Akademik Veri Yönetim Sistemi
INDIAN JOURNAL OF SURGERY, 2026 (SCI-Expanded, Scopus)
In this study, we analyzed the morbidity, mortality, and survival of pulmonary metastasectomy patients who underwent lobectomy and pneumonectomy via thoracotomy. The study was retrospective and single-center and included patients operated on within a 12-year period. A total of 34(%100) patients were included. The most common metastasis was colorectal carcinoma (29%). 94.1% of patients underwent lymph node dissection. There was a statistically significant correlation between the time of metastasis detection and the number of metastases (p = 0.031), postoperative chemotherapy (p = 0.003), postoperative radiotherapy (p = 0.030), and recurrence (p = 0.013). The number of metastases was lower in patients with recurrence (z = -2.077, p = 0.038). Patients with mortality had larger metastases (Z = -2.573, p = 0.010). Pulmonary recurrence was observed in 13 (38.2%) patients and mortality in 16 (47.1%) patients. disease-free survival (DFS) was longer in patients with metastasis detected synchronously with the primary tumor (p = 0.014). DFS was longer in patients who underwent lymph node dissection (p = 0.012). The main goal in PM is to achieve curative resection. Achieving curative resection through thoracotomy and anatomical resections may contribute to favorable outcomes in terms of pulmonary recurrence, mortality, DFS, and OS.