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Review
. 2022 Apr 29:9:884915.
doi: 10.3389/fsurg.2022.884915. eCollection 2022.

Lung Metastases: Current Surgical Indications and New Perspectives

Giuseppe Mangiameli  1   2 , Ugo Cioffi  3 , Marco Alloisio  1   2 , Alberto Testori  1
Affiliations
Review

Lung Metastases: Current Surgical Indications and New Perspectives

Giuseppe Mangiameli et al. Front Surg. .

Abstract

Pulmonary metastasectomy is an established treatment that can provide improved long- term survival for patients with metastatic tumor(s) in the lung. In this mini-review, we discuss the state of the art of thoracic surgery in surgical management of lung metastases which actually occurs for a large part of surgical activity in thoracic surgery department. We describe the principles of surgical therapy that have been defined across the time, and that should remain the milestones of lung metastases treatment: a radical surgery and an adequate lymphadenectomy. We then focus on current surgical indications and report the oncological results according to the surgical approach (open vs. mini-invasive), the histological type and number of lung metastases, and in case of re-metastasectomy. Finally, we conclude with a brief overview about the future perspectives in thoracic surgery in treatment of lung metastases.

Keywords: indications; lung metastases; pulmonary metastasectomy; secondary lung cancer; thoracic surgery; wedge resections.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer FP declared a shared affiliation with the author UC to the handling editor at the time of review.

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