Article information
Resumen
El tratamiento quirúrgico de las metástasis pulmonares tiene como objetivo la eliminación de toda la enfermedad tumoral conocida. Una vez establecido el diagnóstico clínico de metástasis pulmonar, los criterios de selección de los pacientes candidatos a tratamiento quirúrgico, la vía de acceso a la cavidad torácica y la técnica de resección de las metástasis no están universalmente definidos. Además, la mitad de los enfermos presentará una recidiva y de nuevo se planteará la idoneidad de un nuevo tratamiento quirúrgico. En el presente artículo se discuten aspectos relacionados con los límites oncológicos y funcionales de la cirugía de resección de las metástasis pulmonares, el estudio preoperatorio, el seguimiento postoperatorio de los pacientes, las vías de abordaje quirúrgico y las técnicas de resección.
Palabras clave:
Metástasis pulmonares
Tratamiento quirúrgico
Estudio preoperatorio
Videotoracoscopia
Toracotomía
Resección completa
Abstract
The aim of surgical treatment of lung metastases is to eliminate all known tumoral disease. After a clinical diagnosis of lung metastases, the criteria for selecting patients who are candidates for surgical treatment, the route of access to the thoracic cavity and the technique for metastases resection are not universally defined. Moreover, half of all patients will show recurrence and the advisability of further surgery will have to be reconsidered. The present article discusses aspects related to the oncological and functional limits of surgical resection of lung metastases, preoperative workup, postoperative follow-up, and the surgical approaches and resection techniques.
Keywords:
Lung metastases
Surgical treatment
Preoperative workup
Videothoracoscopy
Thoracotomy
Complete resection
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