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Comparative analysis of the results of surgical treatment for pulmonary metastases from colorectal cancer and metastases from other primary origin

Vladimir Stanoev, Georgi Yankov, Anatoli Semkov, Eljuar Goranov, Danail Petrov
European Respiratory Journal 2016 48: PA2531; DOI: 10.1183/13993003.congress-2016.PA2531
Vladimir Stanoev
1Thoracic Surgery, SHATPD “St. Sofia” Medical University-Sofia, Sofia, Bulgaria
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Georgi Yankov
1Thoracic Surgery, SHATPD “St. Sofia” Medical University-Sofia, Sofia, Bulgaria
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Anatoli Semkov
1Thoracic Surgery, SHATPD “St. Sofia” Medical University-Sofia, Sofia, Bulgaria
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Eljuar Goranov
1Thoracic Surgery, SHATPD “St. Sofia” Medical University-Sofia, Sofia, Bulgaria
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Danail Petrov
1Thoracic Surgery, SHATPD “St. Sofia” Medical University-Sofia, Sofia, Bulgaria
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Abstract

Aim: To compare postoperative results after surgery for pulmonary metastases from colorectal carcinoma with them from other extrapulmonary origin.

Methods: From Jan 2001 to Dec 2015 were operated on 67 patients, 22 for metastases from colorectal carcinoma. One-stage operations were performed via median sternotomy (7) and bilateral thoracotomies (3), 1 of them with colorectal origin. Two-stage strategy was applied in 6 patients, 3 of them with colorectal origin. Unilateral operation were carried out: metastasectomy in 38 (56.7%), lobectomy in 9 (13.4%), extended lobectomy in 2 (3.0%), sleeve lobectomy in 1 (1.5%) and polysegmental resection in 1 (1.5%). By the patients with colorectal origin were carried out: metastasectomy in 12 (54.5%), lobectomy in 4 (18.2%), extended lobectomy in 1 (4.5%) and polysegmental resection in 1 (4.5%). VATS was applied in 9 (13.4%) patients, 3 (13.6%) of them with colorectal carcinoma.

Results: No 30-day postoperative mortality was faced. The mean number of resected metastases was 2.13 per patient, in the group with colorectal origin 1.86. Metastatic mediastinal lymph nodes involvement was found in 9 (13.6%) patients, 3 (13.6%) of them with metastases from colorectal carcinoma. There was no significant difference in long-term results and in prognostic factors between two groups of patients (p=0.578).Survival in months in patients with colorectal cancer and patients with other primary origin.

Conclusion: Disease free intervaland number of metastases are the main prognostic factors. Mediastinal lymph nodes involvement is an unfavorable prognostic factor.

  • Lung cancer / Oncology
  • Adolescents
  • Morphology
  • Copyright ©the authors 2016
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Comparative analysis of the results of surgical treatment for pulmonary metastases from colorectal cancer and metastases from other primary origin
Vladimir Stanoev, Georgi Yankov, Anatoli Semkov, Eljuar Goranov, Danail Petrov
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2531; DOI: 10.1183/13993003.congress-2016.PA2531

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Comparative analysis of the results of surgical treatment for pulmonary metastases from colorectal cancer and metastases from other primary origin
Vladimir Stanoev, Georgi Yankov, Anatoli Semkov, Eljuar Goranov, Danail Petrov
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2531; DOI: 10.1183/13993003.congress-2016.PA2531
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