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Related Experiment Video

Updated: May 21, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
11:17

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

[Pulmonary metastasectomy: indication and technique].

T Osei-Agyemang1, T Ploenes, B Passlick

  • 1Universitätsklinikum Freiburg, Thoraxchirurgie, Freiburg, Deutschland. thomas.oseiagyemang@uniklinikfreiburg.de

Zentralblatt Fur Chirurgie
|June 20, 2012
PubMed
Summary

Complete resection of lung metastases can offer survival benefits and is potentially curative for select patients. Careful patient selection and surgical technique are crucial for successful pulmonary metastasectomy.

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[Surgical Therapy for Lung Cancer: Why it Should be Performed in High Volume Centres].

Pneumologie (Stuttgart, Germany)·2020
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Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...·2018
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[Resection concepts for early stage neuroendocrine tumors of the lungs and bronchi].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2017
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[Surgical Therapy of Acquired Unilateral Diaphragmatic Paralysis: Indication and Results].

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[Editorial].

Zentralblatt fur Chirurgie·2015

Area of Science:

  • Oncology
  • Thoracic Surgery
  • Diagnostic Imaging

Context:

  • Lung metastases are common in solid tumors, often precluding surgery due to multiplicity or extrapulmonary spread.
  • Complete resection of pulmonary metastases can be curative and improve survival in selected patients.
  • Contrast-enhanced computed tomography is the primary diagnostic tool for suspected lung metastases.

Purpose:

  • To outline the criteria and surgical approaches for curative pulmonary metastasectomy.
  • To identify key prognostic factors influencing outcomes after lung metastasectomy.
  • To emphasize the importance of complete resection (R0) and tissue-sparing techniques.

Summary:

  • Pulmonary metastasectomy is indicated when complete resection is feasible, with specific criteria including primary tumor control, resectable metastases, and absence of unresectable extrapulmonary disease.

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Last Updated: May 21, 2026

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  • Prognostic factors include complete resection, tumor type, disease-free interval, and number of metastases.
  • Surgical approaches vary, with thoracotomy often preferred for central or left lower lobe lesions, and video-assisted resection considered for unilateral disease. Mediastinal lymph node status is critical.

    • Impact:

    • Optimizing patient selection and surgical strategy can lead to improved survival and potential cure for patients with lung metastases.
    • Highlights the necessity of advanced thoracic surgery expertise for preserving lung function during extensive resections.
    • Preoperative exclusion of adverse prognostic factors like mediastinal lymph node involvement is essential for successful outcomes.