Lung metastasectomy is a well-established procedure for selected patients with a history of colorectal cancer and adequate control of the primary disease. To date, the best surgical approach is still a matter of debate. The use of minimally invasive procedures (e.g., VATS/RATS) has spread over the last three decades due to reduced postoperative pain, and a shorter length of in-hospital stay with similar outcomes in terms of overall and recurrence-free survival when compared to an open approach. Thoracotomy is usually preferred over VATS/RATS when multiple metastases are present and palpation is required. However, in a highly selected cohort of pulmonary metastasis patients with favorable criteria (peripherally located, small, solitary/oligo-metastasis and cN0), VATS/RATS may provide acceptable onco-pathologic outcomes as compared to the standard open thoracotomy. In addition, the use of the awake/tubeless surgical approach guarantees the proper treatment to elderly patients with multiple comorbidities.
This topic aims to offer readers a wide view of current surgical treatments for lung metastasis, allowing the surgeon to give patients the best surgical option. We want to encourage surgeons to share their experience in the field of metastasectomy, a surgical procedure that greatly varies from center to center. We are particularly interested in studies that include long-term follow-up data and patient-reported outcome measures. We also invite anesthesiologists to contribute their expertise in the topic, as anesthetic management is an important aspect of awake thoracic surgery.
Submissions may include original research articles, review articles, and perspectives on this important topic. Together, we can help improve the management of lung metastases from colorectal cancer and enhance the outcomes for these patients.
Keywords:
Lung Metastasis, Colorectal Cancer, Minimally Invasive Surgery, Thoracotomy, Awake Thoracic Surgery
Important Note:
All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.
Lung metastasectomy is a well-established procedure for selected patients with a history of colorectal cancer and adequate control of the primary disease. To date, the best surgical approach is still a matter of debate. The use of minimally invasive procedures (e.g., VATS/RATS) has spread over the last three decades due to reduced postoperative pain, and a shorter length of in-hospital stay with similar outcomes in terms of overall and recurrence-free survival when compared to an open approach. Thoracotomy is usually preferred over VATS/RATS when multiple metastases are present and palpation is required. However, in a highly selected cohort of pulmonary metastasis patients with favorable criteria (peripherally located, small, solitary/oligo-metastasis and cN0), VATS/RATS may provide acceptable onco-pathologic outcomes as compared to the standard open thoracotomy. In addition, the use of the awake/tubeless surgical approach guarantees the proper treatment to elderly patients with multiple comorbidities.
This topic aims to offer readers a wide view of current surgical treatments for lung metastasis, allowing the surgeon to give patients the best surgical option. We want to encourage surgeons to share their experience in the field of metastasectomy, a surgical procedure that greatly varies from center to center. We are particularly interested in studies that include long-term follow-up data and patient-reported outcome measures. We also invite anesthesiologists to contribute their expertise in the topic, as anesthetic management is an important aspect of awake thoracic surgery.
Submissions may include original research articles, review articles, and perspectives on this important topic. Together, we can help improve the management of lung metastases from colorectal cancer and enhance the outcomes for these patients.
Keywords:
Lung Metastasis, Colorectal Cancer, Minimally Invasive Surgery, Thoracotomy, Awake Thoracic Surgery
Important Note:
All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.