Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?
disease-free survival
lobectomy
non-small-cell lung carcinoma
overall survival
recurrence
segmentectomy
Journal
Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
ISSN: 1731-5530
Titre abrégé: Kardiochir Torakochirurgia Pol
Pays: Poland
ID NLM: 101279148
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
27
04
2023
accepted:
25
06
2023
medline:
8
11
2023
pubmed:
8
11
2023
entrez:
8
11
2023
Statut:
ppublish
Résumé
Low-dose computed tomography is being used for lung cancer screening in high-risk groups. Detecting lung cancer at an early stage improves the chance of optimal treatment and increases overall survival. This article compares segmentectomy vs. lobectomy as surgical options, in the case of stage I non-small cell lung carcinoma, ideally IA. To compare the 2 previously referred strategies, data were collected from articles (40 studies were reviewed), reviews, and systematic analyses in PubMed Central, as well as reviewing recent literature. Segmentectomy could be an equal alternative to lobectomy in early-stage NSCLC (tumour < 2 cm). It could be preferred for patients with a low cardiopulmonary reserve, who struggle to survive a lobectomy. As far as early-stage NSCLC is concerned, anatomic segmentectomy is an acceptable procedure in a selective group of patients. For better tumour and stage classification, a systematic lymph node dissection should be performed.
Identifiants
pubmed: 37937171
doi: 10.5114/kitp.2023.131943
pii: 51613
pmc: PMC10626409
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
179-186Informations de copyright
Copyright: © 2023 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska).
Déclaration de conflit d'intérêts
The authors report no conflict of interest.
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