RT Book, Section A1 Grimm, Joshua C. A1 Yang, Stephen C. A2 Morita, Shane Y. A2 Balch, Charles M. A2 Klimberg, V. Suzanne A2 Pawlik, Timothy M. A2 Posner, Mitchell C. A2 Tanabe, Kenneth K. SR Print(0) ID 1145759450 T1 Pulmonary Metastasectomy T2 Textbook of Complex General Surgical Oncology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071793315 LK accesssurgery.mhmedical.com/content.aspx?aid=1145759450 RD 2024/03/28 AB Pulmonary metastasectomy has evolved into a widely accepted and successful treatment strategy for patients with advanced disease of various tumor types. The growth of this surgical practice reflects the frequency in which the metastatic focus resides in the lung.1 Initial reports represented the findings of retrospective case series and large, registry data which did not provide any true understanding of the impact of surgical intervention in patients presenting with advanced, metastatic disease.2,3 Accordingly, the paradigm shift from primary medical management of distant disease to operative intervention was slow to gain momentum as early results failed to show consistent improvement in survival outcomes. Diagnostic imaging modalities and surgical technique have continued to improve over the past two to three decades, however, affording select patients with aggressive cancers (e.g., primary colorectal, soft tissue, and genitourinary tumors) substantial benefit from pulmonary resection for metastatic lesions. In this chapter, we will focus on soft tissue and abdominal malignancies that commonly metastasize to the lung and will structure our discussion to be of highest value for those within the surgical field.