Oct 01, 2013 - 4:35 pm
My last scan in August showed mets in my lungs, both sides. I have been doing some research on the laser assisted lung resection initially offered in Germany by Dr. Rolle. it has pretty good ling term remission stsatisitcs if all mers, regardless of size and amount, can be removed. it is now also offered here at my hopsital in Toronto and has been for about a year. However, my thoracic surgeon here said that he doesn't recommend this surgery or any surgery at this point because my mets are small, difficult to find and a few are deep in my lungs which may result in missed spots and me being back in the same place later. I also wonder if because this is a new method for them here if they are a bit cautious. Also my hopsital does not have access to inter operational imaging of the lung at this time to assist in the surgery although they will be getting some in the future. My local surgeon also recommends some chemo first to stabelize things a bit before surgery shoukdnidecide to go the germany or to see if there is something they can do locally. Dr. Rolle in Germany has reviewd my scan and had advised that I am resectable, that the lobes can be saved and recommends the surgery. Part of me just wants the mets out, the other is worried about what is going on in my lungs and thinks chemo may be the way to go first. I'm opnot sure what to do. What would you do? Any thoughts? Of course the local care is 'free' where as the German procedure is about 18000 per lung.