Riad Abdel Jalil1, Mohamad K Abou Chaar2, Omar M Shihadeh2, Obada Al-Qudah3, Azza Gharaibeh4, Loulia Aldimashki5, Ali Dabous2, Rami Ghanem6, Ahed Al-Edwan7. 1. Department of Thoracic Oncology, King Hussein Cancer Center, P.O. Box 1269, Queen Rania Al Abdullah Street, Amman, 11941, Jordan. da.06648@khcc.jo. 2. Department of Surgery, King Hussein Cancer Center, Amman, Jordan. 3. Department of Thoracic Oncology, King Hussein Cancer Center, P.O. Box 1269, Queen Rania Al Abdullah Street, Amman, 11941, Jordan. 4. Department of Radiology, King Hussein Cancer Center, Amman, Jordan. 5. Faculty of Dentistry, Damascus University, Damascus, Syria. 6. Department of Urology, King Hussein Cancer Center, Amman, Jordan. 7. Department of Anesthesia, King Hussein Cancer Center, Amman, Jordan.
Abstract
BACKGROUND: Pulmonary metastasectomy was performed in the early twentieth century and ever since, it has evolved to be one of the main treatment options for certain metastatic malignancies. The advancement of minimally invasive procedures enabled new techniques to minimize morbidity and improve patient quality of care and overall outcome. CASES PRESENTATION: Herein we present three patients, aged 53, 48, and 27 years, known to have sigmoid, rectal, and non-seminomatous germ cell tumors respectively. All patients were diagnosed to have metastatic lung nodules and underwent laparotomy to excise abdominal tumors followed by trans-diaphragmatic single-port video-assisted thoracoscopic pulmonary metastasectomy. All patients achieved complete surgical tumor excision, and none had pulmonary related complications on follow-up. CONCLUSION: Our prescribed novel trans-diaphragmatic single-port video-assisted thoracoscopic surgery (VATS) technique for synchronous pulmonary metastasectomy and intra-abdominal tumor resection is safe and can achieve complete resection with negative margins.
BACKGROUND: Pulmonary metastasectomy was performed in the early twentieth century and ever since, it has evolved to be one of the main treatment options for certain metastatic malignancies. The advancement of minimally invasive procedures enabled new techniques to minimize morbidity and improve patient quality of care and overall outcome. CASES PRESENTATION: Herein we present three patients, aged 53, 48, and 27 years, known to have sigmoid, rectal, and non-seminomatous germ cell tumors respectively. All patients were diagnosed to have metastatic lung nodules and underwent laparotomy to excise abdominal tumors followed by trans-diaphragmatic single-port video-assisted thoracoscopic pulmonary metastasectomy. All patients achieved complete surgical tumor excision, and none had pulmonary related complications on follow-up. CONCLUSION: Our prescribed novel trans-diaphragmatic single-port video-assisted thoracoscopic surgery (VATS) technique for synchronous pulmonary metastasectomy and intra-abdominal tumor resection is safe and can achieve complete resection with negative margins.
Entities:
Keywords:
Case series; Metastasectomy; Minimally invasive surgery; Single-port VATS; Transdiaphragmatic
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