Abstract
Background
We performed a retrospective comparison of the oncological outcome of thoracoscopic surgery for pulmonary metastasis with that of conventional open thoracotomy.
Methods
The patient population for our retrospective comparison was comparised of 45 patients undergoing pulmonary resections via video-assisted thoracoscopy (thoracoscopy group) and 55 undergoing similar resections by open thoracotomy (open group) for pulmonary metastases between 1994 and 1999.
Results
Solitary metastasis was resected more frequently with thoracoscopy than open thoracotomy. There were no significant intergroup differences in rates of local recurrence from the initial pulmonary resection site. The actuarial 1-year, 2-year, and 3-year survival rates were, respectively, 82.8%, 70.%, and 62.3% in the thoracoscopy group and 93.6%, 64.6%, and 52.7% in the open group. The rates of pulmonary recurrence and survival also did not differ significantly between the two groups with solitary metastases.
Conclusion
Thoracoscopic surgery for metastatic lung disease appears to be feasible as long as the preoperative metastatic tumor evaluation using chest computed tomography (CT) is accurate.
Similar content being viewed by others
References
Asamura H, Kondo H, Naruke T, Tsuchiya R, Wakao F, Kaneko M, Suemasu K (1994) Computed tomography-guided coil injection and thoracoscopic pulmonary resection under roentgenographic fluoroscopy. Ann Thorac Surg 58: 1542–1544
Dowling RD, Landreneau RJ, Miller DL (1998) Video-assisted thoracoscopic surgery for resection of lung metastases. Chest 113 (Suppl): 2S-5S
Ferson PF, Keenan RJ, Luketich JD (1998) The role of video-assisted thoracic surgery in pulmonary metastases. Chest Surg Clin North Am 8: 59–76
Giudicelli R, Thomas P, Lonjon T, Ragni J, Morati N, Ottomani R, Fuentes PA, Shemib H, Noirclerc M (1994) Video-assisted minithoracotomy versus muscle-sparing thoracotomy for performing lobectomy. Ann Thorac Surg 58: 712–717
Hazelrigg SR, Magee MJ, Cetindag IB (1998) Video-assisted thoracic surgery for diagnosis of the solitary lung nodule. Chest Surg Clin North Am 8: 763–774
Landreneau RJ, Sugarbaker DJ, Mack MJ, Hazelrigg SR, Luketich JD, Fetterman L, Liptay MJ, Bartley S, Boley TM, Keenan RJ, Ferson PF, Weyant RJ, Nauheim KS (1997) Wedge resection versus lobectomy for stage I (T1 N0 M0) non-small-cell lung cancer. J Thorac Cardiovasc Surg 113: 691–698
Liu HP, Lin PJ, Hsieh MJ, Chang JP, Chang CH (1995) Application of thoracoscopy for lung metastases. Chest 107: 266–268
McCormack PM, Ginsberg KB, Bains MS, Burt ME, Martini N, Rusch VW (1993) Accuracy of lung imaging in metastases with implications for the role of thoracotomy. Ann Thorac Surg 56: 863–866
Mack MJ, Aronoff RJ, Acuff TE, Douthit MB, Bowman RT, Ryan WH (1992) Present role of thoracoscopy in the diagnosis and treatment of diseases of the chest. Ann Thorac Surg 54: 403–408
Mack MJ, Gordon MJ, Postma TW, Berger MS, Aronoff RJ, Acuff TE, Ryan WH (1992) Percutaneous localization of pulmonary nodules for thoracoscopic lung resection. Ann Thorac Surg 53: 1123–1124
Mack MJ, Scruggs GR, Kelly KM, Shennib H, Landreneau RJ (1997) Video-assisted thoracic surgery: has technology found its place? Ann Thorac Surg 64: 211–215
Otsuka T, Kohno T, Nakajima J, Yagyu K, Furuse A (1996) Thoracoscopic surgery for lung cancer complicated by emphysema in elderly patients: report of three cases. Intern Surg 81: 245–247
Otsuka T, Furuse A, Kohno T, Nakajima J, Yagyu K, Omata S (1995) Application of a new tactile sensor to thoracoscopic surgery: experimental and clinical study. Ann Thorac Surg 60: 610–613
Pastorino U, Buyse M, Friedel G, Ginsberg RJ, Girard P, Goldstraw P, Johnston M, McCormack P, Pass H, Putnam JB Jr (1997) Long-term results of lung metastasectomy: prognostic analyses based on 5206 cases. J Thorac Cardiovasc Surg 113: 37–49
Schaeff B, Paolucci V, Thomopoulos J (1998) Port site recurrences after laparoscopic surgery: a review. Dig Surg 15: 124–134
Seemann MD, Beinert T, Dienemann H, Obst B, Spelsberg F, Fink U, Reiser MF (1996) Identification of characteristics for malignancy of solitary pulmonary nodules using high-resolution computed tomography. Eur J Med Res 1: 371–376
Takanashi N, Nobe Y, Asoh H, Yano T, Ichinose Y (1995) The diagnostic accuracy of a solitary pulmonary nodule, using thin-section high resolution CT: a solitary pulmonary nodule by HRCT. Lung Cancer 13: 105–112
Togo S, Fujii S, Yamaguchi S, Ike H, Ooki S, Shimada H (1996) Thoracoscopic lung resection for lung metastasis of colorectal cancer. Surg Laparosc Endosc 6: 480–484
Tschernko EM, Hofer S, Bieglmayer C, Wisser W, Haider W (1996) Early postoperative stress: video-assisted wedge resection/lobectomy vs conventional axillary thoracotomy. Chest 109: 1636–1642
Watanabe M, Deguchi H, Sato M, Ozeki Y, Tanaka S, Izumi Y, Kobayashi K (1998) Midterm results of thoracoscopic surgery for pulmonary metastases especially from colorectal cancers. J Laparoendosc Advanced Surg Tech A 8: 195–200
Author information
Authors and Affiliations
Additional information
Online publication: 7 May 2001
Rights and permissions
About this article
Cite this article
Nakajima, J., Takamoto, S., Tanaka, M. et al. Thoracoscopic surgery and conventional open thoracotomy in metastatic lung cancer. Surg Endosc 15, 849–853 (2001). https://doi.org/10.1007/s004640090005
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s004640090005