Descriptive Analysis Of And Overall Survival After Surgical Treatment Of Lung Metastases [análise Descritiva E Sobrevida Global Do Tratamento Cirúrgico Das Metástases Pulmonares]

dc.creatorPoletti G.B.
dc.creatorToro I.F.C.
dc.creatorAlves T.F.
dc.creatorMiranda E.C.M.
dc.creatorSeabra J.C.T.
dc.creatorMussi R.K.
dc.date2013
dc.date2015-06-25T19:09:58Z
dc.date2015-11-26T14:56:47Z
dc.date2015-06-25T19:09:58Z
dc.date2015-11-26T14:56:47Z
dc.date.accessioned2018-03-28T22:08:44Z
dc.date.available2018-03-28T22:08:44Z
dc.identifier
dc.identifierJornal Brasileiro De Pneumologia. , v. 39, n. 6, p. 650 - 658, 2013.
dc.identifier18063713
dc.identifier10.1590/S1806-37132013000600003
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84892722514&partnerID=40&md5=7f160e610cf824d584733a76ccecc65b
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/88407
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/88407
dc.identifier2-s2.0-84892722514
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1255530
dc.descriptionObjective: To describe demographic characteristics, surgical results, postoperative complications, and overall survival rates in surgically treated patients with lung metastases. Methods: This was a retrospective analysis of 119 patients who underwent a total of 154 lung metastasis resections between 1997 and 2011. Results: Among the 119 patients, 68 (57.1%) were male and 108 (90.8%) were White. The median age was 52 years (range, 15-75 years). In this sample, 63 patients (52.9%) presented with comorbidities, the most common being systemic arterial hypertension (69.8%) and diabetes (19.0%). Primary colorectal tumors (47.9%) and musculoskeletal tumors (21.8%) were the main sites of origin of the metastases. Approximately 24% of the patients underwent more than one resection of the lesions, and 71% had adjuvant treatment prior to metastasectomy. The rate of lung metastasis recurrence was 19.3%, and the median disease-free interval was 23 months. The main surgical access used was thoracotomy (78%), and the most common approach was wedge resection with segmentectomy (51%). The rate of postoperative complications was 22%, and perioperative mortality was 1.9%. The overall survival rates at 12, 36, 60, and 120 months were 96%, 77%, 56%, and 39%, respectively. A Cox analysis confirmed that complications within the first 30 postoperative days were associated with poor prognosis (hazard ratio = 1.81; 95% CI: 1.09-3.06; p = 0.02). Conclusions: Surgical treatment of lung metastases is safe and effective, with good overall survival, especially in patients with fewer metastases.
dc.description39
dc.description6
dc.description650
dc.description658
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dc.languageen
dc.languagept
dc.publisher
dc.relationJornal Brasileiro de Pneumologia
dc.rightsaberto
dc.sourceScopus
dc.titleDescriptive Analysis Of And Overall Survival After Surgical Treatment Of Lung Metastases [análise Descritiva E Sobrevida Global Do Tratamento Cirúrgico Das Metástases Pulmonares]
dc.typeArtículos de revistas


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