Mangiameli Giuseppe, Cioffi Ugo, Alloisio Marco, Testori Alberto
Division of Thoracic Surgery, IRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Milan, Italy
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele, Milan, Italy
Pulmonary metastasectomy is an established treatment that can provide improved long-term survival for patients with metastatic tumor(s) in the lung. In this chapter, we discuss the state-of-the-art thoracic surgery in surgical management of lung metastases. The principles of pulmonary metastasectomy, followed by a comparison between thoracotomy and mini-invasive surgery are presented. Different surgical indications, and oncological outcomes according to the surgical approach (open vs mini-invasive), histological types and the number of metastatic nodules in the lung are discussed. Finally, the role of surgical margin, lymphadenectomy, and surgical resection of recurrent metastases along with a brief overview of the future perspectives in thoracic surgery in the treatment of lung metastases are presented.
肺转移瘤切除术是一种既定的治疗方法，可为肺部有转移瘤的患者提供更长的长期生存时间。在本章中，我们将讨论在肺转移瘤外科治疗方面的最新胸外科手术。介绍了肺转移瘤切除术的原则，随后对开胸手术和微创手术进行了比较。讨论了不同的手术适应症，以及根据手术方式（开放手术与微创手术）、组织学类型和肺内转移结节数量的肿瘤学结果。最后，阐述了手术切缘、淋巴结清扫以及复发性转移瘤手术切除的作用，并简要概述了胸外科治疗肺转移瘤的未来前景。
