Reoperative Pulmonary Metastasectomy: Outcomes and Indications.

Publication Title

Thoracic surgery clinics

Document Type

Article

Publication Date

5-1-2025

Keywords

washington; swedish; swedish thoracic surgery

Abstract

Recurrent pulmonary metastasis after initial pulmonary metastasectomy is common and poses a clinical dilemma. Reoperative pulmonary metastasectomy is an option that in select patients has been shown to be safe and technically feasible resulting in encouraging survival results from non-randomized retrospective studies. As with metastasectomy in general, there is ongoing debate if observed benefit of repeat pulmonary resection is a result of surgery or a reflection of selection bias. This review summarizes available evidence regarding reoperative pulmonary metastasectomy, discusses selection bias, and outlines future directions in the context of our evolving understanding of the oligometastatic state.

Area of Special Interest

Cancer

Specialty/Research Institute

Swedish Thoracic Surgery

Specialty/Research Institute

Oncology

Specialty/Research Institute

Pulmonary Medicine

DOI

10.1016/j.thorsurg.2025.02.001

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