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- W3045702967 abstract ": The lung is a frequent metastatic site of primary extrapulmonary cancers, such as breast cancer, colorectal cancer (CRC), melanoma, renal cancer and germ cell tumors. Pulmonary metastasectomy (PM) is widely performed in patients with limited lung metastasis, and contributes to approximatively 15% of all lung resections in Europe. According to national and international registries, non-anatomical wedge resection is the most common type of resection. Segmentectomy by video-assisted thoracic surgery (VATS) is not usual and is used mostly for central metastasis or in case of multiple metastases in the same segment. Few studies compared wedge resection and anatomical resection in the field of PM. Consequently, the extension of the lung parenchyma resection is debatable and there is no evidence to guide practice. However, recent studies showed a potential benefit of segmentectomy compared to wedge resection. Anatomical resection also seems to improve the nodal staging and would therefore allow for a better adaptation of systemic treatment. This narrative review provides an update on the surgical approach for metastasectomy. The technical aspect is discussed, as well as the extension of the parenchymal resection. We focus this narrative review on pulmonary segmentectomy for lung metastases, trying to justify its use by tumor biology and patient condition." @default.
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- W3045702967 date "2021-03-01" @default.
- W3045702967 modified "2023-10-15" @default.
- W3045702967 title "Segmentectomy by video-assisted thoracic surgery for pulmonary metastases" @default.
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- W3045702967 doi "https://doi.org/10.21037/vats-2020-lm-05" @default.
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