Abstract
In order to create conditions for increasing the effectiveness of treatment of patients with metastatic lung disease a new method for calculating the dose of antitumor drug for performing isolated chemo-perfusion of the lung with metasta-sectomy taking into account the anatomical features of patients and previous operations on the lung was developed. The study consisted of three stages. As a result of the first stage of the study the effectiveness of the software package was measured in the volume of lung patients based on the presence of a strong positive correlation between the volumes of left lungs (Rs = 0.91, p <0.001), right lungs (Rs = 0.94, p <0.001) during the primary and repeated CT chest. As a result of the second stage of the study a weakly positive relationship was found between the volume of right lungs and the surface area of patients’ bodies (Rs = 0.32-0.40, p <0.001) and a weakly positive relationship between the volume of left lungs and the surface area of the patients’ bodies (Rs = 0, 32-0,40, p <0,001), which confirms the inexpediency of dosing an antitumor drug for lung chemo-perfusion based on the body surface area of a patient. As a result of the third stage of the study a method for calculating the dose of melphalan and cisplatin for performing lung chemo-perfusion based on CT lung volumetry was developed.References
Гафтон Г.И., Семилетова Ю.В., Сенчик К.Ю. и др. Перфузионные технологии в лечении больных меланомой кожи и саркомами мягких тканей конечностей // Вопросы онкологии. - 2015. - Т. 3. - С. 507-509.
Левченко Е.В., Сенчик К.Ю., Барчук А.С. и др. Изолированная химиоперфузия лёгкого по поводу мета стазов солидных опухолей // Онкохир. - 2012. - Т. 4. - С. 46-53.
Чиссов В.И., Трахтенберг А.Х., Пикин О.В. и др. Метастатические опухоли легких. - М., 2009. - 160 с.
Burt M.E., Liu D., Abolhoda A. et al. Isolated lung perfusion for patients with unresectable metastases from sarcoma: a phase I trial // Ann. Thorac. surg. - 2000. - Vol. 69. - P. 1542-1549.
Du Bois D., Du Bois E.F. A formula to estimate the approximate surface area if height and weight be known // Arch. Intern. Med. - 1916. - Vol. 17. - P. 863-871.
Hendriks J.M., Van Putte B.P, Grootenboers M. et al. Isolated lung perfusion for pulmonary metastases // Thorac. surg. clin. 2006. - Vol. 16. - P. 185-198.
Hendriks J.M., Grootenboers M.J., schramel F.M. et al. Isolated lung perfusion with melphalan for resectable lung metastases: a phase I clinical trial // Ann. thorac. surg. - 2004. - Vol. 78. - P 1919-1926.
Hengst W.A., Hendriks J.M., Balduyck B. et al. Phase II Multicenter Clinical Trial of Pulmonary Metastasectomy and Isolated Lung Perfusion with Melphalan in Patients with Resectable Lung Metastases // J. thorac. oncol. - 2014. - Vol. 9 (10). - P 1547-1553.
Kouno T., Katsumata N., Mukai H. et al. standardization of the Body surface Area Formula to Calculate the Dose of Anticancer Agents in Japan // Jpn. J. Clin. oncol. - 2003. - Vol. 6. - P. 309-331.
Meeh K. oberflächenmessungen des menschlichen Körpers // Z. Biol. - 1879. - Vol. 15. - P 425-485.
Pastorino U., Buyse M., Friedel G. et al. Long-term results of lung metastasectomy: prognostic analyses based on 5206 cases. The International 171 Registry of Lung Metastases // J. thorac. cardiovasc. surg. - 1997. - Vol. 133. - P. 37-49.
Putnam J.B. New and evolving treatment methods for pulmonary metastases // semin. Thorac. Cardiovasc. surg. - 2002. - Vol. 14. - P 49-56.
Ratto G.B., Toma s., Civalleri D. et al. Isolated lung perfusion with platinum in the treatment of pulmonary metastases from soft tissue sarcomas // J. thorac. cardiovasc. surg. - 1996. - Vol. 112. - P. 614-622.
Redlarski G., Palkowski A., Krawczuk M. Body surface area formulae: an alarming ambiguity // sci. Rep. - 2016. - Vol. 6.
schlich E., schumm M., schlich M. 3D-Body-scan als anthropometrisches Verfahren zur Bestimmung der spezifischen Körperoberfläche // Ernährungs Umschau. - 2010. - Vol. 4. P - 178-183.
schroder C., Fisher s., Pieck A.C. et al. Technique and results of hyperthermic (41 degrees C) isolated lung perfusion with high-doses of cisplatin for the treatment of surgically relapsing or unresectable lung sarcoma metastasis // Eur. j. cardiothorac. surg. - 2002. - Vol. 22. - P. 41-46.
Yu C.Y, Lin C.H., Yang YH. Human body surface area database and estimation formula // Burns. - 2010. - Vol. 36. - P. 616-629.
Van schil P.E., Hendriks J.M., Van Putte B.P. et al. Isolated lung perfusion and related techniques for the treatment of pulmonary metastases // Eur. j. cardiothoracic. surg. - 2008. - Vol. 33. - P. 487-496.

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Copyright (c) 2018 Yevgeniy Levchenko, Konstantin Senchik, Oleg Mamontov, Andrey Mishchenko, Lev Shevkunov, Nikita Levchenko, Elvira Gumbatova, Tatyana Dubinina, P. Kalinin, ChZhAN VEN, VAN TIN, Ya. Ulyanchenko