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Erschienen in: European Surgery 2/2013

01.04.2013 | Original Article

Impact of resection techniques on postoperative lung function parameters in pulmonary metastasectomy

verfasst von: K. Hoetzenecker, MD, T. Schweiger, C. Nikolowsky, L. Lehmann, F. Gittler, MD, H. J. Ankersmit, MD, W. Klepetko, MD, G. Lang, MD

Erschienen in: European Surgery | Ausgabe 2/2013

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Summary

Background

Pulmonary metastasectomy with curative intent is nowadays a common practice in thoracic surgery. The impact of metastasectomy on respiratory function has become a relevant factor in the treatment algorithm of these patients. However, no sufficient data on the loss of lung function following pulmonary metastasectomy is available to date.

Methods

A prospective single center study was designed to determine changes in lung function parameters in patients undergoing metastasectomy. Forty-five consecutive patients were included in the study. In 19 patients, metastases were removed by enucleation (laser = 10; electrocautery = 9), in 19 patients by wedge resection, and 7 patients received a lobectomy in order to achieve clear resection margins. Lung function testing was obtained from all patients preoperatively and 3 months after hospital discharge.

Results

A significant decrease in FEV1 and VC was found when comparing enucleation/wedge/lobectomy patients (FEV1: 3.4 ± 0.7, 7.6 ± 1.5, 14.2 ± 3.0; VC: 2.4 ± 1.6, 4.7 ± 1.6, 16.9 ± 2.9; respectively). However, no differences were found regarding the loss of FEV1 per resected nodule between laser and electrocautery enucleations. These findings were confirmed by a volumetric analysis of the resected tissue and did not correlate with size of metastases as determined by preoperative CT evaluations.

Conclusions

The surgical resection of pulmonary metastases is associated with a detectable but mild loss of lung function. Lung parenchyma sparing resection methods—e.g. electrocautery or laser enucleations—should be preferred over less tissue-sparing techniques.
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Metadaten
Titel
Impact of resection techniques on postoperative lung function parameters in pulmonary metastasectomy
verfasst von
K. Hoetzenecker, MD
T. Schweiger
C. Nikolowsky
L. Lehmann
F. Gittler, MD
H. J. Ankersmit, MD
W. Klepetko, MD
G. Lang, MD
Publikationsdatum
01.04.2013
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 2/2013
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-013-0202-3

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