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Ann Thorac Surg 2007;84:1836-1837. doi:10.1016/j.athoracsur.2007.07.050
© 2007 The Society of Thoracic Surgeons
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Original Articles: General Thoracic

Invited commentary

Cameron D. Wright, MD

Thoracic Surgery, Massachusetts General Hospital, Blake 1570, 55 Fruit St, Boston, MA 02114

(Email: wright.cameron@mgh.harvard.edu).

The first 20% of the full text of this article appears below.

This article by Parsons and colleagues [1] addresses an important clinical problem in thoracic surgery, which is the accuracy in detecting pulmonary metastases [1]. Although resection of pulmonary metastases has never been proven to improve survival in a randomized clinical trial, complete resection has been a consistent prognostic factor in many phase 2 trials, suggesting the efficacy of resection and the importance of detecting and removing all metastatic disease. Modern computed tomographic (CT) scanning has greatly improved our preoperative detection of suspected metastatic disease with a single breath hold and fine slice thickness (2.5 to 5 mm).

Resection of peripheral small pulmonary metastases would seem an ideal indication for a video-assisted thoracic surgical approach (VATS). Indeed many surgeons have used a VATS approach . . . [Full Text of this Article]


Related Article

Helical Computed Tomography Inaccuracy in the Detection of Pulmonary Metastases: Can It Be Improved?
Alden M. Parsons, Erin K. Ennis, Bonnie C. Yankaskas, Leonard A. Parker, Jr, W. Brian Hyslop, and Frank C. Detterbeck
Ann. Thorac. Surg. 2007 84: 1830-1836. [Abstract] [Full Text] [PDF]





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Copyright © 2007 by The Society of Thoracic Surgeons.