Surgical treatment of lung metastases in children with malignant neoplasms

Authors

  • P. Sokur Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine, Ukraine
  • O. Bilokon National Cancer Institute, Kyiv, Ukraine, Ukraine
  • B. Kravchuk Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine, Ukraine

DOI:

https://doi.org/10.15574/PS.2018.61.66

Keywords:

malignant tumours, children, lung metastases, surgical treatment

Abstract

Objective: to improve the treatment outcomes in children with solid malignant tumours and metastatic lung lesions.

Materials and methods. A retrospective chart analysis of 203 paediatric patients who underwent lung surgery for metastatic lesions was conducted. Volumes of surgical interventions in children with pulmnary metastases were as follows: atypical lung resections – 234 (77.44 per cent), wedge resections – 46 (14.24 per cent), lobectomies – 10 (3.09 per cent), segmental pulmonary resections were made in 2 (0.62 per cent) children. In 34 (10.52 per cent) cases, surgical interventions were performed by means of high-frequency electric welding for precision removal of metastases.

Results. In 55 (27 per cent) patients, bilateral surgeries were conducted. Re-surgeries were carried out in 33 (16 per cent) patients and in 6 (3 per cent) children – thrice on the same lung. No peri- and postoperative complications were observed. Five-year survival rate for the operated patients made up 37.09 per cent, while for non-operated patients – 8.86 per cent.

Conclusions. Surgical treatment of children with metastatic lung lesions is justified and increases the overall survival of patients.

References

Makarov AB, Getman VG, Linchevsky OV. (2012). Possibilities of using the technique of «welding of living tissues» in thoracic surgery. Sat abstracts of reports 30.11.2012. Institute of Electric Welding EO Paton of the National Academy of Sciences of Ukraine. Kyiv: 23–24.

Palcev MA, Anichkov NM. (2001). Pathological anatomy. Vol 2. Moscow: 736.

Paton BE. (2004). Electric welding of soft tissues in surgery. Automatic welding. 9: 7–11.

Pikin OV. (2004). Metastatic Tumors of Lungs: Modern Approaches to Surgical Treatment. Russian Cancer Journal. 1: 49–52.

Pastorino U. (2002). History of the surgical management of pulmonary metastases and development of the international registry. Semin ThoracCardiovasc Surg. 14: 18–28. https://doi.org/10.1053/stcs.2002.32881; PMid:11977013

Sternberg DI, Sonett JR. (2007). Surgical therapy of lung metastases. Semin Oncol. 34: 186–196. https://doi.org/10.1053/j.seminoncol.2007.03.004; PMid:17560980

Downloads

Issue

No. 4(61) (2018): Paediatric Surgery. Ukraine

Section

Original articles. Thoracic surgery

License

The policy of the Journal “PAEDIATRIC SURGERY. UKRAINE” is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license(СС BY-NC).

Authors transfer the copyright to the Journal “PAEDIATRIC SURGERY.UKRAINE” when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.

Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.

The use of published materials for commercial purposes is strongly prohibited.