Results of surgicaltreatment of colorectalmetastasis inlungs with application of radiofrequent ablation methodand atypical resection
- Authors: Kaganov O.I.1
-
Affiliations:
- Samara state medical university
- Issue: Vol 9, No 3-4 (2009)
- Pages: 88-91
- Section: Articles
- URL: https://aspvestnik.ru/2410-3764/article/view/25250
- DOI: https://doi.org/10.17816/2072-2354.2009.0.3-4.88-91
- ID: 25250
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Abstract
We led out the comparative analysis of treatments results in two groups of patients with
diagnosis colorectal cancer after surgical treatment with progressive process: single Mts in
lungs. There were made lungs atypical resections in the 1 group (42 patients), in the 2 group
(27 patients) - RFA of lungs Mts. The greatest percent of postoperative complications was in
the 1 group (9,5%), but this number was only 3,7% (р=0,64) after RFA. Two-years survival of
patients with colorectal Mts in lungs after lungs atypical resections was 64%, but after RFA
- 71% (р=0,17). The research of lifes quality in both groups of patients by Karnovskys scale
and ECOG-WHO scale reveal the next: through 1 year after operation these indexes were 73%
and 2,2 points accordingly in the 1 group, but in the 2 group - 79% and 1,6 points (р<0,05).
The next estimation of lifes quality was led through 2 years: lifes quality was estimated in
65% and 2,7 points accordingly, but in the 2 group - 74% and 1,7 points (р<0,05). Conclusions.
RFA of lungs Mts from colorectal cancer is a lowdamage, organs presses method with less
number of post operative complications. The indexes of two-years survival and lifes quality
of patients trough 1 and 2 years is better after RFA than the same indexes in the group of
patients after lungs atypical resections.
diagnosis colorectal cancer after surgical treatment with progressive process: single Mts in
lungs. There were made lungs atypical resections in the 1 group (42 patients), in the 2 group
(27 patients) - RFA of lungs Mts. The greatest percent of postoperative complications was in
the 1 group (9,5%), but this number was only 3,7% (р=0,64) after RFA. Two-years survival of
patients with colorectal Mts in lungs after lungs atypical resections was 64%, but after RFA
- 71% (р=0,17). The research of lifes quality in both groups of patients by Karnovskys scale
and ECOG-WHO scale reveal the next: through 1 year after operation these indexes were 73%
and 2,2 points accordingly in the 1 group, but in the 2 group - 79% and 1,6 points (р<0,05).
The next estimation of lifes quality was led through 2 years: lifes quality was estimated in
65% and 2,7 points accordingly, but in the 2 group - 74% and 1,7 points (р<0,05). Conclusions.
RFA of lungs Mts from colorectal cancer is a lowdamage, organs presses method with less
number of post operative complications. The indexes of two-years survival and lifes quality
of patients trough 1 and 2 years is better after RFA than the same indexes in the group of
patients after lungs atypical resections.
About the authors
Oleg Igorevich Kaganov
Samara state medical university
Email: info@samsmu.ru
Samara state medical university
References
- Thomford N.R. The surgical treatment of metastatic tumors in the lung // J. Thorac. cardiovase. Surg. - 1965. - Vol. 49. - P. 357-363.
- Blondet R. Results of combined chemosurgical therapy for pulmonary metastases //Surg. Oncol. - 1981. -Vol. - 18. - P. 105-118.
- Metzger U. Current state of surgery in the tratment of lung metastases // Schweiz. Med. Wschr. - 1981. - Bdll. - P. 1303-1306.
- Montain C.F. Surgery for pulmonary metastases: a 20 - year experience // Ann. Thorac. Surg. - 1984. -Vol. 38. - P. 323-330.
- Vogt - Moykopf I. Surgery of pulmonary metastases: techniques, results and percepfive // Lung Canc Frontiers in Science and Treatment. - Genoa: Grafica Z. P.-1994.-P. 483-495.
- Girard P. Should the number of pulmonary metastases influence the surgical decision? // Europ. J. cardiothorac. Surg. - 1997. -Vol. 12. -№3. -P. 385-392.
- Dupuy DE, Percutaneous radiofrequencyablation of malignancies in the lung // AJR .-2000.-P. 57-59.
- Kang S. Effect of radiofrequency ablation on lung cancer // Proceedings of the 37th Annual Meeting of the American Society of Clinical Oncology. - 2001. -P. 38-42.