Surgical treatment of lung metastases in children with malignant neoplasms


  • 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



malignant tumours, children, lung metastases, surgical treatment


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.


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.; PMid:11977013

Sternberg DI, Sonett JR. (2007). Surgical therapy of lung metastases. Semin Oncol. 34: 186–196.; PMid:17560980



Original articles. Thoracic surgery