Revisiones en Cáncer 00036 / http://dx.doi.org/10.20960/revcancer.00036

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Revisión

Tratamiento quirúrgico en cáncer de pulmón

José R. Jarabo, Elena Fernández, Carlos A. Fraile, Verónica Alen, Lidia Sotillo, Verónica Albarrán, Joaquín Calatayud, Ana M. Gómez, Florentino Hernando

Prepublicado: 2023-09-25

Publicado: 2023-11-03

VOLUMEN 37, NÚM. 3, mayo-junio (2023), PAG. 121-132

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El escenario de cáncer de pulmón de célula no pequeña ha cambiado, con nuevos retos como la detección precoz de tumores a través de programas de cribado, abordajes multidisciplinares con nuevos fármacos, una precisa tipificación biomolecular tumoral, el creciente número de pacientes en situación funcional límite que son rescatables para cirugía, y la consecución de resecciones oncológicas completas con abordajes mínimamente invasivos. Los cirujanos torácicos se enfrentan a nódulos pulmonares pequeños sin confirmación citohistológica difíciles de localizar intraoperatoriamente, nuevas peculiaridades técnicas tras tratamientos neoadyuvantes nuevos, pacientes añosos con múltiples comorbilidades y tumores localmente avanzados o metastásicos que se hacen potencialmente resecables tras tratamientos sistémicos. Para ello contamos con nuevas tecnologías como sistemas de asistencia robótica, programas de reconstrucción de imágenes, herramientas para detección y marcaje de nódulos y, especialmente, el entusiasmo de profesionales trabajando para lograr altas tasas de curación y largas supervivencias con máximos niveles de calidad de vida.

Palabras Clave: Cirugía. Cáncer de pulmón. Toracoscopia. Neoadyuvancia. Prehabilitación.

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Bibliografía
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