Transcontinental Differences in Management of Pulmonary Metastatic Disease: Europe. [Review]
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All Authors
van Dorp, M.
Gonzalez, M.
Ojanguren, A.
Brunelli, A.
LTHT Author
Brunelli, Alessandro
LTHT Department
Thoracic Surgery
Non Medic
Publication Date
2025
Item Type
Journal Article
Review
Review
Language
Subject
Subject Headings
Abstract
Several international registries, including 4 from Europe-Italy, Spain, the Netherlands, and the European Society of Thoracic Surgeons-are dedicated to addressing deficiencies in pulmonary metastasectomy research. The randomized PulMiCC and SABR-COMET trials provide contradictory outcomes and new randomized trials have been initiated. Europe's metastasectomy approach transitioned from open thoracotomy to video-assisted thoracoscopic surgery, with 72% of surgeons favoring minimally invasive methods by 2023. European Society for Medical Oncology guidelines recommend surgery for completely resectable lesions and propose ablative approaches as supplementary or alternative treatments for inoperable cases due to frailty or unfavorable anatomy.
Journal
Thoracic Surgery Clinics