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(Chest. 1995;107:266-268.)
© 1995 American College of Chest Physicians

Application of Thoracoscopy for Lung Metastases

Hui-Ping Liu M.D.1; Pyng Jing Lin M.D., F.C.C.P.1; Ming-Jang Hsieh M.D.1; Jen-Ping Chang M.D., F.C.C.P.1; and Chau-Hsiung Chang M.D., F.C.C.P.1

1 From the Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China

Lung nodules in patients with a history of malignancy usually require tissue diagnosis that will provide prognostic information and dictate further therapy. Patients with a favorable tumor histologic condition and limited tumor burden were often considered for resection. This is usually accomplished by wedge resection through open thoracotomy when the lesions were peripheral. However, complications related to open thoracotomy often exclude poor-risk patients, especially those with impaired pulmonary function. Currently, technique of thoracoscopic resection is opening up new vistas and unimagined options for the thoracic surgeon in the management of pulmonary diseases. With the application of thoracoscopy and small incisions, it is now possible for the thoracic cavity and its contained organs to be thoroughly explored. Our recent experience with the thoracoscopic resection as a primary treatment for lung metastases is the focus of this report. Forty-seven patients with a history of malignancy and new lung metastases underwent this type of resection. Postoperatively, there is less pain, quick functional recovery, and excellent cosmetic healing. It is a safe and promising approach.

Key Words: lung metastases • thoracoscopic resection




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