Hybrid approaches to pulmonary metastasectomy: a narrative review

被引:0
|
作者
Gagto, Jesyl O. [1 ,4 ]
Danguilan, Jose Luis J. [2 ]
Callueng, Jose Miguel C. [3 ]
Concejero, Dante Allan M. [1 ]
机构
[1] Univ Philippines, Philippine Gen Hosp, Div Thorac Cardiac & Vasc Surg, Manila, Philippines
[2] Lung Ctr Philippines, Dept Thorac Surg & Anesthesia, Quezon City, Philippines
[3] Manila Doctors Hosp, Dept Radiat Oncol, Manila, Philippines
[4] Univ Philippines, Philippine Gen Hosp, Div Thorac Cardiac & Vasc Surg, Taft Ave, Manila 1000, Philippines
来源
关键词
Pulmonary metastasectomy (PM); oligometastases; hybrid approaches; STEREOTACTIC BODY RADIOTHERAPY; ISOLATED LUNG PERFUSION; MULTICENTER CLINICAL-TRIAL; BILATERAL PULMONARY; RADIOFREQUENCY ABLATION; CANCER-PATIENTS; COLORECTAL-CANCER; RADIATION-THERAPY; ARTERY PERFUSION; PHASE-I/II;
D O I
10.21037/vats-23-28
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background and Objective: Pulmonary metastasectomy (PM) is a common surgical resective procedure performed by thoracic surgeons to improve long-term survival in selected patients with metastatic tumors in the lung. In the past, thoracotomy was the preferred surgical approach but in recent years, treatment options have expanded to include minimally invasive approaches, thermal ablation therapy, stereotactic body radiation therapy (SBRT), and combinations of these techniques. With rapid advances in chemotherapy, immunotherapy, and molecular-targeted therapy, thoracic surgeons should review the indications and approaches to pulmonary metastases. This article aims to review the evolution of PM and the different modalities currently available to the stage IV patient.Methods: A narrative review of the literature from 1959 to 2023 was conducted using a variable combination of the following terms: "lung metastasectomy" or "pulmonary metastasectomy", "thoracic surgery" or "lung surgery", "radiosurgery" or "stereotactic ablative radiotherapy" or "stereotactic body radiotherapy", "chemotherapy" and "ablation". Hand searching and citation chaining were used to include relevant articles that were not indexed in the initial search strategy. Included articles were those of human subjects and published in English language.Key Content and Findings: A hybrid approach to PM brought about by interdisciplinary collaboration between the fields of thoracic surgery, interventional radiology, radiation oncology and medical oncology has expanded the indications for which this potentially curative procedure can be applied.Conclusions: Open and minimally-invasive surgical resection, ablation, SBRT, chemotherapy, immunotherapy and targeted therapy can be used synergistically when applied in combination to provide local and systemic control of oligometastases. A highly individualized and multidisciplinary approach has the potential to maximize survival outcomes in patients with pulmonary metastases.
引用
收藏
页数:11
相关论文
共 50 条
  • [1] Pulmonary metastasectomy in pediatric patients: a narrative review
    Huerta, Carlos Theodore
    Rodriguez, Cindy
    Sainathan, Sandeep
    Perez, Eduardo A.
    VIDEO-ASSISTED THORACIC SURGERY, 2024, 9
  • [2] A narrative review of minimally invasive pulmonary metastasectomy for colorectal cancer
    Sheth, Megha K.
    Harano, Takashi
    VIDEO-ASSISTED THORACIC SURGERY, 2024, 9
  • [3] Simultaneous minimally invasive bilateral pulmonary metastasectomy: a narrative review
    Yuhara, Shinji
    Kohno, Tadasu
    VIDEO-ASSISTED THORACIC SURGERY, 2024, 9
  • [4] The Case for Pulmonary Metastasectomy-Clinical Practice Narrative Review and Commentary
    Scanagatta, Paolo
    Ancona, Gianluca
    Cagnetti, Sara
    Giorgetta, Casimiro Eugenio
    Inzirillo, Francesco
    Ravalli, Eugenio
    Maiolani, Martina
    Naldi, Giuseppe
    LIFE-BASEL, 2024, 14 (06):
  • [5] The role of minimally invasive sublobar resection in pulmonary metastasectomy: a narrative review
    Ano, Alejandra de la Fuente
    Vazquez, Ines Luque
    Rodriguez, Maria
    VIDEO-ASSISTED THORACIC SURGERY, 2024, 9
  • [6] The role and benefit of minimally invasive repeat pulmonary metastasectomy: a narrative review
    Balasubbiah, Narendran
    Tangpiroontham, Padungkiat
    VIDEO-ASSISTED THORACIC SURGERY, 2024, 9 : 1 - 8
  • [7] Open Surgical Approaches for Pulmonary Metastasectomy
    Downey, Robert J.
    Bains, Manjit S.
    THORACIC SURGERY CLINICS, 2016, 26 (01) : 13 - +
  • [8] Minimally invasive thoracoscopic approach to pulmonary metastasectomy for esophageal cancer: a narrative review
    Liang, Shuyin
    Kirshner, Ronald
    Chuang, Neal
    VIDEO-ASSISTED THORACIC SURGERY, 2024, 9
  • [9] Non-intubated video-assisted pulmonary metastasectomy: a narrative literature review
    Gherzi, Lorenzo
    Ferrari, Michele
    Pardolesi, Alessandro
    VIDEO-ASSISTED THORACIC SURGERY, 2021, 6
  • [10] Pulmonary metastasectomy - a review on indications and outcome
    Vidarsdottir, Halla
    Moller, Pall Helgi
    Gudbjartsson, Tomas
    LAEKNABLADID, 2013, 99 (03): : 137 - 143