Premium
Pulmonary resection for tissue harvest in adoptive tumor‐infiltrating lymphocyte therapy: Safety and feasibility
Author(s) -
Corsini Erin M.,
Mitchell Kyle G.,
Zhou Nicolas,
Bernatchez Chantale,
Forget MarieAndrée,
Haymaker Cara L.,
Hofstetter Wayne L.,
Mehran Reza J.,
Rajaram Ravi,
Rice David C.,
Roth Jack A.,
Sepesi Boris,
Swisher Stephen G.,
Vaporciyan Ara A.,
Walsh Garrett L.,
Amaria Rodabe N.,
Jazaeri Amir A.,
Antonoff Mara B.
Publication year - 2021
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.26548
Subject(s) - medicine , thoracoscopy , surgery , tumor infiltrating lymphocytes , cancer , immunotherapy
Background and Objectives Adoptive T‐cell therapies (ACTs) using expansion of tumor‐infiltrating lymphocyte (TIL) populations are of great interest for advanced malignancies, with promising response rates in trial settings. However, postoperative outcomes following pulmonary TIL harvest have not been widely documented, and surgeons may be hesitant to operate in the setting of widespread disease. Methods Patients who underwent pulmonary TIL harvest were identified, and postoperative outcomes were studied, including pulmonary, cardiovascular, infectious, and wound complications. Results 83 patients met inclusion criteria. Pulmonary TIL harvest was undertaken primarily via a thoracoscopy with a median operative blood loss and duration of 30 ml and 65 min, respectively. The median length of stay was 2 days. Postoperative events were rare, occurring in only five (6%) patients, including two discharged with a chest tube, one discharged with oxygen, one episode of urinary retention, and one blood transfusion. No reoperations occurred. The median time from TIL harvest to ACT infusion was 37 days. Conclusions Pulmonary TIL harvest is safe and feasible, without major postoperative events in our cohort. All patients were able to receive intended ACT infusion without delays. Therefore, thoracic surgeons should actively participate in ongoing ACT trials and aggressively seek to enroll patients on these protocols.