title: [Role of Laser Resection in Pulmonary Metastasectomy].
abstract: ObjectivesThis review presents laser resection as treatment option in pulmonary metastasectomy and summarizes the current evidence. Moreover, it includes the comparison of laser resection and common techniques used in lung metastasectomy.MethodsWe performed a systematic literature research in Medline and the Cochrane library to detect case series and even randomized trials. All included studies underwent qualitative analysis.ResultsLaser metastasectomy is a safe procedure. Data regarding relevant clinical end points as hospitalization, duration of chest tube drainage and long-term survival are heterogeneous and still controversial. Laser enucleation decreases the resection volume. Therefore, it leads to a significant reduction of parenchymal loss. Survival rates after laser metastasectomy are equal to the outcome after resection using other techniques.ConclusionsLaser resection is a parenchyma-sparing method. Hence, it offers radical metastasectomy even in case of multiple pulmonary lesions or impaired lung capacity.
authors.affiliation: Medizinische Fakultät, Universität zu Köln, Köln.
authors.forename: S
authors.initials: S
authors.lastname: Macherey
authors.affiliation: Klinik und Poliklinik für Herz- und Thoraxchirurgie, Universität zu Köln, Köln.
authors.forename: F
authors.initials: F
authors.lastname: Doerr
authors.affiliation: Klinik und Poliklinik für Herz- und Thoraxchirurgie, Universität zu Köln, Köln.
authors.forename: T
authors.initials: T
authors.lastname: Wahlers
authors.affiliation: Klinik und Poliklinik für Herz- und Thoraxchirurgie, Universität zu Köln, Köln.
authors.forename: K
authors.initials: K
authors.lastname: Hekmat
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans; D053685:Laser Therapy / Q000379:methods* / Q000401:mortality; D008175:Lung Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D059146:Metastasectomy / Q000379:methods* / Q000401:mortality; D016032:Randomized Controlled Trials as Topic; D015996:Survival Rate