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Villeneuve PJ, Sundaresan RS. Surgical management of colorectal lung metastasis. Clin Colon Rectal Surg. 2009;22(4):233-41doi: 10.1055/s-0029-1242463.
Villeneuve, P. J., & Sundaresan, R. S. (2009). Surgical management of colorectal lung metastasis. Clinics in colon and rectal surgery, 22(4), 233-41. https://doi.org/10.1055/s-0029-1242463
Villeneuve, P James, and Sundaresan, R Sudhir. "Surgical management of colorectal lung metastasis." Clinics in colon and rectal surgery vol. 22,4 (2009): 233-41. doi: https://doi.org/10.1055/s-0029-1242463
Villeneuve PJ, Sundaresan RS. Surgical management of colorectal lung metastasis. Clin Colon Rectal Surg. 2009 Nov;22(4):233-41. doi: 10.1055/s-0029-1242463. PMID: 21037814; PMCID: PMC2796099.
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Clin Colon Rectal Surg. 2009 Nov;22(4):233-41. doi: 10.1055/s-0029-1242463.

Surgical management of colorectal lung metastasis.

Clinics in colon and rectal surgery

P James Villeneuve, R Sudhir Sundaresan

Affiliations

  1. Division of Thoracic Surgery, The Ottawa Hospital, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada.

PMID: 21037814 PMCID: PMC2796099 DOI: 10.1055/s-0029-1242463

Abstract

Colon cancer is a systemic disease in 19% of patients and metastasizes most frequently to the liver and the lung. Survival is enhanced with complete surgical resection of pulmonary metastases. Comprehensive restaging and verification of preoperative fitness must precede resection. The operative approach is dictated by the anatomic location of the metastases, whereas the extent of resection remains a balance between complete removal of metastatic deposits while preserving as much lung parenchyma as possible. The presence of metastatic involvement of hilar and mediastinal lymph nodes is ominous. Multidisciplinary care is highly recommended. An evidence-based algorithm for the identification assessment and treatment of patients with pulmonary metastases is proposed.

Keywords: Pulmonary metastases; colorectal cancer; outcomes; surgical management

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