|
Bienvenue à la Bibliothèque Virtuelle de l'université d'Alger >
الأطروحات الجامعية (الماجستير والدكتوراه) >
الطب والصيدلة >
الطب >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/1635/14847
|
| Titre: | CHIRURGIE DES METASTASES PULMONAIRES DES CANCERS COLORECTAUX |
| Auteur(s): | BOUSSENSLA, Seif Eddine
LACHEHEB, Mohamed |
| Mots-clés: | Cancer
Rectum
survie |
| Issue Date: | 24-Mar-2019 |
| Description: | The goal of this work is to show the benefit of the surgery in pulmonary metastases of
colorectal cancers, as well as the selection criteria of the patients who can benefit from this surgery.
Our work is a monocentric exploratory study, going from June 2015 to May 2017 (2 years).
50 pulmonary surgical operations were carried out on 40 patients presenting 58 pulmonary
metastases of colorectal cancer, in the Thoracic surgery department Mustapha Pacha hospital Algiers.
There were 17 men and 23 women. The median age was 65 years. Pulmonary metastases were
bilateral among 7 patients, métachrones in 35 cases. Only 7 metastases were higher than 3 cm.
The average of the free disease interval was 23 month. 37 patients did not have
a ganglionic invasion. The tumoral markers (ACE) were high among 13 patients. 8 of our patients had
hepatic metastases. The mini-invasive surgery (VATS) was carried out among 5 patients. The wedge
resection was carried out among 27 our patients, whereas 13 patients underwent an anatomic
resection (4 segmentectomies, 7 lobectomies and 2 pneumonectomies). The ganglionic clearing was
carried out among 8 patients. Post-operative mortality was worthless; morbidity was of 7.5%. Global
survival at one year was of 97% and survival at 3 years was of 88% (CI at 95%: 82.15% --92.59%).
Our study confirms that the local control of pulmonary metastases increases
the survival of these patients, whose selection criteria must be rigorous so that this surgery
is beneficial. |
| URI: | http://hdl.handle.net/1635/14847 |
| Appears in Collections: | الطب
|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
|
