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Updated: May 11, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Reoperative Pulmonary Metastasectomy: Outcomes and Indications
Alejandro C Bribriesco1, Puneet Bansal2, Melanie P Subramanian3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA; Section of Cardiothoracic Surgery, Surgical Services, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA.
Abstract:
Recurrent pulmonary metastasis after initial pulmonary metastasectomy is common and poses a clinical dilemma. Reoperative pulmonary metastasectomy is an option that in select patients has been shown to be safe and technically feasible resulting in encouraging survival results from non-randomized retrospective studies. As with metastasectomy in general, there is ongoing debate if observed benefit of repeat pulmonary resection is a result of surgery or a reflection of selection bias. This review summarizes available evidence regarding reoperative pulmonary metastasectomy, discusses selection bias, and outlines future directions in the context of our evolving understanding of the oligometastatic state.
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