Phillips Joseph D, Hasson Rian M
Department of Surgery, Dartmouth-Hitchcock Medical Center, The Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
J Surg Oncol. 2019 Apr;119(5):629-635. doi: 10.1002/jso.25425. Epub 2019 Feb 27.
Pulmonary metastasectomy for colorectal cancer is an established means of treatment for select patients. This article will highlight the recent evidence published in the literature related to current practices for the surgical management of colorectal lung metastases and propose a diagnostic algorithm for use in clinical practice. It will also discuss controversies related to pulmonary metastasectomy, including the optimal timing of surgery, the extent of lymph node sampling/dissection, and the extent of surgical resection.
结直肠癌肺转移瘤切除术是针对特定患者的一种既定治疗手段。本文将重点介绍近期文献中发表的有关结直肠癌肺转移外科治疗当前实践的证据,并提出一种用于临床实践的诊断算法。还将讨论与肺转移瘤切除术相关的争议,包括手术的最佳时机、淋巴结采样/清扫范围以及手术切除范围。