There is little data is available on the results of staged resections for isolated pulmonary and hepatic metastases from colorectal cancer in the same patient.
In this study, investigators from Leeds, England, reviewed patients who underwent staged metastasectomy for colorectal cancer between 1998 and 2002.
The team evaluated 33 metastasectomies in 26 patients. Of the 26 patients, 19 were male and 7 female patients with a mean age of 61 years.
The team determined that the mean disease-free interval for hepatic and pulmonary resection was 21.8 and 23.9 months, respectively.
|Mean disease-free interval for hepatic resection = 21.8 months.|
|European Journal Cardiothoracic Surgery|
They found that sternotomy, thoracotomy and a video assisted thoracoscopic approach were used in 3%, 73% and 24% of patients, respectively.
They also determined that wedge excision, lobectomy and pneumonectomy were carried out in 88%, 9% and 3%, respectively.
Overall, there was 1 hospital death following acute respiratory failure after pneumonectomy.
They calculated that the mean survival after last pulmonary resection was 34.7 months.
Dr Rajashekara Reddya's team concluded, "Our results support aggressive surgical management of pulmonary and hepatic metastases in colorectal cancer".