Necessity of thoracotomy in pulmonary metastasis of osteosarcoma

• DOI: 10.21037/jtd.2019.07.65
• Publication Date: 2019-08-31T06:11:18Z
• Authors: Erji Gao; Yang Li; Weigang Zhao; Tiancheng Zhao; Xiang Guo; Weiwei He; Weiming Wu; Yonghong Zhao; Yi Yang
• Keywords: Thoracotomy; Palpation; Solitary pulmonary nodule

With the popularization of minimal invasive surgery, video-assisted thoracoscopic surgery (VATS) is gradually replacing conventional thoracotomy for lung cancer and even used osteosarcoma patients with pulmonary metastasis. In this study, we characterized need open by comparing computer tomography (CT) diagnosis postoperative pathology metastases osteosarcoma.A retrospective analysis was carried out on underwent metastatic admitted to our hospital between January 2008 July 2018. The numbers nodules suspected preoperative CT scan were calculated in addition number which resected pathologically confirmed be during surgery. Spearman correlation coefficient lesions calculated.In total, 69 undergoing 96 operations included study. median interval examination operation 7 days (range, 1-44 days). positive 1 3, respectively. Remarkably, 36 (37.5%) thoracotomies revealed that more detected than scans.Preoperative omits a few small there rare progress recent years. Therefore, recommend undergo locate resect all as much possible through intraoperative direct palpation.