{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:18:55Z","timestamp":1783523935534,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T00:00:00Z","timestamp":1664323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pulmonary metastases (PM) are the most frequent extra\u2010abdominal metastases from colorectal cancer.\u00a0Lung resection and imaging\u2010guided thermal ablation (IGTA) are used as curative\u2010intent treatment. We compared the outcomes of patients with PM, treated with resection or ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed data from patients who underwent surgery or IGTA for colorectal PM between April 2011 and November 2020. Surgery was performed for peripheral PM and IGTA for deep\u2010located PM not in contact with major vessels. Patients who had both procedures were excluded. Patients were compared using propensity score matching (PSM) analysis, stratified according to number, size, and unilaterality of PM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and fourty\u2010six patients were included, 65 (44.5%) underwent surgery and 81 (55.5%) underwent IGTA. After PSM analysis, each group contained 46 patients. IGTA patients had a lower morbidity rate (13.1% vs. 15.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.028) and a shorter length of stay (5.13 vs. 2.63 days, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Oncological outcomes were similar in both groups with 5\u2010year OS of 80% and 5\u2010year progression\u2010free survival\u00a0(PFS) of 30% (<jats:italic>p<\/jats:italic>\u2009=\u20090.657 and <jats:italic>p<\/jats:italic>\u2009=\u20090.504, respectively) with similar recurrence patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lung resection and IGTA seem to have similar oncologic outcomes for both OS and PFS. IGTA could be an alternative effective treatment for small PM, whenever technically feasible.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27108","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T12:23:11Z","timestamp":1664367791000},"page":"183-191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Curative\u2010intent treatment of pulmonary metastases from colorectal cancer: A comparison between imaging\u2010guided thermal ablation and surgery"],"prefix":"10.1002","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6603-3804","authenticated-orcid":false,"given":"Elias","family":"Karam","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology Centre L\u00e9on B\u00e9rard Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayeul","family":"Tabutin","sequence":"additional","affiliation":[{"name":"Department of Surgical 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