Results of surgicaltreatment of colorectalmetastasis inlungs with application of radiofrequent ablation methodand atypical resection

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.

About the authors

Oleg Igorevich Kaganov

Samara state medical university

Email: info@samsmu.ru
Samara state medical university

References

  1. Thomford N.R. The surgical treatment of metastatic tumors in the lung // J. Thorac. cardiovase. Surg. - 1965. - Vol. 49. - P. 357-363.
  2. Blondet R. Results of combined chemosurgical therapy for pulmonary metastases //Surg. Oncol. - 1981. -Vol. - 18. - P. 105-118.
  3. Metzger U. Current state of surgery in the tratment of lung metastases // Schweiz. Med. Wschr. - 1981. - Bdll. - P. 1303-1306.
  4. Montain C.F. Surgery for pulmonary metastases: a 20 - year experience // Ann. Thorac. Surg. - 1984. -Vol. 38. - P. 323-330.
  5. 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.
  6. Girard P. Should the number of pulmonary metastases influence the surgical decision? // Europ. J. cardiothorac. Surg. - 1997. -Vol. 12. -№3. -P. 385-392.
  7. Dupuy DE, Percutaneous radiofrequencyablation of malignancies in the lung // AJR .-2000.-P. 57-59.
  8. 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.

Statistics

Views

Abstract - 35

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions

Refbacks

  • There are currently no refbacks.

Copyright (c) 2009 Kaganov O.I.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies