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• W3217332012 abstract "Percutaneous thermal ablation of early-stage non-small cell lung cancers and small volume pulmonary metastatic disease is recommended by NICE for patients who are ineligible for surgical resection. The South Wales lung ablation service has 10 years of data on completed ablations and their follow-up. <b>Aim:</b> To quantify the efficacy and safety of lung ablation. Efficacy was assessed via tumour recurrence rates and overall survival. Safety was assessed via complication and readmission rates. <b>Method:</b> Retrospective case analysis of 34 patients undergoing 47 ablations between January 2011 and September 2020, via review of digital records until 30th November 2020. <b>Results:</b> 76% of patients were aged over 65. 59% were male. Frailty, comorbidity or lesion position precluded surgery or radiotherapy in over half the cases. Median WHO performance score was 1. 96% of lesions were under 3cm. The initial success rate for completed procedures was 96% (45/47 procedures); local tumour recurrence rates at the ablated sites was 3% (1/30 patients) at 6 months, 17% (5/29 patients) at 12 months and 30% (8/27 patients) at 18 months. The initial complication rate (within 24 hours) was 18/47 (38%), two-thirds required no intervention. The pneumothorax rate was 26% and the chest drain rate 4%. Median hospital stay was 2 nights and the 30-day readmission rate was 6%. Median overall survival rate was 1.9 years. <b>Conclusion:</b> This data shows a safety profile similar to Cochrane meta-analysis and efficacy similar to NICE guidance and adds to the body of data to support use of lung ablation for the management of primary or secondary lung cancer in appropriately selected patients." @default.
• W3217332012 created "2021-12-06" @default.
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• W3217332012 date "2021-09-05" @default.
• W3217332012 modified "2023-09-25" @default.
• W3217332012 title "Safety and efficacy of thermal ablation for malignant lung lesions; retrospective case series analysis of the South Wales lung ablation service" @default.
• W3217332012 doi "https://doi.org/10.1183/13993003.congress-2021.pa2296" @default.
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