P-0237 Open and Video-Assisted Thoracoscopic Resection of Solitary Lung Metastases in Patients with Colorectal Cancer: Preliminary Results

摘要: ABSTRACT Introduction In patients with colorectal cancer (CRC), the most frequent metastatic site is liver. resectable cases liver resection usually performed, while different treatment modalities including, hepatic arterial infusion chemotherapy, vein embolization, and local destruction cryotherapy or radiofrequency ablation represent treatments of choice in unresectable cases. The lung an uncommon metastases from CRC, accounting for 5-10% addition, some CRC develop pulmonary even when sites are considered to be limited Unfortunately, untreated stage IV have overall median survival 6-8 months, a 5-year less than 2-3%. Thus, surgery still remains sole possible metastases. Pulmonary has long been reported, although initially this surgical was not completely satisfactory. Currently, metastasectomy through thoracoscopy appears feasible, leading similar results that obtained open surgery, advantages minimally invasive approach. aim study analyze video-assisted thoracoscopic (VATS) CRC. Methods We retrospectively reviewed group 34 (26 men, 8 women, age 64 years) I-II who developed solitary small ( Results mean postoperative follow-up 49 months (range 6-98 months). 1-year 3-year rate 85.3% 67.6%, disease-free interval (DFI) 58.8% 35.3% Groups A B, respectively. 1- (Group vs. B) 83.3% 87.5% (95% CI 0.71-4.92, p=0.56), 61.1% 75.0% 0.12-2.29, p=031), DFI 55.6% 62.5% 1.19-2.96, p=0.68), 33.3% 37.5% 0.20-3.41, Conclusion Better were underwent VATS resection, but rates did differ significantly between Groups. according our preliminary reports, metastasis, should technique choice.