Lung Metastatectomy: Can Laser-Assisted Surgery Make a Difference?

Grapatsas, Konstantinos; Papaporfyriou, Anastasia; Leivaditis, Vasileios; Ehle, Benjamin; Galanis, Michail (2022). Lung Metastatectomy: Can Laser-Assisted Surgery Make a Difference? Current oncology, 29(10), pp. 6968-6981. MDPI 10.3390/curroncol29100548

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BACKGROUND

Resection of lung metastases with curative intention in selected patients is associated with prolonged survival. Laser-assisted resection of lung metastases results in complete resection of a high number of lung metastases, while preserving lung parenchyma. However, data concerning laser lung resections are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the utility of laser-assisted pulmonary metastasectomy.

METHODS

An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies.

RESULTS

Fourteen studies with a total of 1196 patients were included in this metanalysis. Laser-assisted surgery (LAS) for lung metastases is a safe procedure with a postoperative morbidity up to 24.2% and almost zero mortality. LAS resulted in the resection of a high number of lung metastases with reduction of the lung parenchyma loss in comparison with conventional resection methods. Survival was similar between LAS and conventional resections.

CONCLUSION

LAS allows radical lung-parenchyma saving resection of a high number of lung metastases with similar survival to conventional methods.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Galanis, Michail

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1718-7729

Publisher:

MDPI

Language:

English

Submitter:

Pubmed Import

Date Deposited:

28 Oct 2022 10:40

Last Modified:

05 Dec 2022 16:27

Publisher DOI:

10.3390/curroncol29100548

PubMed ID:

36290825

Uncontrolled Keywords:

laser laser-assisted lung metastases metastases morbidity postoperative complications pulmonary metastasectomy

BORIS DOI:

10.48350/174222

URI:

https://boris.unibe.ch/id/eprint/174222

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