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Review
. 2021 Apr;13(4):2686-2691.
doi: 10.21037/jtd-2019-pm-09.

Multimodal and palliative treatment of patients with pulmonary metastases

Natalie Baldes  1 , Michael Eberlein  2 , Servet Bölükbas  1
Affiliations
Review

Multimodal and palliative treatment of patients with pulmonary metastases

Natalie Baldes et al. J Thorac Dis. 2021 Apr.

Abstract

Pulmonary metastasectomy has become an important part of the multimodality treatment. Surgical practice is based on observational studies published during the last decades, since no randomized clinical trials exist on the topic. However, the overall survival can be improved after pulmonary metastasectomy in carefully selected patients. The objective of resection of pulmonary metastases is to remove all tumor while preserving as much normal pulmonary parenchyma as possible and reduce invasiveness. Contrary, nonsurgical local treatment options for pulmonary metastases include thermal ablation techniques and stereotactic ablative body radiation. Thermal ablation techniques include microwave, cryotherapy and radiofrequency ablation. The present review article gives an overview on the topic and should help thoracic surgeons to make the right decisions in their daily practice.

Keywords: Pulmonary metastasectomy; multimodal treatment; palliative resection.

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Conflict of interest statement

Conflicts of Interest: The authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/jtd-2019-pm-09). The series “Pulmonary Metastases” was commissioned by the editorial office without any funding or sponsorship. SB serves as an unpaid editorial board member of Journal of Thoracic Disease. The authors have no other conflicts of interest to declare.

Figures

Figure 1
Figure 1
Pulmonary metastasectomy performed by laser via thoracotomy.
Figure 2
Figure 2
Airtight pulmonary cavity after laser resection.
Figure 3
Figure 3
Pulmonary metastasectomy performed by laser via single-port videothoracoscopic approach.
See this image and copyright information in PMC

References

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