naa a22 4500 510728286 CHVBK 20180411082943.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11748-013-0284-7 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0284-7 Thoracoscopic resection of solitary lung metastases evaluated by using thin-section chest computed tomography: is thoracoscopic surgery still a valid option? [Elektronische Daten] [Kook Han, Chang Kang, In Park, Young Kim] Objective: This study evaluated long-term outcomes of pulmonary metastasectomy for solitary lung metastases to clarify the role of video-assisted thoracoscopic surgery in the selected population. Methods: We retrospectively investigated oncologic results after the resection of solitary lung metastases guided by thin-section chest computed tomography scans in 105 patients. Pulmonary metastasectomy for solitary lung metastases was approached by thoracotomy (n=43) and by thoracoscopy (n=62). Results: Compared to the thoracotomy group, the thoracoscopy group had a shorter hospital stay (p<0.001) postoperatively. Intrathoracic recurrence developed in 11 (25.6%) patients in the thoracotomy group and 15 (24.2%) in the thoracoscopy group. 19 patients (18.1%) underwent re-metastasectomy during the median 36-month (5-113) follow-up (p=0.693). Re-metastasectomy was performed in 8 patients (18.6%) in the thoracotomy group and in 11 patients (17.7%) in the thoracoscopy group (p=0.910). Overall survival was not significantly different between the two groups (p=0.210). Intrathoracic recurrence was the only significant risk factor for overall survival (p=0.036) in multivariate analysis. Conclusions: In a highly selected group with solitary lung metastases, pulmonary metastasectomy by thoracotomy or thoracoscopy did not affect survival. There were comparable oncologic results from both surgeries when applied in solitary lung metastases from an extra-thoracic malignancy. Thoracoscopic metastasectomy is a promising option in small, solitary pulmonary metastases. The Japanese Association for Thoracic Surgery, 2013 Thoracoscopy nationallicence VATS nationallicence Metastases nationallicence Metastasectomy nationallicence Thin-section chest CT nationallicence Han Kook Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut Kang Chang Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut Park In Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut Kim Young Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut General Thoracic and Cardiovascular Surgery Springer Japan 61/10(2013-10-01), 565-570 1863-6705 61:10<565 2013 61 11748 https://doi.org/10.1007/s11748-013-0284-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0284-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Han Kook Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut NATIONALLICENCE 700 1- Kang Chang Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut NATIONALLICENCE 700 1- Park In Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut NATIONALLICENCE 700 1- Kim Young Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro Jongno-gu, 110-744, Seoul, South Korea aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/10(2013-10-01), 565-570 1863-6705 61:10<565 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer