title: [Pneumonectomy with extracorporeal circulation to treat pulmonary metastasis].
abstract: Surgical resection of pulmonary metastasis is appropriate provided the general principals of oncological surgery are followed. Complete excision of the metastatic tumor is associated with long-term survival and low perioperative mortality. We present 2 cases of single pulmonary metastasis from osteosarcoma with cardiac involvement. In both cases, complete excision required left pneumonectomy by sternotomy with extracorporeal circulation. The outcomes were favorable, no perioperative complications were reported, and the patients remained free of disease at 14 and 17 months after surgery. In conclusion, we believe that the cases presented confirm that extended pneumonectomy with extracorporeal circulation if necessary is a valid approach for complete resection of pulmonary metastasis.
authors: Servicio de Cirugía Torácica, Hospital de La Ribera, Alzira, Valencia, España. gsales@hospital-ribera.com
authors: Jesús Gabriel
authors: JG
authors: Sales Badia
authors: José Marcelo
authors: JM
authors: Galbis Caravajal
authors: Belén
authors: B
authors: Viñals Larruga
authors: Daniel
authors: D
authors: Luna Arnal
authors: Pedro
authors: P
authors: Cordero Rodríguez
authors: José Miguel
authors: JM
authors: Cuevas Sanz
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001132:Arm; D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D005112:Extracorporeal Circulation; D005266:Femoral Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D008297:Male; D012516:Osteosarcoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery*; D010492:Pericardiectomy / Q000379:methods; D010496:Pericardium / Q000473:pathology / Q000601:surgery; D010994:Pleura / Q000473:pathology / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*; D011667:Pulmonary Veins / Q000473:pathology / Q000601:surgery; D012509:Sarcoma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents