Article Abstract

Pulmonary metastasectomy: a consensus statement by thoracic surgeons

Authors: James Michael Caristo, David Tian, Tristan D. Yan


Background: No prospective randomised studies or international guidelines exist for conduct of pulmonary metastasectomy. The aim of this study was to generate general recommendations for the practice of pulmonary metastasectomy through expert consensus.
Methods: A panel of international experts who participated in a consensus statement formation on VATS lobectomy were approached to participate in the current consensus. The Delphi methodology consisting of two rounds of voting was used to establish consensus. Clinical practice was deemed ‘recommended’ if 50–74% of the experts reached agreement and ‘highly recommended’ if 75% or more of the experts reached agreement following the second round of voting.
Results: Twenty-two experts from 8 countries completed both rounds of standardised questionnaires. Consensus was reached on all of the 18 questions concerning the role, indications, contraindications, preoperative evaluation, operative strategy, follow up and alternative treatment strategies for pulmonary metastasectomy.
Conclusions: The results of this consensus represent a collective agreement among international thoracic surgery experts and establishes general recommendations for the practice of pulmonary metastasectomy.

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