influencing Long-Term Survival After Lung Metastasectomy

John H. Robert, MD, Vincenzo Ambrogi, MD, Bernadette Mermillod, BS, Djebril Dahabreh, MD, Peter Goldstraw, FRCS

Unit of Thoracic Surgery and Centre d'Informatique Médicale, Geneva University Hospital, Geneva, Switzerland; and Department of Thoracic Surgery, Royal Brompton National Heart and Lung Hospital, London, Great Britain

Accepted for publication September 18, 1996.

Background. Disease-free interval, histology of primary tumor, and number and size of metastases resected (at first metastasectomy) were studied after resection of pulmonary metastases.

Methods. Between 1980 and 1993, 276 consecutive patients underwent lung resections for curative removal of metastatic disease. At subsequent relapse, 63 patients had a second-stage metastasectomy, 12 went on to a third phase, and 2 patients had four stages.

Results. The primary tumor was sarcoma in 126 cases (46%), teratoma in 88 (32%), carcinoma in 53 (19%), melanoma in 5, and miscellaneous in 4. Actuarial survival was 69% at 2 years (95% confidence interval 62% to 74%), 48% at 5 years (40% to 55%), and 35% at 10 years (23% to 44%).

Conclusions. Survival was not related to disease-free interval. Multivariate analysis showed that nearly all predictive information can be obtained through histologic studies (p < 0.0001); inclusion of the number of metastases resected contributed to a lesser degree (p = 0.032). Short disease-free intervals, numerous lung metastases, or even deposits recurring after a first or second metastasectomy should not preclude patients from operation.


Related Article

Selection Mechanisms as Major Determinants of Survival After Pulmonary Metastasectomy
Torkel Åberg
Ann. Thorac. Surg. 1997 63: 611-612. [Extract] [Full Text]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
P. A. Linden, J. O. Wee, M. T. Jaklitsch, and Y. L. Colson
Extending Indications for Radiofrequency Ablation of Lung Tumors Through an Intraoperative Approach
Ann. Thorac. Surg., February 1, 2008; 85(2): 420 - 423.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Nakajima, T. Murakawa, T. Fukami, A. Sano, M. Sugiura, and S. Takamoto
Is Finger Palpation at Operation Indispensable for Pulmonary Metastasectomy in Colorectal Cancer?
Ann. Thorac. Surg., November 1, 2007; 84(5): 1680 - 1684.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. K. Gould, J. Fletcher, M. D. Iannettoni, W. R. Lynch, D. E. Midthun, D. P. Naidich, and D. E. Ost
Evaluation of Patients With Pulmonary Nodules: When Is It Lung Cancer?: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition)
Chest, September 1, 2007; 132(3_suppl): 108S - 130S.
[Abstract] [Full Text] [PDF]

Home page
 MMCTSHome page
K. Harrison-Phipps, S. D. Cassivi, F. C. Nichols III, M. S. Allen, P. C. Pairolero, and C. Deschamps
Conventional resection of pulmonary metastases
MMCTS, June 19, 2007; 2007(0619): 1818.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Surg. Oncol.Home page
S.-W. Kuo, Y.-L. Chang, P.-M. Huang, H.-H. Hsu, J.-S. Chen, J.-M. Lee, P.-H. Lee, and Y.-C. Lee
Prognostic Factors for Pulmonary Metastasectomy in Hepatocellular Carcinoma
Ann. Surg. Oncol., February 1, 2007; 14(2): 992 - 997.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. J. Poncelet, A. Lurquin, B. Weynand, Y. Humblet, P. Noirhomme, and on behalf of the 'Groupe d' Oncologie Thoracique D
Prognostic factors for long-term survival in patients with thoracic metastatic disease: a 10-year experience
Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 173 - 180.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
O. Rena, E. Papalia, A. Oliaro, P. Filosso, E. Ruffini, G. Maggi, and C. Casadio
Pulmonary metastases from epithelial tumours: late results of surgical treatment.
Eur. J. Cardiothorac. Surg., August 1, 2006; 30(2): 217 - 222.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Monteiro, N. Arce, J. Bernardo, L. Eugenio, and M. J. Antunes
Surgical resection of lung metastases from epithelial tumors
Ann. Thorac. Surg., February 1, 2004; 77(2): 431 - 437.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M.J.R. Dalrymple-Hay, P.D. Rome, C. Kennedy, M. Fulham, and B.C. McCaughan
Pulmonary metastatic melanoma -- the survival benefit associated with positron emission tomography scanning
Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 611 - 615.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Piltz, G. Meimarakis, M. W. Wichmann, R. Hatz, F. W. Schildberg, and H. Fuerst
Long-term results after pulmonary resection of renal cell carcinoma metastases
Ann. Thorac. Surg., April 1, 2002; 73(4): 1082 - 1087.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
M. Higashiyama, K. Kodama, K. Takami, N. Higaki, H. Yokouchi, T. Nakayama, K. Murata, M. Kameyama, J.-i. Ashimura, Y. Naruse, et al.
Intraoperative Lavage Cytologic Analysis of Surgical Margins as a Predictor of Local Recurrence in Pulmonary Metastasectomy
Arch Surg, April 1, 2002; 137(4): 469 - 474.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. T. Jaklitsch, C. M. Mery, J. M. Lukanich, W. G. Richards, R. Bueno, S. J. Swanson, S. J. Mentzer, B. D. Davis, E. N. Allred, and D. J. Sugarbaker
Sequential thoracic metastasectomy prolongs survival by re-establishing local control within the chest
J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 657 - 667.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
S. Margaritora, A. Cesario, D. Galetta, K. Kawamukai, E. Meacci, and P. Granone
Staged axillary thoracotomy for bilateral lung metastases: an effective and minimally invasive approach
Eur. J. Cardiothorac. Surg., September 1, 1999; 16(suppl_1): S37 - S39.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. B. Zwischenberger and S. K. Alpard
Pulmonary metastasectomy
Ann. Thorac. Surg., July 1, 1999; 68(1): 287 - 288.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Kandioler-Eckersberger
Reply
Ann. Thorac. Surg., September 1, 1998; 66(3): 989 - 989.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Kandioler, E. Kromer, H. Tuchler, A. End, M. R. Muller, E. Wolner, and F. Eckersberger
Long-Term Results After Repeated Surgical Removal of Pulmonary Metastases
Ann. Thorac. Surg., April 1, 1998; 65(4): 909 - 912.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Aberg
Selection Mechanisms as Major Determinants of Survival After Pulmonary Metastasectomy
Ann. Thorac. Surg., March 1, 1997; 63(3): 611 - 612.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1997 by The Society of Thoracic Surgeons.