Survival Analysis of Resection of Lung Metastases from Colorectal Cancer

被引:13
作者
Mongil Poce, Roberto [1 ]
Pages Navarrete, Carlos [1 ]
Ruiz Navarrete, Jose Antonio [1 ]
Roca Fernandez, Javier [1 ]
Arrabal Sanchez, Ricardo [1 ]
Benitez Domenech, Agustin [1 ]
de Rota Avecilla, Antonio Fernandez [1 ]
Fernandez Bermudez, Jose Luis [1 ]
机构
[1] Hosp Reg Univ Carlos Haya, Serv Cirugia Toracica, Malaga, Spain
来源
ARCHIVOS DE BRONCONEUMOLOGIA | 2009年 / 45卷 / 05期
关键词
Lung metastasis; Colorectal carcinoma; Surgery; ASSISTED THORACIC-SURGERY; PULMONARY METASTASES; SURGICAL RESECTION;
D O I
10.1016/j.arbres.2008.11.008
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Introduction: The publication of the International Registry of Lung Metastases (IRLM) in 1997 was a turning point in favor of surgical resection of lung metastases. Prognostic groups were defined according to resectability, number of metastases, and disease-free interval. The objective of this study was to determine survival in patients who underwent resection of lung metastases from colorectal carcinoma and to evaluate how applicable the prognostic factors established by the IRLM are in this specific patient group. Patients and Methods: Patients with lung metastases from colorectal carcinoma who underwent resection between January 1, 2000, and November 30, 2006, were retrospectively analyzed. Survival was calculated using the Kaplan-Meier method, with log-rank comparisons between groups. Results: Survivals at 1, 3, 5, and 6 years was 92%, 75%. 54%, and 43%, respectively. The main finding was that 3-year survival was better in patients who underwent atypical resection of the metastasis (75%) than those who required lobectomy (55%). There were no significant differences in survival in terms of number of lung metastases resected or disease-free interval. Conclusions: Survival in patients requiring lobectomy for resection of lung metastases from colorectal carcinoma was worse than in those who underwent atypical resection. The number of metastases and disease-free interval may be questionable prognostic factors in the case of lung metastases from colorectal carcinoma. (C) 2008 SEPAR. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:235 / 239
页数:5
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