title: Thoracoscopic Management of Pulmonary Metastases.
abstract: In appropriately selected patients, resection of pulmonary metastases from various primary tumors can lead to improved survival. Metastasectomy has traditionally been performed by open thoracotomy; however, thoracoscopic resection offers the important benefits of a less invasive approach with more expeditious recovery. Concerns regarding missed lesions during thoracoscopy have not been realized in analyses of survival and may be offset by a policy of repeat metastasectomy for pulmonary recurrences. Despite the relative paucity of prospective trials, the preponderance of data supports the use of video-assisted thoracic surgery for pulmonary metastasectomy, which represents our preferred strategy for these patients.
authors.affiliation: Cardiothoracic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Elliot
authors.initials: E
authors.lastname: Servais
authors.affiliation: Minimally Invasive Thoracic Surgery, Cancer Affairs, Department of Surgery, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. Electronic address: sjswanson@partners.org.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Swanson
mesh_terms: D019468:Disease Management; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery*; D059146:Metastasectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
keywords: Minimally invasive surgery; Pulmonary metastasectomy; Thoracoscopic surgery; VATS metastasectomy