Journal Information
Vol. 34. Issue 3.
Pages 112-118 (March 1998)
Share
Share
Download PDF
More article options
Vol. 34. Issue 3.
Pages 112-118 (March 1998)
Full text access
Cirugía en las metástasis pulmonares: resultados de una encuesta hospitalaria en la Comunidad Autónoma de Madrid
Surgery for pulmonary metastasis: results of a hospital questionnaire in the Autonomous Community of Madrid
Visits
...
J.C. Vázquez-Pelillo*,1, J.L. Bravo Bravo**, Grupo de Trabajo sobre Cirugía en las Metástasis Pulmonares (GT-CMP) *
1 Coordinador del Grupo de Trabajo sobre Cirugía en las Metástasis Pulmonares. Área de Oncología de la Sociedad Madrileña de Neumología y Cirugía Torácica (NEUMOMADRID). Hospital Gregorio Marañón. Madrid
2 Coordinador del Área de Oncología de la Sociedad Madrileña de Neumología y Cirugía Torácica (NEUMOMADRID). Fundación Jiménez Díaz. Madrid
Article information

El Grupo de Trabajo sobre Cirugía en las Metástasis Pulmonares, del Área de Oncología de la Sociedad Madrileña de Neumología y Cirugía Torácica, elaboró una encuesta destinada a conocer las pautas de actuación quirúrgica en la resección de metástasis pulmonares en la Comunidad Autónoma de Madrid, que cuenta con una población superior a los 4 millones de habitantes. Esta encuesta se dividió en cinco apartados: indicaciones, estudios diagnósticos, estudios de extensión, enfoque disciplinario y técnicas quirúrgicas. Hubo respuestas de los 10 centros encuestados. Se comprobó al examinar dichas respuestas que hay un alto grado de concordancia en los criterios de selección de los pacientes, mientras que existen diferencias en algunos estudios preoperatorios y de extensión, así como en aspectos de enfoque terapéutico. En los apartados técnicos, un 80% de los encuestados no son partidarios de utilizar la videotoracoscopia como técnica terapéutica, existiendo mayores discrepancias en cuanto a la vía de abordaje para metástasis bilaterales. De los datos obtenidos de esta encuesta se infiere que el número de casos intervenidos anualmente puede oscilar entre 100 y 120, y se van a iniciar los trámites para ingresar en The International Registry of Lung Metastases.

Palabras clave:
Metástasis pulmonares
Neoplasias pulmonares secundarias
Cirugía
Metastasectomía

The Task Force on Pulmonary Metastasis Surgery of the Oncology Department of the Madrid Pneumology and Chest Surgery Society designed a questionnaire to determine guidelines for surgery to resect lung metastases in the Autonomous Community of Madrid, an area with over four million inhabitants. The questionnaire was divided into five sections: indications, diagnostic procedures, extension studies, disciplinary foci and surgical techniques. Ten of the hospitals surveyed answered the questionnaire. We found that disagreement is high regarding patient screening, and that there are differences regarding some preoperative procedures and extensión studies, as well as in therapeutic approach. Eighty percent of the respondents were not in favor of using video assisted thoracoscopy as a therapeutic technnique, and disagreement was greater regarding approaches technique, and disagreement was greater regarding approaches to bilateral metastases. We infer that between 100 and 120 cases are treated surgically every year. Procedures to join The International Lung Metastases Registry have started.

Key words:
Lung metastases
Secondary lung neoplasms
Surgery
Metastectomy
Full text is only aviable in PDF
Bibliografía
[1.]
R.A. Willis.
The spread of tumours in the human body.
Secondary tumours of the lungs., pp. 169-177
[2.]
A.P. Naef.
Forgotten pioners in thoracic surgery.
Thorac Cardiovasc Surg, 40 (1992), pp. 1-4
[3.]
J.E. Barney, E.J. Churchill.
Adenocarcinoma of the kidney with metastases to the lung cured by nephrectomy and lobectomy.
J Urol, 42 (1939), pp. 269-276
[4.]
J.H. Robert, V. Ambrogi, B. Mermillod, D. Dahabreh, P. Goldstraw.
Factors influencing long-term survival after lung metastasectomy.
Ann Thorac Surg, 63 (1997), pp. 777-784
[5.]
E.C. Holmes.
Pulmonary metastases.
Thoracic surgery., pp. 827-834
[6.]
T.R. Todd.
Pulmonary metastectomy: current indications of removing lung metastases.
Chest, 103 (1993), pp. 401
[7.]
C.F. Mountain, M.J. McMurtry.
Surgery for pulmonary metastases: a 20 year experience.
Ann Thorac Surg, 38 (1984), pp. 323-330
[8.]
G.E. Venn, S. Sarin.
Survival following pulmonary metastasectomy.
Eur J Cardiothorac Surg, 3 (1989), pp. 105-109
[9.]
X. Baldó, M.A. Callejas, J. Belda, J.J. Grau, J.M. Gimferrer, E. Canalís, et al.
Dos décadas de experiencia en el tratamiento quirúrgico de las metástasis pulmonares.
Neoplasia, 12 (1995), pp. 14-16
[10.]
M.R. Muller, F. Eckersberger.
Resection of lung metastases: results and prognostic factors.
Zentralbl Chir, 116 (1991), pp. 15-22
[11.]
C. Kelm, R. Achatzy.
Surgery of lung metastases.
Thorac Cardiovasc Surg, 36 (1988), pp. 118-121
[12.]
I. Vogt-Moykops, G. Meyer.
Late results of surgical treatment of pulmonary metastases.
Thorac Cardiovasc Surg, 34 (1986), pp. 143-148
[13.]
G.A. Patterson, T.R.J. Todd.
Surgical management of pulmonary metastases.
Can J Surg, 25 (1982), pp. 102-105
[14.]
F. Eckserberger, E. Moritz.
Results and prognostic factors after resection of pulmonary metastases.
Eur J Cardiovasc Surg, 2 (1988), pp. 432-437
[15.]
H.J. VandeWal, A. Verhagen.
Surgery of pulmonary metastases.
Thorac Cardiovasc Surg, 34 (1986), pp. 153-156
[16.]
D.G. Roberst, G. Cardillo.
Long-term follow-up of opeative treatment for pulmonary metastases.
Eur J Cardiothorac, 3 (1989), pp. 292-296
[17.]
E.C. Holmes, K.P. Ramming.
The surgical management of pulmonary metastases.
Semin Oncol, 4 (1977), pp. 65-69
[18.]
W.L. Joseph, D.L. Morton.
Prognostic significance of tumour doubling time in evaluating operability in pulmonary metastatic disese.
J Thorac Cardiovasc Surg, 61 (1971), pp. 23-32
[19.]
D.H. Harpole, C.M. Johnson.
Analysis of 940 cases of pulmonary metastatic melanoma.
J Thorac Cardiovasc Surg, 103 (1992), pp. 743-750
[20.]
H.W. Progrebniak, M. Stovroff.
Resection of pulmonary metastases from malignant melanoma: results of a 16 years experience.
Ann Thorac Surg, 46 (1988), pp. 20-23
[21.]
L.A. Gorenstein, J.B. Putnam.
Improved survival after resection of pulmonary metastases from malignant melanoma.
Ann Thorac Surg, 52 (1991), pp. 204-210
[22.]
H. Maeda, K. Nakahara.
Surgical treatment of pulmonary metastases from osteogenic sarcoma-significance of aggresive resection of bilateral multiple metastasis and tumours invading adjacent organs.
Nippon Kyobu Geka Gakkai Zasshi, 37 (1989), pp. 1.361-1.366
[23.]
J.A. Roth, J.B. Putnam.
Differing determinants of prognosis following resection of pulmonary metastases from osteogenic and soft tissue sarcoma patients.
Cáncer, 55 (1985), pp. 1.361-1.366
[24.]
C.D. Burke, J.V. Belasco.
Pulmonary metastases and bone sarcoma: surgical removal of lesions appearing after adjuvant chemotherapy.
Clin Orthop, 262 (1991), pp. 88-92
[25.]
S.R. Carter, R.J. Grimer.
Results of thoracotomy in osteogenic sarcoma with pulmonary metastases.
Thorax, 46 (1991), pp. 727-731
[26.]
C.L. Snyder, D.A. Saltzman.
A new approach to the resection of pulmonary osteosarcoma metastases: results of aggresive metastectomy.
Clin Orthop, 270 (1991), pp. 247-253
[27.]
L.A. Lanza, S.S. Miser.
The role of resection in the treatment of pulmonary metastases form Ewing's sarcoma.
J Thorac Cardiovasc Surg, 94 (1987), pp. 181-187
[28.]
J.B. Putnam, S.A. Roth.
Surgical treatment for pulmonary metastases from sarcoma.
Hematol Oncol Clin North Am, 9 (1995), pp. 869-887
[29.]
W.E. Rizzoni, H.I. Pass.
Resection of recurrent pulmonary metastases in patients with soft tissue sarcomas.
Ann Surg, 121 (1986), pp. 1.248-1.252
[30.]
D. Jablons, S.M. Steinberg.
Metastasectomy for soft tissue sarcoma: further evidence for efficacy and prognostic indicators.
J Thorac Cardiovasc Surg, 97 (1989), pp. 695-705
[31.]
J.B. Putnam, J.A. Roth.
Analysis of prognostic factors in patients undergoing resection of pulmonary metastases from soft tissue sarcomas.
J Thorac Cardiovasc Surg, 87 (1984), pp. 260-268
[32.]
F.R. Eilber, J.F. Huth.
Progress in the recognition and treatment of soft tissue sarcomas.
Cáncer, 65 (1990), pp. 660-666
[33.]
T.M. Mazer, K.T. Robbins.
Resection of pulmonary metastases of squamous cell carcinoma of the head and neck.
Am J Surg, 156 (1988), pp. 238-242
[34.]
N. Martini, P.M. McCormack, M.S. Bains.
Indications for surgery for intrathoracic metastases in testicular carcinoma.
Semin Oncol, 6 (1979), pp. 99-103
[35.]
M. Mori, H. Tomoda.
Surgical resection of pulmonary metastases from colorectal adenocarcinoma.
Arch Surg, 126 (1991), pp. 1.297-1.301
[36.]
S.J. Brister, B. De Varennes.
Contemporary operative management of pulmonary metastases of colorectal origin.
Dis Colon Rectum, 31 (1988), pp. 786-792
[37.]
K.J. Mansel, A.R. Zinsmunster.
Pulmonary resection of metastatic colorectal adenocarcinoma.
Chest, 89 (1986), pp. 109-112
[38.]
T. Goya, N. Miyazawa.
Surgical resection of pulmonar metastases from colorectal cancer: 10 years follow up.
Cáncer, 64 (1989), pp. 1.418-1.421
[39.]
P. Girard, P. Baldeyrou, D. Grunenwald.
Metastases pulmonaires de cáncer colorectal: resultáis de la chirurgie.
Presse Med, 24 (1995), pp. 1.028-1.032
[40.]
J.B. Thrasher, J.R. Clark.
Surgery for pulmonary metastases from renal cell carcinoma.
Urology, 35 (1990), pp. 487-491
[41.]
J.R. Jett, C.G. Hollinger, A.R. Zinsmiester, P.C. Pairolero.
Pulmonary resection of metastatic renall cell carcinoma.
Chest, 84 (1983), pp. 442-446
[42.]
L.A. Lanza, G. Natarajan, J.A. Roth, J.B. Putnam.
Long-term survival after resection of pulmonary metastases from carcinoma of the breast.
Ann Thorac Surg, 54 (1992), pp. 244
[43.]
The International Registry of Lung Metastases (Writing Committee: Pastorino U, Buyse M, Friedel G, Ginsberg RJ, Girard P, Goldstraw P, Johnston M, McCormack P, Pass H, Putnam JB). Long-term results of lung metastasectomy: pronostic analyses based on 5.206 cases. J Thorac Cardiovasc Surg 1997; 113: 37-49.
[44.]
P.M. McCormack, M.S. Bains, C.B. Begg, M.E. Burt, R.J. Downey, D.M. Panicek, et al.
Role of video-assisted thoracic surgery in the treatment of pulmonary metastases: results of a prospective trial.
Ann Thorac Surg, 62 (1996), pp. 213-216
[45.]
H. Takita, C. Merrin.
The surgical management of multiple lung metastases.
Ann Thorac Surg, 24 (1977), pp. 359-364
[46.]
U. Pastorino, M. Valente, M. Gasparini, A. Azzarelli, A. Santoro, L. Tavecchio, et al.
Median stenotomy and multiple lung resections for metastatic sarcomas.
Eur J Cardiothorac Surg, 4 (1990), pp. 277-281
[47.]
M. Perelman.
Precision techniques for removal of pathological structures from the lungs.
Surgery, 11 (1983), pp. 12-13
Copyright © 1998. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología

Subscribe to our newsletter

Article options
Tools

Are you a health professional able to prescribe or dispense drugs?