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Pulmonary metastasectomy: a cross sectional survey
James M Caristo1, David H Tian1, Tristan D Yan1,2
1Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Journal of Thoracic Disease
|August 3, 2018
Summary
This study surveyed thoracic surgeons to create general recommendations for pulmonary metastasectomy, as no guidelines currently exist. The consensus provides expert agreement on indications, contraindications, and operative strategies for this procedure.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- No prospective randomized studies or international guidelines exist for pulmonary metastasectomy.
- Pulmonary metastasectomy practice lacks standardized recommendations.
- Need for expert consensus on pulmonary metastasectomy conduct.
Purpose of the Study:
- To generate general recommendations for pulmonary metastasectomy practice.
- To establish expert consensus on the conduct of pulmonary metastasectomy.
- To provide guidance for thoracic surgeons performing pulmonary metastasectomy.
Main Methods:
- Cross-sectional survey of international thoracic surgeons.
- Utilized Delphi methodology with two rounds of voting.
- Defined 'recommended' (50-74% agreement) and 'highly recommended' (≥75% agreement).
Main Results:
- Twenty-two international experts from 8 countries participated.
- Consensus reached on all 18 questions covering key aspects of pulmonary metastasectomy.
- Recommendations established for role, indications, contraindications, preoperative evaluation, operative strategy, follow-up, and alternative treatments.
Conclusions:
- The survey results represent collective agreement among international thoracic surgery experts.
- General recommendations for the practice of pulmonary metastasectomy have been established.
- This consensus provides a foundation for standardized pulmonary metastasectomy procedures.
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