Results of a pulmonary metastasectomy in patients with colorectal cancer
Purpose The lung is one of the key sites of hematogenous metastasis in patients with colorectal cancer. A metastasectomy of the lung is reported to improve the prognosis of colorectal cancer. We reviewed our experience in evaluating the surgical outcomes in colorectal cancer patients who have underg...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2011, Vol.41 (1), p.54-59 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Suemitsu, Ryuichi Takeo, Sadanori Kusumoto, Eiji Hamatake, Motoharu Ikejiri, Koji Saitsu, Hideki |
| description | Purpose
The lung is one of the key sites of hematogenous metastasis in patients with colorectal cancer. A metastasectomy of the lung is reported to improve the prognosis of colorectal cancer. We reviewed our experience in evaluating the surgical outcomes in colorectal cancer patients who have undergone a pulmonary metastasectomy.
Methods
A single-center retrospective evaluation of clinical prognostic factors (1996–2008) related to a pulmonary metastasectomy of patients with colorectal cancer was conducted. Fifty-seven consecutive patients in our hospital who had undergone a resection of pulmonary metastasis from colorectal cancer were retrospectively investigated.
Results
The mean age of the patients who underwent an initial pulmonary metastasectomy was 63.8 years. The average number of pulmonary metastases was 3.8. Pulmonary metastasectomy was performed an average of 1.6 times per head. A total of 32 patients had undergone a liver metastasectomy, and the 5-year survival of these 32 patients was 43.1%. The 5-year survival of the time from first pulmonary metastasectomy was 53.9%. There were no statistical differences with regard to the disease-free interval, interval from primary resection, or the number of pulmonary metastasectomies.
Conclusions
A pulmonary resection for colorectal pulmonary metastases is therefore considered to be a favorable treatment for long-term survival even in the presence of liver metastases. Thoracic surgeons should therefore aggressively perform a pulmonary metastasectomy of colorectal cancer. |
| doi_str_mv | 10.1007/s00595-009-4244-x |
| format | Article |
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The lung is one of the key sites of hematogenous metastasis in patients with colorectal cancer. A metastasectomy of the lung is reported to improve the prognosis of colorectal cancer. We reviewed our experience in evaluating the surgical outcomes in colorectal cancer patients who have undergone a pulmonary metastasectomy.
Methods
A single-center retrospective evaluation of clinical prognostic factors (1996–2008) related to a pulmonary metastasectomy of patients with colorectal cancer was conducted. Fifty-seven consecutive patients in our hospital who had undergone a resection of pulmonary metastasis from colorectal cancer were retrospectively investigated.
Results
The mean age of the patients who underwent an initial pulmonary metastasectomy was 63.8 years. The average number of pulmonary metastases was 3.8. Pulmonary metastasectomy was performed an average of 1.6 times per head. A total of 32 patients had undergone a liver metastasectomy, and the 5-year survival of these 32 patients was 43.1%. The 5-year survival of the time from first pulmonary metastasectomy was 53.9%. There were no statistical differences with regard to the disease-free interval, interval from primary resection, or the number of pulmonary metastasectomies.
Conclusions
A pulmonary resection for colorectal pulmonary metastases is therefore considered to be a favorable treatment for long-term survival even in the presence of liver metastases. Thoracic surgeons should therefore aggressively perform a pulmonary metastasectomy of colorectal cancer.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-009-4244-x</identifier><identifier>PMID: 21191691</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - therapy ; Female ; Hepatectomy ; Humans ; Liver Neoplasms - mortality ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Lung Neoplasms - mortality ; Lung Neoplasms - secondary ; Lung Neoplasms - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pneumonectomy ; Retrospective Studies ; Surgery ; Surgical Oncology ; Survival Rate ; Treatment Outcome</subject><ispartof>Surgery today (Tokyo, Japan), 2011, Vol.41 (1), p.54-59</ispartof><rights>Springer 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-8954415239e82b55081aed93b6d60edcf15c2f4360969bda166376534db638ab3</citedby><cites>FETCH-LOGICAL-c396t-8954415239e82b55081aed93b6d60edcf15c2f4360969bda166376534db638ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-009-4244-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-009-4244-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21191691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suemitsu, Ryuichi</creatorcontrib><creatorcontrib>Takeo, Sadanori</creatorcontrib><creatorcontrib>Kusumoto, Eiji</creatorcontrib><creatorcontrib>Hamatake, Motoharu</creatorcontrib><creatorcontrib>Ikejiri, Koji</creatorcontrib><creatorcontrib>Saitsu, Hideki</creatorcontrib><title>Results of a pulmonary metastasectomy in patients with colorectal cancer</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
The lung is one of the key sites of hematogenous metastasis in patients with colorectal cancer. A metastasectomy of the lung is reported to improve the prognosis of colorectal cancer. We reviewed our experience in evaluating the surgical outcomes in colorectal cancer patients who have undergone a pulmonary metastasectomy.
Methods
A single-center retrospective evaluation of clinical prognostic factors (1996–2008) related to a pulmonary metastasectomy of patients with colorectal cancer was conducted. Fifty-seven consecutive patients in our hospital who had undergone a resection of pulmonary metastasis from colorectal cancer were retrospectively investigated.
Results
The mean age of the patients who underwent an initial pulmonary metastasectomy was 63.8 years. The average number of pulmonary metastases was 3.8. Pulmonary metastasectomy was performed an average of 1.6 times per head. A total of 32 patients had undergone a liver metastasectomy, and the 5-year survival of these 32 patients was 43.1%. The 5-year survival of the time from first pulmonary metastasectomy was 53.9%. There were no statistical differences with regard to the disease-free interval, interval from primary resection, or the number of pulmonary metastasectomies.
Conclusions
A pulmonary resection for colorectal pulmonary metastases is therefore considered to be a favorable treatment for long-term survival even in the presence of liver metastases. Thoracic surgeons should therefore aggressively perform a pulmonary metastasectomy of colorectal cancer.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cohort Studies</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - therapy</subject><subject>Female</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Liver Neoplasms - mortality</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - secondary</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pneumonectomy</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6A7xIb56imXxtc5RFXUEQRM8hTVPt0jY1aXH335ulq0dhYA7zzAvvg9AlkBsgZHkbCRFKYEIU5pRzvD1Cc-BMYpoDO0ZzojhgoApm6CzGDSGU54ScohkFUCAVzNH61cWxGWLmq8xk_di0vjNhl7VuMDGNs4Nvd1ndZb0Zatcl8rsePjPrGx_S0TSZNZ114RydVKaJ7uKwF-j94f5ttcbPL49Pq7tnbJmSA86V4BwEZcrltBCC5GBcqVghS0lcaSsQllapA1FSFaUBKdlSCsbLQrLcFGyBrqfcPviv0cVBt3W0rmlM5_wYdU5BLZkQKpEwkTb4GIOrdB_qNpXTQPTen5786eRP7_3pbfq5OqSPRevKv49fYQmgExDTqftwQW_8GLrU-J_UH1QVe3U</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Suemitsu, Ryuichi</creator><creator>Takeo, Sadanori</creator><creator>Kusumoto, Eiji</creator><creator>Hamatake, Motoharu</creator><creator>Ikejiri, Koji</creator><creator>Saitsu, Hideki</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>Results of a pulmonary metastasectomy in patients with colorectal cancer</title><author>Suemitsu, Ryuichi ; Takeo, Sadanori ; Kusumoto, Eiji ; Hamatake, Motoharu ; Ikejiri, Koji ; Saitsu, Hideki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-8954415239e82b55081aed93b6d60edcf15c2f4360969bda166376534db638ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cohort Studies</topic><topic>Colorectal Neoplasms - mortality</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - therapy</topic><topic>Female</topic><topic>Hepatectomy</topic><topic>Humans</topic><topic>Liver Neoplasms - mortality</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver Neoplasms - surgery</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - secondary</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pneumonectomy</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suemitsu, Ryuichi</creatorcontrib><creatorcontrib>Takeo, Sadanori</creatorcontrib><creatorcontrib>Kusumoto, Eiji</creatorcontrib><creatorcontrib>Hamatake, Motoharu</creatorcontrib><creatorcontrib>Ikejiri, Koji</creatorcontrib><creatorcontrib>Saitsu, Hideki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suemitsu, Ryuichi</au><au>Takeo, Sadanori</au><au>Kusumoto, Eiji</au><au>Hamatake, Motoharu</au><au>Ikejiri, Koji</au><au>Saitsu, Hideki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of a pulmonary metastasectomy in patients with colorectal cancer</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2011</date><risdate>2011</risdate><volume>41</volume><issue>1</issue><spage>54</spage><epage>59</epage><pages>54-59</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
The lung is one of the key sites of hematogenous metastasis in patients with colorectal cancer. A metastasectomy of the lung is reported to improve the prognosis of colorectal cancer. We reviewed our experience in evaluating the surgical outcomes in colorectal cancer patients who have undergone a pulmonary metastasectomy.
Methods
A single-center retrospective evaluation of clinical prognostic factors (1996–2008) related to a pulmonary metastasectomy of patients with colorectal cancer was conducted. Fifty-seven consecutive patients in our hospital who had undergone a resection of pulmonary metastasis from colorectal cancer were retrospectively investigated.
Results
The mean age of the patients who underwent an initial pulmonary metastasectomy was 63.8 years. The average number of pulmonary metastases was 3.8. Pulmonary metastasectomy was performed an average of 1.6 times per head. A total of 32 patients had undergone a liver metastasectomy, and the 5-year survival of these 32 patients was 43.1%. The 5-year survival of the time from first pulmonary metastasectomy was 53.9%. There were no statistical differences with regard to the disease-free interval, interval from primary resection, or the number of pulmonary metastasectomies.
Conclusions
A pulmonary resection for colorectal pulmonary metastases is therefore considered to be a favorable treatment for long-term survival even in the presence of liver metastases. Thoracic surgeons should therefore aggressively perform a pulmonary metastasectomy of colorectal cancer.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>21191691</pmid><doi>10.1007/s00595-009-4244-x</doi><tpages>6</tpages></addata></record> |
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| ispartof | Surgery today (Tokyo, Japan), 2011, Vol.41 (1), p.54-59 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Aged, 80 and over Cohort Studies Colorectal Neoplasms - mortality Colorectal Neoplasms - pathology Colorectal Neoplasms - therapy Female Hepatectomy Humans Liver Neoplasms - mortality Liver Neoplasms - secondary Liver Neoplasms - surgery Lung Neoplasms - mortality Lung Neoplasms - secondary Lung Neoplasms - surgery Male Medicine Medicine & Public Health Middle Aged Original Article Pneumonectomy Retrospective Studies Surgery Surgical Oncology Survival Rate Treatment Outcome |
| title | Results of a pulmonary metastasectomy in patients with colorectal cancer |
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