{"id":1115,"date":"2025-12-08T14:41:30","date_gmt":"2025-12-08T12:41:30","guid":{"rendered":"https:\/\/dralperfindikcioglu.com\/?page_id=1115"},"modified":"2026-03-06T11:51:42","modified_gmt":"2026-03-06T09:51:42","slug":"lung-metastasis-surgery","status":"publish","type":"page","link":"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/","title":{"rendered":"Lung Metastasis Surgery"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1355411783\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1629773056\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-larger flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Lung Metastasis Surgery          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1355411783 {\n  padding-top: 15px;\n  padding-bottom: 15px;\n  background-color: #3c338e;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1944329406\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-2030969958\">\n\n\t<div id=\"col-1239209567\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Lung metastasis surgery is the surgical removal of tumors that have spread to the lungs from another part of the body. This intervention is planned by evaluating the number and location of metastatic lesions and the patient&#8217;s general health condition. The aim is to control the spread of the disease and prolong life expectancy.<\/p>\n<p>The choice of surgery in patients with lung metastasis depends on the primary origin of the tumor, the number of metastases, and the patient&#8217;s performance status. Suitability for surgery is determined by factors such as response to systemic therapy and whether the metastases are unilateral or limited.<\/p>\n<p>Postoperative follow-up and the possibility of recurrence are monitored through regular radiological imaging and clinical evaluations. Since metastasis may develop again in some patients after lung metastasis surgery, long-term monitoring is of great importance.<\/p>\n<p>Alternative treatment methods and combined approaches may be supported with radiofrequency ablation, chemotherapy, and immunotherapies in patients who are not suitable for surgery. In some cases, surgery is combined with systemic treatments and a patient-specific multidisciplinary plan is created.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Lung metastasis surgery is a surgical procedure performed when cancer that begins in another part of the body (primary) spreads to the lungs (metastasis). The aim is to remove metastatic tumor tissue from the lungs.<\/td>\n<\/tr>\n<tr>\n<td>Purpose<\/td>\n<td>To control the spread of the disease, reduce symptoms, prolong survival, and in some cases provide a cure.<\/td>\n<\/tr>\n<tr>\n<td>Application Criteria<\/td>\n<td>Limited number of metastases (generally between 1\u20135), metastases localized in the lungs, the primary tumor being under control or controllable, and the patient\u2019s general health condition being suitable for surgery.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Methods<\/td>\n<td>Wedge resection (removal of a small piece of lung tissue), segmentectomy, lobectomy (removal of one lung lobe), pneumonectomy (removal of the entire lung \u2013 rarely performed).<\/td>\n<\/tr>\n<tr>\n<td>Surgical Techniques<\/td>\n<td>It may be performed with open surgery (thoracotomy) or minimally invasive techniques (VATS: video-assisted thoracoscopic surgery or robotic surgery).<\/td>\n<\/tr>\n<tr>\n<td>Preparation Process<\/td>\n<td>Imaging with CT, PET-CT and\/or MRI, pulmonary function tests, cardiovascular system evaluation, and assessment of suitability for general anesthesia.<\/td>\n<\/tr>\n<tr>\n<td>Operation Duration<\/td>\n<td>It may vary between 1 and 4 hours depending on the number of metastases and the surgical method.<\/td>\n<\/tr>\n<tr>\n<td>Hospital Stay<\/td>\n<td>Usually between 3\u20137 days. The duration may be longer in open surgeries.<\/td>\n<\/tr>\n<tr>\n<td>Recovery Process<\/td>\n<td>There may be physical limitations during the first few weeks. Full recovery may take 4\u20136 weeks. This period may be shorter with minimally invasive methods such as VATS.<\/td>\n<\/tr>\n<tr>\n<td>Risks and Complications<\/td>\n<td>Bleeding, infection, air leak (pneumothorax), lung failure, clot formation (embolism), pain, complications related to anesthesia.<\/td>\n<\/tr>\n<tr>\n<td>Follow-up and Control<\/td>\n<td>Regular imaging after surgery (CT or PET-CT), oncological follow-up, screening for recurrence\/metastasis, and evaluation of the need for chemotherapy or radiotherapy.<\/td>\n<\/tr>\n<tr>\n<td>Alternative Treatments<\/td>\n<td>Stereotactic radiotherapy (SBRT), systemic chemotherapy, targeted therapy, immunotherapy \u2013 especially for patients who are not suitable for surgery.<\/td>\n<\/tr>\n<tr>\n<td>Success Criteria<\/td>\n<td>Complete removal of all metastatic lesions, absence of local recurrence, control of the primary tumor, and preservation of the patient\u2019s general health.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Results<\/td>\n<td>Life expectancy after surgery varies depending on the type of cancer, degree of spread, general health condition, and adjuvant treatments. Long-term survival may be achieved in some patients.<\/td>\n<\/tr>\n<tr>\n<td>Decision-Making Process<\/td>\n<td>Evaluation in a multidisciplinary tumor council is required (oncology, thoracic surgery, radiology, pathology, etc.).<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1239209567 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1944329406 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_568808639\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-811344293\">\n\n\n\t<div id=\"col-66430911\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#3c338e;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-1508465360\">\n\n\n\t<div id=\"col-1321704933\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_786676067\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"525\" height=\"776\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel.webp 525w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/hakkimdagorsel-271x400.webp 271w\" sizes=\"(max-width: 525px) 100vw, 525px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_786676067 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1321704933 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-323239358\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-329063698\" class=\"text\">\n\t\t\n\n<div>Prof. Dr. <strong>Alper F\u0131nd\u0131k\u00e7\u0131o\u011flu<\/strong><\/div>\n\n\t\t\n<style>\n#text-329063698 {\n  font-size: 2rem;\n}\n@media (min-width:550px) {\n  #text-329063698 {\n    font-size: 2.25rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"gap-1035222078\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1035222078 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<p>I was born in Istanbul in 1973. I completed my primary education at Erzincan \u0130n\u00f6n\u00fc Primary School and my secondary and high school education at Erzurum Anatolian High School. I completed my university education at Istanbul University Faculty of Medicine between 1992\u20131998. Afterwards, I completed my specialization between 1998\u20132003 at the Istanbul Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Clinic. I worked as a specialist at the same hospital for 1 year.<\/p>\n<p>Between 2004\u20132005, I fulfilled my military service at G\u00fclhane Military Medical Academy. In 2005, I started working as a lecturer at Ba\u015fkent University Faculty of Medicine, Department of Thoracic Surgery. I became an associate professor in 2014 and a professor in 2022.<\/p>\n<p><strong>I started working at Ac\u0131badem Hospital in 2024.<\/strong><\/p>\n<a href=\"\/en\/about-me\/\" class=\"button white is-outline\" style=\"border-radius:99px;\">\n\t\t<span>About Me<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" class=\"button success\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-323239358 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-66430911 > .col-inner {\n  padding: 30px 20px 0px 20px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n@media (min-width:550px) {\n  #col-66430911 > .col-inner {\n    padding: 30px 30px 0px 30px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_568808639 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1855603868\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-920806762\">\n\n\t<div id=\"col-1850856255\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#What_Is_Lung_Metastasis_Surgery\" >What Is Lung Metastasis Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#How_does_the_Multidisciplinary_Council_process_work_when_making_a_treatment_decision\" >How does the Multidisciplinary Council process work when making a treatment decision?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#Which_patients_are_considered_suitable_candidates_for_lung_metastasis_surgery\" >Which patients are considered suitable candidates for lung metastasis surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#What_are_the_preoperative_risk_analysis_and_prognostic_factors\" >What are the preoperative risk analysis and prognostic factors?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#Which_imaging_technologies_are_used_in_diagnosis_and_staging\" >Which imaging technologies are used in diagnosis and staging?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#How_does_lymph_node_status_affect_the_surgical_strategy\" >How does lymph node status affect the surgical strategy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#Is_the_closed_method_VATS_or_open_surgery_Thoracotomy_preferred\" >Is the closed method (VATS) or open surgery (Thoracotomy) preferred?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#Why_are_lung_tissue-preserving_surgical_methods_Wedge_Laser_important\" >Why are lung tissue-preserving surgical methods (Wedge, Laser) important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#What_should_be_the_treatment_sequence_in_colorectal_cancer_metastases\" >What should be the treatment sequence in colorectal cancer metastases?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#If_there_are_metastases_in_both_the_liver_and_lungs_which_surgery_should_be_prioritized\" >If there are metastases in both the liver and lungs, which surgery should be prioritized?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#What_are_the_success_rates_of_surgery_in_different_tumor_types_Sarcoma_RCC\" >What are the success rates of surgery in different tumor types (Sarcoma, RCC)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#What_are_the_survival_expectations_and_long-term_outcomes_after_surgery\" >What are the survival expectations and long-term outcomes after surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dralperfindikcioglu.com\/en\/treatments\/lung-metastasis-surgery\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Lung_Metastasis_Surgery\"><\/span>What Is Lung Metastasis Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Lung Metastasis Surgery is the surgical removal of metastatic foci that occur when cancer developing in another organ of the body spreads to the lungs. It is applied in suitable patients when the primary tumor is under control and the number of metastases is limited. The aim is to control the disease and prolong survival. The treatment plan is determined through multidisciplinary evaluation and is combined with systemic therapies when necessary.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_does_the_Multidisciplinary_Council_process_work_when_making_a_treatment_decision\"><\/span>How does the Multidisciplinary Council process work when making a treatment decision?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When metastasis is detected in the lung, this technically means that the disease is stage 4, that is, advanced stage. In such a situation, the treatment decision is too serious to be left to the initiative of a single doctor or a single surgeon and requires comprehensive thinking. For us, the &#8220;gold standard&#8221; is the structure we call the Multidisciplinary Tumor Council. In this council, we review the patient\u2019s file together and create a common understanding by evaluating the case from the perspective of each specialty.<\/p>\n<p>The specialists who must be present in this council are as follows:<\/p>\n<ul>\n<li>Thoracic Surgery Specialist<\/li>\n<li>Medical Oncologist<\/li>\n<li>Radiation Oncologist<\/li>\n<li>Thoracic Radiologist<\/li>\n<li>Pathologist<\/li>\n<li>Pulmonology Specialist<\/li>\n<li>Nuclear Medicine Specialist<\/li>\n<\/ul>\n<p>The presence of this team is of vital importance because not every lesion may be metastasis. Sometimes a completely new tumor originating from the lung tissue itself may have developed independently from the patient\u2019s previous cancer. Making this distinction completely changes the treatment. In addition, the timing of surgery is also critical. For example, in a bowel cancer metastasis, should drug therapy (chemotherapy) be given first, or should surgery be performed first? The answer to this question is decided at this table according to the biology of the tumor and the general condition of the patient. As a surgeon, my duty is not only to technically remove that mass; it is also to ensure that this surgery is compatible with the other treatments the patient will receive and to manage the recovery process so that it does not interrupt those treatments.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_patients_are_considered_suitable_candidates_for_lung_metastasis_surgery\"><\/span>Which patients are considered suitable candidates for lung metastasis surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Unfortunately, we cannot operate on every patient who has lung metastasis. In order for surgery to benefit the patient without causing harm, it must meet some internationally accepted strict criteria, in other words a kind of checklist. The logic of &#8220;every patient with a nodule can have surgery&#8221; is incorrect. We wait for certain conditions to be met to ensure that we will benefit the patient.<\/p>\n<p>The main criteria we look for in suitability for surgery are as follows:<\/p>\n<ul>\n<li>The primary tumor being under control<\/li>\n<li>The metastasis being limited only to the lungs<\/li>\n<li>A high probability of complete resection (R0)<\/li>\n<li>The patient having sufficient respiratory capacity<\/li>\n<li>The cardiac reserve being sufficient to tolerate surgery<\/li>\n<\/ul>\n<p>First of all, the main organ that is the source of the disease (for example the intestine or kidney) must have been treated and there must be no active disease remaining there. If the source is not controlled, cleaning the result has no meaning. Secondly, metastases must be limited to the lungs or, if present elsewhere (for example in the liver), they must also be removable. If the disease has spread throughout the body, systemic drug therapies come to the forefront instead of surgery, which is a local solution. In addition, the patient must have the capacity to continue normal life without shortness of breath with the remaining lung tissue after surgery. When these criteria are met, surgery may become possible even if the number of metastases is high.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_preoperative_risk_analysis_and_prognostic_factors\"><\/span>What are the preoperative risk analysis and prognostic factors?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Before taking a patient into surgery, we do not only look at the current snapshot; we try to foresee the entire film. Some clues that we call &#8220;prognostic factors&#8221; give us signals about how the disease will behave in the future and how much benefit will be obtained from surgery. Analyzing these factors allows us to avoid unnecessary and exhausting surgeries or, on the contrary, to apply a more aggressive treatment.<\/p>\n<p>Some important factors we evaluate in risk analysis are as follows:<\/p>\n<ul>\n<li>High CEA levels<\/li>\n<li>Short disease-free survival period<\/li>\n<li>Mediastinal lymph node involvement<\/li>\n<li>Presence of multiple nodules in both lungs<\/li>\n<li>Histological subtype of the tumor<\/li>\n<\/ul>\n<p>For example, very high CEA levels in the blood in colorectal cancer metastases may indicate that the tumor is aggressive. Similarly, the development of metastasis shortly after the first cancer surgery shows that the tumor is growing rapidly and makes us more cautious. However, the presence of these risk factors definitely does not mean that &#8220;surgery cannot be performed.&#8221; It only indicates that postoperative follow-up should be stricter and perhaps that the dose or duration of chemotherapy given before or after surgery should be rearranged. Although involvement in both lungs is a negative factor, if all lesions can be removed, surgery may still remain the strongest option on the table.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1850856255 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1855603868 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_744715753\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-884559643\">\r\n\r\n\n\t<div id=\"col-632858356\" class=\"col iletisim-sayfas\u0131-col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(218, 61, 96);border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1359134640\">\r\n\r\n\n\t<div id=\"col-481528790\" class=\"col medium-11 small-7 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-716835743\" class=\"text hide-for-medium\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><br \/>To get information about treatments, simply click the button next to it. Our professional team will contact you immediately.<\/p>\r\n\t\t\t<\/div>\n\t\r\n\t<div id=\"text-1254482707\" class=\"text show-for-small\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><\/p>\r\n\t\t\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-481528790 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1012330790\" class=\"col medium-1 small-4 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_141135842\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png 500w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-400x400.png 400w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_141135842 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1012330790 > .col-inner {\n  margin: 0px 0px -15px 0px;\n}\n@media (min-width:550px) {\n  #col-1012330790 > .col-inner {\n    margin: 0px 0px -15px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-632858356 > .col-inner {\n  padding: 15px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_744715753 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1241038613\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-526208018\">\n\n\t<div id=\"col-800189313\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Which_imaging_technologies_are_used_in_diagnosis_and_staging\"><\/span>Which imaging technologies are used in diagnosis and staging?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Surgical planning is essentially a process of creating a map. As a surgeon, I must know millimetrically which part of the lung I will enter and which vessel I will work close to. In this mapping process, the two most powerful tools that technology offers us are Computed Tomography (CT) and PET-CT.<\/p>\n<p>CT, that is tomography, provides us with anatomical detail. The location of the nodule, its size, and its relationship with surrounding structures are seen most clearly on tomography. However, tomography cannot tell us whether that nodule is &#8220;alive.&#8221; This is where PET-CT comes into play. PET shows metabolic activity by visualizing the sugar consumption of tumor cells.<\/p>\n<p>The purposes of using imaging methods are as follows:<\/p>\n<ul>\n<li>Determining the anatomical location<\/li>\n<li>Detecting metabolic activity<\/li>\n<li>Screening distant organs<\/li>\n<li>Lymph node evaluation<\/li>\n<li>Checking for brain metastasis<\/li>\n<\/ul>\n<p>The greatest advantage of PET-CT is that it can show with high accuracy whether cancer cells are hidden inside a lymph node that appears normal in size. It also scans whether there is hidden metastasis elsewhere in the body, for example in the bone. However, PET may sometimes be misleading in nodules smaller than 1 centimeter. Therefore, we surgeons do not rely on a single image; we evaluate both images together and, if necessary, support them with brain MRI to minimize the risk of surprises.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_does_lymph_node_status_affect_the_surgical_strategy\"><\/span>How does lymph node status affect the surgical strategy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In metastasis surgery, one of the most overlooked issues but also one of the biggest causes of failure is the status of the mediastinal lymph nodes located in the middle of the chest cavity. The basic logic of metastasis surgery is the assumption that the disease is limited only to the lung tissue. If cancer has passed the stations in the lung and spread to the lymph nodes in the mediastinum (a condition we call N2 disease), this indicates that the disease has become more systemic.<\/p>\n<p>In such a situation, the benefit provided by surgery may decrease. Therefore, we must examine suspicious lymph nodes before surgery. For this purpose, we use methods called EBUS (Endobronchial Ultrasound), which allow us to visualize lymph nodes with ultrasound during bronchoscopy and take samples with a needle. Sometimes we also take samples from these nodes through a small procedure called mediastinoscopy.<\/p>\n<p>The purposes of lymph node evaluation are as follows:<\/p>\n<ul>\n<li>Preventing unnecessary surgery<\/li>\n<li>Confirming the stage of the disease<\/li>\n<li>Determining the need for chemotherapy<\/li>\n<li>Defining surgical margins<\/li>\n<\/ul>\n<p>If involvement in mediastinal lymph nodes is detected, we generally prefer to first control the disease with chemotherapy and postpone surgery to a later stage. Lymph node staging is our most important safeguard in order not to exhaust the patient unnecessarily and to apply the right treatment at the right time.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_the_closed_method_VATS_or_open_surgery_Thoracotomy_preferred\"><\/span>Is the closed method (VATS) or open surgery (Thoracotomy) preferred?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The question our patients ask most frequently in the clinic is undoubtedly, &#8220;Will my surgery be closed or open?&#8221; In lung metastasis surgery, both methods have their own advantages and disadvantages, and this decision is made entirely individually for each patient. Today, the method we call VATS, Video-Assisted Thoracoscopic Surgery, that is the closed method, is quite popular because it is minimally invasive.<\/p>\n<p>Some advantages provided by the VATS method are as follows:<\/p>\n<ul>\n<li>Less postoperative pain<\/li>\n<li>Shorter hospital stay<\/li>\n<li>Better cosmetic results<\/li>\n<li>Faster return to daily life<\/li>\n<li>Less tissue damage<\/li>\n<\/ul>\n<p>In this camera-assisted procedure, we perform the operation by entering through small openings without separating the ribs. However, there is a very special situation in metastasis surgery: the &#8220;sense of touch.&#8221; On tomography, sometimes millimetric nodules as small as a grain of rice may not be visible. In open surgery (thoracotomy), the surgeon can insert their hand into the chest cavity and palpate the entire lung with their fingers, finding and removing these small lesions that cannot be seen on imaging. In closed surgery, we do not have this opportunity; we can only remove what we see on the screen. Therefore, if the patient has multiple nodules, if the nodules are located very deep in the lung, or if hard tumors such as sarcomas that can be palpated are involved, we may prefer open surgery to ensure complete oncological clearance. Here, the goal of achieving a cure takes priority over aesthetic concerns. In single and superficial nodules, however, VATS is unquestionably our first choice.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-800189313 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1241038613 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1710262887\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1737767329\">\r\n\r\n\n\t<div id=\"col-1226678854\" class=\"col iletisim-sayfas\u0131-col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(60, 51, 142);border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1280060560\">\r\n\r\n\n\t<div id=\"col-1815062396\" class=\"col medium-11 small-7 large-11\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-737479398\" class=\"text hide-for-medium\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><br \/>To get information about treatments, simply click the button next to it. Our professional team will contact you immediately.<\/p>\r\n\t\t\t<\/div>\n\t\r\n\t<div id=\"text-984299331\" class=\"text show-for-small\">\n\t\t\r\n\r\n<p><strong>You can contact us via WhatsApp.<\/strong><\/p>\r\n\t\t\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1815062396 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-281404776\" class=\"col medium-1 small-4 large-1\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_862281170\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905457705745\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp.png 500w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-400x400.png 400w, https:\/\/dralperfindikcioglu.com\/wp-content\/uploads\/2025\/11\/whatsapp-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_862281170 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-281404776 > .col-inner {\n  margin: 0px 0px -15px 0px;\n}\n@media (min-width:550px) {\n  #col-281404776 > .col-inner {\n    margin: 0px 0px -15px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1226678854 > .col-inner {\n  padding: 15px 10px 0px 10px;\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1710262887 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1177595898\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-679705485\">\n\n\t<div id=\"col-1006715312\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Why_are_lung_tissue-preserving_surgical_methods_Wedge_Laser_important\"><\/span>Why are lung tissue-preserving surgical methods (Wedge, Laser) important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In primary lung cancer (cancer originating from the lung itself), we usually remove the entire diseased lobe (lobectomy). However, in metastasis surgery, our philosophy is the opposite: &#8220;Remove the least possible tissue, preserve the most function.&#8221; Because in patients with metastasis, the possibility of recurrence always exists and the patient may need to undergo surgery again in the future. Therefore, the patient&#8217;s respiratory capacity should not be excessively consumed in the first operation.<\/p>\n<p>The methods we use in tissue-preserving surgery are as follows:<\/p>\n<ul>\n<li>Wedge resection<\/li>\n<li>Segmentectomy<\/li>\n<li>Laser metastasectomy<\/li>\n<li>Use of precise cautery<\/li>\n<\/ul>\n<p>The most commonly applied &#8220;Wedge resection&#8221; is the removal of the tumor in a triangular shape (like a slice of cake) together with some healthy tissue around it. Scientific studies have shown that in metastasis surgery there is no survival difference between removing an entire lobe and removing the nodule with a wide margin. For this reason, we resort to lobectomy only in very necessary cases.<\/p>\n<p>In addition, &#8220;Laser&#8221; technology provides great convenience in this field. Especially in patients with multiple nodules, we have the chance to remove the tumor almost by &#8220;carving&#8221; it out with a laser beam without burning or cutting the normal lung tissue. The laser provides bleeding control while preserving healthy tissue to the maximum extent. Automatic stapling devices called staplers also allow us to close the tissue without causing air leakage. All these technologies aim to ensure that the patient leaves the operating table with minimal loss.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_should_be_the_treatment_sequence_in_colorectal_cancer_metastases\"><\/span>What should be the treatment sequence in colorectal cancer metastases?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Colorectal cancers are the group that most frequently metastasizes to the lungs. Metastasis is seen in approximately 20% of patients at the time of diagnosis. In this situation, treatment planning is almost like a chess game. If both the tumor in the intestine and the metastasis in the lung are present simultaneously (synchronous), the order of treatment becomes vitally important.<\/p>\n<p>The treatment strategies we apply in these patients are as follows:<\/p>\n<ul>\n<li>First intestinal surgery, then chemotherapy, and finally lung surgery<\/li>\n<li>Simultaneous (same session) intestinal and lung surgery<\/li>\n<li>First chemotherapy, then sequential surgeries after tumors shrink<\/li>\n<li>First lung surgery, then intestinal surgery<\/li>\n<\/ul>\n<p>The classic and most commonly applied approach is first removing the intestinal tumor that poses the main threat to the patient, then administering protective chemotherapy, and finally clearing the nodule in the lung. However, if the patient is young and fit, we may also consider performing both surgeries simultaneously. This relieves the patient of the entire burden in a single session, but the recovery process may be slightly more difficult. In the &#8220;reverse&#8221; approach, tumors are first suppressed with chemotherapy and surgery is performed after a response is obtained. Our greatest fear here is the progression of the disease during the waiting period between two-stage surgeries. Therefore, when making the decision, we weigh factors such as the risk of intestinal obstruction and the size of the lung nodule.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"If_there_are_metastases_in_both_the_liver_and_lungs_which_surgery_should_be_prioritized\"><\/span>If there are metastases in both the liver and lungs, which surgery should be prioritized?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Another scenario we frequently see in colorectal cancers is the spread of the disease to both the liver and the lungs. In the past, these patients were considered to have lost their chance for surgery, but today surgery is definitely an option if metastases in both organs can be removed. So which should be done first?<\/p>\n<p>The general approaches on this subject are as follows:<\/p>\n<ul>\n<li>Performing the technically more difficult one (liver) first<\/li>\n<li>Performing the one with faster recovery (lung) first<\/li>\n<li>Simultaneous surgery in suitable cases<\/li>\n<\/ul>\n<p>The generally accepted view is to perform the technically more difficult and risky liver surgery first. Because recovery after liver surgery may be more complicated and priority is given to the organ that carries vital risk for the body. Another school of thought argues that lung surgery should be performed first because it is better tolerated and has a much shorter recovery period. Sometimes liver and lung surgery teams may also perform simultaneous clearance in the same session. This decision depends entirely on the experience of the surgical teams and the patient&#8217;s resilience.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_success_rates_of_surgery_in_different_tumor_types_Sarcoma_RCC\"><\/span>What are the success rates of surgery in different tumor types (Sarcoma, RCC)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The success of surgery is not only closely related to the surgeon&#8217;s skill but also to the &#8220;identity&#8221; of the tumor, that is, its histological type. Each type of cancer behaves differently in the lungs.<\/p>\n<p>The responses of different tumor types to surgery are as follows:<\/p>\n<ul>\n<li>Carcinomas<\/li>\n<li>Sarcomas<\/li>\n<li>Renal Cell Carcinoma<\/li>\n<\/ul>\n<p>Carcinomas, especially those of colorectal origin, constitute the largest group undergoing metastasectomy and are the group with the highest success rates. When complete clearance is achieved, 5-year survival rates are quite high. Sarcomas, that is soft tissue tumors, are more aggressive and may be resistant to chemotherapy. Therefore, in sarcomas, surgery is the most powerful weapon available for the patient. If the nodules in the lung can be completely removed, sarcoma patients also gain a significant survival advantage.<\/p>\n<p>Renal Cell Carcinoma (RCC), that is kidney cancer, also frequently metastasizes to the lungs. This tumor type is highly resistant to chemotherapy and radiotherapy. Therefore, lung metastasis surgery is almost the only effective treatment method in kidney cancer patients. While survival is very low without treatment, these durations increase dramatically with surgery. In RCC metastases, &#8220;complete clearance&#8221; and the &#8220;disease-free interval&#8221; are the most important success criteria.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_survival_expectations_and_long-term_outcomes_after_surgery\"><\/span>What are the survival expectations and long-term outcomes after surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The oncological role of lung metastasis surgery has been proven through thousands of operations and scientific studies conducted over the years. In general, in selected patient groups, that is, cases where the tumor is completely removed and the patient\u2019s general condition is good, 5-year survival rates vary between 30% and 70%. These rates are remarkable numbers for a metastatic, that is stage 4, cancer patient.<\/p>\n<p>Considering that these rates are very low in patients who do not undergo surgery, the value of metastasectomy becomes clearer. For example, in colorectal cancer metastases, the chance of 5-year survival after complete resection can reach up to 70%.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div class=\"accordion\">\n\t<div id=\"accordion-1231806541\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1231806541-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-which-situations-is-lung-metastasis-surgery-recommended?\" aria-expanded=\"false\" aria-controls=\"accordion-1231806541-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In which situations is lung metastasis surgery recommended?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1231806541-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1231806541-label\">\n\t\t\t\n<p>Lung metastasis surgery is recommended if the number of metastases is limited, the primary tumor is under control, and the patient\u2019s general condition is suitable for surgery. By reducing the spread of the disease through surgery, life expectancy may be prolonged.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1258017049\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1258017049-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-much-does-life-expectancy-increase-after-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1258017049-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How much does life expectancy increase after lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1258017049-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1258017049-label\">\n\t\t\t\n<p>Life expectancy after surgery varies depending on the tumor type and its spread. In suitable patients, 5-year survival rates may range between 30% and 50%, which shows that surgery can make a significant contribution to survival.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2700400396\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2700400396-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-surgical-methods-are-used-in-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-2700400396-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which surgical methods are used in lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2700400396-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2700400396-label\">\n\t\t\t\n<p>The most commonly used methods are wedge resection, segmentectomy, and lobectomy. Surgery is usually performed minimally invasively with video-assisted thoracoscopic surgery (VATS).<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1459986720\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1459986720-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-recovery-process-like-after-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1459986720-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the recovery process like after lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1459986720-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1459986720-label\">\n\t\t\t\n<p>The recovery process usually takes 1\u20132 weeks. Patients are discharged sooner in surgeries performed with VATS, while recovery may take slightly longer in open surgery. Breathing exercises and walking accelerate the process.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2908287655\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2908287655-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-tumors-tend-to-metastasize-to-the-lungs?\" aria-expanded=\"false\" aria-controls=\"accordion-2908287655-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which tumors tend to metastasize to the lungs?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2908287655-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2908287655-label\">\n\t\t\t\n<p>Colorectal cancer, kidney tumors, breast cancer, sarcomas, and head and neck cancers are among the malignancies that frequently metastasize to the lungs. Since these tumors usually show systemic spread, early diagnosis is important.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3020655065\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3020655065-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-lung-metastasis-surgery-be-performed-during-pregnancy?\" aria-expanded=\"false\" aria-controls=\"accordion-3020655065-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can lung metastasis surgery be performed during pregnancy?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3020655065-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3020655065-label\">\n\t\t\t\n<p>Surgery during pregnancy is risky and can only be performed in life-threatening situations. Lung metastasis surgery is generally postponed until after pregnancy, but it may be performed with a multidisciplinary decision if the mother\u2019s life is at risk.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1060669646\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1060669646-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-metastasis-recur-after-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1060669646-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can metastasis recur after lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1060669646-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1060669646-label\">\n\t\t\t\n<p>Yes, there is a risk of metastasis recurrence after surgery. Therefore, regular follow-up and imaging are necessary. If new lesions develop, repeat surgery or systemic treatments may be planned.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3999870451\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3999870451-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-respiratory-capacity-decrease-after-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3999870451-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Does respiratory capacity decrease after lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3999870451-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3999870451-label\">\n\t\t\t\n<p>When a single or limited number of nodules are removed, a significant decrease in respiratory capacity is not expected. However, in multiple resections or when a lobe is removed, there may be some decrease in respiratory function.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-470095428\" class=\"accordion-item\">\n\t\t<a id=\"accordion-470095428-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-chemotherapy-required-after-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-470095428-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is chemotherapy required after lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-470095428-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-470095428-label\">\n\t\t\t\n<p>Chemotherapy after surgery is planned according to the type and spread of the primary tumor. In some patients surgery alone may be sufficient, while in others adjuvant chemotherapy may be required after surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-847875834\" class=\"accordion-item\">\n\t\t<a id=\"accordion-847875834-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-are-the-psychological-effects-of-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-847875834-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What are the psychological effects of lung metastasis surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-847875834-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-847875834-label\">\n\t\t\t\n<p>Patients may experience both physical and emotional stress after surgery. Encountering cancer again may increase the risk of anxiety and depression. Psychological support is important during this process.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2142966861\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2142966861-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-lung-metastasis-surgery-take?\" aria-expanded=\"false\" aria-controls=\"accordion-2142966861-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How Long Does Lung Metastasis Surgery Take?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2142966861-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2142966861-label\">\n\t\t\t\n<p>Lung metastasis surgery usually takes between 1\u20133 hours depending on the number and location of the metastases to be removed. Video-assisted thoracoscopic surgery (VATS) or open surgery may be preferred as the surgical method. The hospital stay after surgery varies between 3\u20137 days.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3528525306\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3528525306-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-lung-metastasis-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3528525306-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Lung Metastasis Surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3528525306-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3528525306-label\">\n\t\t\t\n<p>The department that should be consulted for the surgical treatment of lung metastases is Thoracic Surgery. The surgical decision is made by considering the location and number of metastases, the type of primary tumor, and the patient\u2019s general condition. The treatment process is usually carried out together with Medical Oncology and requires a multidisciplinary approach.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2316906650\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2316906650-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-lung-metastasis-be-cured?\" aria-expanded=\"false\" aria-controls=\"accordion-2316906650-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can lung metastasis be cured?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2316906650-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2316906650-label\">\n\t\t\t\n<p>Metastasis to the lungs generally indicates the spread of the primary cancer and usually does not mean complete recovery. However, depending on the number of metastases, their extent, and the type of cancer, the disease can be brought under control and long-term survival can be achieved in some patients. In cases of limited metastasis, good outcomes may be achieved with surgery, chemotherapy, targeted therapies, or immunotherapy.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1006715312 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1177595898 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<div id=\"gap-417744125\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-417744125 {\n  padding-top: 45px;\n}\n<\/style>\n\t<\/div>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1114,"parent":1086,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-1115","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/comments?post=1115"}],"version-history":[{"count":3,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1115\/revisions"}],"predecessor-version":[{"id":1152,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1115\/revisions\/1152"}],"up":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/pages\/1086"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/media\/1114"}],"wp:attachment":[{"href":"https:\/\/dralperfindikcioglu.com\/en\/wp-json\/wp\/v2\/media?parent=1115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}