Resección de lesiones metastásicas pulmonares / Resection of pulmonary metastasis lesions

RESUMO

The surgical excision of lung metastasis is a procedure with clear indications. Some patients not only survive longer periods, but are actually cured of their malignant disease. We present here the experience at the Hospital Mexico with the surgical treatment of metastatic pulmonary involvement. During the last 6 years 12 patients underwent resection of lung metastasis.There were 5 men and 7 females, with an average age of 42 years. A total of 15 procedures were performed because 3 patient had recurrent disease and were reoperated. A single lobectomy was done in 1 patient and from one to multiple wedge excisions were carried out in the other 14 without surgical mortality. There was only a prolonged air leak(8.3 porcent) that stopped spontaneously. This group is compared to one previously reported, convering from 1969 to 1983. Eleven patient were operated upon, their sex and distribution were just about the same as in the present study. The lesions were unilateral and were treated by lobectomy in 6 cases and wedge excision in 5. There was no mortality and the morbility was 18 porcent.In conclusion, the number of cases has more than doubled. Now we tend to be lesions, even bilaterally, and at the same time sparing more lung tissue.