Lung Metastasectomy for Colorectal Carcinoma in Patients with a History of Hepatic Metastasis
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概要
- 論文の詳細を見る
Background: We reviewed resection of pulmonary metastases preformed by the Department of Thoracic Surgery at Kyoto University Hospital to confirm the clinical significance of this surgery in patients with colorectal carcinoma and a history of hepatic metastasis. Methods: From 1992 to 2006, 19 patients with colorectal carcinoma and a history of hepatic metastasis underwent a pulmonary metastasectomy . Surgical outcomes of these patients were investigated in terms of various perioperative variables.Results: Sixteen of 19 patients showed metachronous presentation of hepatic and pulmonary metastases, while 3 patients showed synchronous presentation. Overall survival rate after the pulmonary resection was 93%, at 1 year; 75%, at 3 years and 60% at 5 years. Three years after the pulmonary resection, none of the patients with synchronous hepatic and pulmonary metastases survived, while patients with metachronous metastases had an overall survival rate of more than 80%. Interestingly enough, the overall survival curve of the patients with colorectal carcinoma and a history of hepatic metastasis, who underwent a pulmonary metastasectomy was almost the same as that of patients who did not have the surgery, during the same period. Conclusion: Aggressive resection of pulmonary metastases in a select group of colorectal cancer patients with a history of liver metastases might result in prolonged survival.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
- 2011-02-01
著者
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Date Hiroshi
Department of Thoracic Surgery, Kyoto University
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Sakai Hiroaki
Department Of Thoracic Surgery Kyoto University Hospital
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Date Hiroshi
京都大学 呼吸器外科
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Bando Toru
Department Of Organ Preservation Technology Graduate School Of Medicine Kyoto University
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Miyahara Ryo
Department Of Thoracic Surgery Kyoto University Hospital
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Miyahara Ryo
Department Of Thoracic Surgery Graduate School Of Medicine Kyoto University
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Sakai Hiroaki
Department Of Anesthesiology Juntendo University Shizuoka Hospital
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Chen Fengshi
Department Of Thoracic Surgery Graduate School Of Medicine Kyoto University
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Chen Fengshi
Department Of Cardiovascular Surgery Shizuoka City Hospital
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Okubo Kenichi
Department Of Thoracic Surgery Kyoto University
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Shoji Tsuyoshi
Department Of Thoracic Surgery Kyoto University
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Date Hiroshi
Department Of Cancer And Thoracic Surgery Field Of Patho-physiology Okayama University Graduate Scho
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Okubo Kenichi
Department Of Thoracic Surgery Graduate School Of Medicine Kyoto University
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Shoji Tsuyoshi
Department Of Thoracic Surgery Graduate School Of Medicine Kyoto University
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Shoji Tsuyoshi
Department of Geriatric Medicine, Graduate School of Medicine
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