Surgical
Treatment of Lung Metastases- Long- Term Results
Schnorrer M.1, Ondruš D.3, Vajó J.2 Janík M.2, Maďar M.2, Šimon R.2, Haruštiak S.1
1 Chirurgická klinika FNsP ak. L. Dérera, Bratislava, Slovenská republika, prednosta prof. MUDr. S. Haruštiak, CSc.2 II. chirurgická klinika L. Pasteura, Košice, Slovenská republika 3 Urologická klinika FNsP ak. L. Dérera, Bratislava, Slovenská republika |
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Summary:
A group of 103 patients operated for lung metastases in the Surgical clinic of the FNsP of L. Dérer and in the
II Surgical clinic of L. Pasteur is assessed in this work. Minor operations of atypical resection prevailed among
the resections. The postoperative mortality in the whole group was 1.9%. The best long-term survival rates were
reached in tumors primarily treated by chemotherapy and followed by the lung metastasectomy. All patients in
this group suffered from testical tumors and their long-term survival rate was 69%. In tumor cases, where the
metastasis was primarily removed by surgery, the long-term survival rate correlated with the literature data of
30%. When the prognostic factors were considered, the number of removed metachrone metastases being less
than 3, appeared statistically significant from the point of view of the patient survival. Based on the evaluated
results, it can be concluded that surgical treatment of the lung metastases performed within the interdisciplinary
oncological concept, currently remains a generally accepted therapeutic procedure.
Key words:
lung metastases – lung resection – chemosensitive tumors – prognostic factors
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