CT-gesteuerte Resektion pulmonaler Metastasen

Gaffke, G.; Stroszczyński, C.; Rau, Beate; Liebeskind, U.; Bayraktar, Soley; Schlag, Peter M.; Félix, R.

doi:10.1055/s-2005-858188

Cited by 8 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the risk of dislodgement, most authors favor pre-operative wire or coil placement when attempting to localize a difficult lesion in the lung. Improvements in coil design may offer a more reliable system in the future 24 .…”

Section: Diagnostic and Localization Challengesmentioning

confidence: 99%

Surgical treatment of pulmonary metastases in pediatric solid tumors

Heaton

Davidoff

2016

Seminars in Pediatric Surgery

View full text Add to dashboard Cite

Most children who succumb to solid malignancies do so because of the burden of metastatic disease or due to complications associated with the therapy administered to treat metastatic disease. Approximately one-quarter of children with solid tumors will present with metastatic disease, and an additional 20% ultimately develop metastatic disease, most commonly in the lung. The role of surgery in the treatment of metastatic solid tumors, given its disseminated nature, is not intuitive, yet there are circumstances in which surgical resection of metastatic disease can potentially be curative. However, the utility of surgery is very much dependent on histology, and generally is most appropriate for those malignancies with histologies that are refractory to other adjuvant therapies.

show abstract

Section: Diagnostic and Localization Challengesmentioning

confidence: 99%

Surgical treatment of pulmonary metastases in pediatric solid tumors

Heaton

Davidoff

2016

Seminars in Pediatric Surgery

View full text Add to dashboard Cite

show abstract

“…Все эти стратегии имеют свои преимущества и недостатки. Например, красители растекаются по плевре, катушки и провода могут быть неточно размещены, а ультразвук ограничен глубиной поражения и количеством воздуха в легких [32].…”

Section: о б з о р ы л и т е р а т у р ы || L I T E R a T U R E R E Vunclassified

Metastatic lung disease in children with solid tumors: a historical excursion

Гумбатова

2019

Ross. ž. det. gematol. onkol.

View full text Add to dashboard Cite

The review article provides information about metastases of solid tumors in the lungs: from pathogenesis and the first experience of metastasectomy to a combined local method of therapeutic treatment. According to the literature, lung metastasectomy is part of the standard treatment for adults, but information about the surgical treatment of metastatic lesions in children remains poorly understood. As a rule, metastatic lesion accompanies the progression of the tumor process. Since the 1960s, methods of isolated lung perfusion have been developed, the results of which are reflected in a few articles, but most of the studies are aimed at exploring the possibilities of use and at the direct results of the implementation of this technique.

show abstract

“…Operationen durchgeführte Sonografie mehr oberflächlich gelegene Herde nicht nachweisen konnte [37]. Eine Kombination aus intraoperativer Drahtmarkierung und videoassistierter Thorakoskopie kann die Anzahl von offenen Thorakotomien verringern [38]. Eine Auswertung bei Erwachsenen zeigte, dass die Erfolgsrate der CT-gesteuerten Drahtmarkierung bei geringer Komplikationsrate hoch ist [39].…”

Section: Drahtmarkierungunclassified

Computertomografisch gesteuerte Interventionen bei Kindern

Honnef

Wildberger

Schubert

et al. 2007

Fortschr Röntgenstr

View full text Add to dashboard Cite

In pediatric CT-guided interventions specific features have to be taken into account. Due to a lack of cooperation or limited ability to cooperate, procedures are often performed using analgosedation or general anesthesia. To provide radiation protection, justified indication for CT-guided intervention is necessary and sonography and MRI are to be preferred whenever possible. CT examinations also need to be dose-adapted with sequential scanning and a tube voltage and tube current reduction compared to pediatric diagnostic CT studies must be ensured. Gonad shields are recommended for male patients. Biopsy device selection depends on the assumed tumor entity since histology and also immunohistochemical, molecular pathological and cytogenetical analysis are necessary to differentiate pediatric tumors (small, round, blue cell tumors). In addition to diagnostic procedures, therapeutic interventions (drainage, injection therapies, neurolysis, and radiofrequency ablation) can also be used in children and can provide an alternative to surgery in selected cases. With justified indications and precise performance, CT-guided interventions can be successful in pediatric patients with limited risks.

show abstract

CT-gesteuerte Resektion pulmonaler Metastasen

Abstract: First clinical results suggest that a combination of VATS and IOP CT is feasible. Thus, the number of open thoracoscopies might be decreased. Intrapulmonary lesions not detectable with VATS could be marked under CT -- guidance intraoperatively and then resected by thoracoscopy.

Cited by 8 publications

References 18 publications

Surgical treatment of pulmonary metastases in pediatric solid tumors

Surgical treatment of pulmonary metastases in pediatric solid tumors

Metastatic lung disease in children with solid tumors: a historical excursion

Computertomografisch gesteuerte Interventionen bei Kindern

Contact Info

Product

Resources

About