Effect of Resected Lung Volume on Pulmonary Function and Residual Lung Volume in Patients Undergoing Segmentectomy: A Retrospective Study.
Lung cancer
Lung volume
Minimally invasive surgery
Pulmonary function
Segmentectomy
Journal
Annals of surgical oncology
ISSN: 1534-4681
Titre abrégé: Ann Surg Oncol
Pays: United States
ID NLM: 9420840
Informations de publication
Date de publication:
12 Jun 2024
12 Jun 2024
Historique:
received:
24
01
2024
accepted:
16
05
2024
medline:
12
6
2024
pubmed:
12
6
2024
entrez:
12
6
2024
Statut:
aheadofprint
Résumé
We elucidated the effects of planned resection volume on postoperative pulmonary function and changes in residual lung volume during segmentectomy. This study included patients who underwent thoracoscopic segmentectomy between January 2017 and December 2022 and met eligibility criteria. Pre- and post-resection spirometry and computed tomography were performed. Three-dimensional reconstructions were performed by using computed tomography images to calculate the volumes of the resected, remaining, and nonoperative side regions. Based on the resected region volume, patients were divided into the higher and lower volume segmentectomy groups. Changes in lung volume and pulmonary function before and after the surgery were comparatively analyzed. The median percentage of resected lung volume was 10.9%, forming the basis for categorizing patients into the two groups. Postoperative forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) ratios to preoperative measurements in both groups did not differ significantly (FEV1, p = 0.254; FVC, p = 0.777). Postoperative FEV1 and FVC ratios to their predicted postoperative values were significantly higher in the higher volume segmentectomy group than in the lower volume segmentectomy group (FEV1, p = 0003; FVC, p < 0.001). The higher volume segmentectomy group showed significantly greater post-to-preoperative lung volume ratio in overall, contralateral, ipsilateral, residual lobe and residual segment than the lower volume segmentectomy group. Postoperative respiratory function did not differ significantly between the higher- and lower-volume segmentectomy groups, indicating improved respiratory function because of substantial postoperative residual lung expansion. Our findings would aid in determining the extent of resection during segmentectomy.
Identifiants
pubmed: 38864984
doi: 10.1245/s10434-024-15550-z
pii: 10.1245/s10434-024-15550-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. Society of Surgical Oncology.
Références
Cahan WG. Radical lobectomy. J Thorac Cardiovasc Surg. 1960;39:555–72.
doi: 10.1016/S0022-5223(20)31797-9
pubmed: 13806783
Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995;60(3):615–22. https://doi.org/10.1016/0003-4975(95)00537-u . (discussion 622–3).
doi: 10.1016/0003-4975(95)00537-u
pubmed: 7677489
Aokage K, Suzuki K, Saji H, Wakabayashi M, Kataoka T, Sekino Y, et al. Segmentectomy for ground-glass-dominant lung cancer with a tumour diameter of 3 cm or less including ground-glass opacity (JCOG1211): a multicentre, single-arm, confirmatory, phase 3 trial. Lancet Respir Med. 2023;11(6):540–9. https://doi.org/10.1016/s2213-2600(23)00041-3 .
doi: 10.1016/s2213-2600(23)00041-3
pubmed: 36893780
Tsutani Y, Handa Y, Shimada Y, Ito H, Ikeda N, Nakayama H, et al. Comparison of cancer control between segmentectomy and wedge resection in patients with clinical stage IA non–small cell lung cancer. J Thorac Cardiovasc Surg. 2021;162(4):1244-52.e1. https://doi.org/10.1016/j.jtcvs.2020.10.024 .
doi: 10.1016/j.jtcvs.2020.10.024
pubmed: 33213872
Logan CD, Jacobs RC, Feinglass J, Lung K, Kim S, Bharat A, et al. National trends in the quality of segmentectomy for lung cancer. J Thorac Cardiovasc Surg. 2023;165(1):351-63.e20. https://doi.org/10.1016/j.jtcvs.2022.05.050 .
doi: 10.1016/j.jtcvs.2022.05.050
pubmed: 36088143
Suzuki K, Koike T, Asakawa T, Kusumoto M, Asamura H, Nagai K, et al. A prospective radiological study of thin-section computed tomography to predict pathological noninvasiveness in peripheral clinical IA lung cancer (Japan Clinical Oncology Group 0201). J Thorac Oncol. 2011;6(4):751–6. https://doi.org/10.1097/JTO.0b013e31821038ab .
doi: 10.1097/JTO.0b013e31821038ab
pubmed: 21325976
Altorki N, Wang X, Kozono D, Watt C, Landrenau R, Wigle D, et al. Lobar or sublobar resection for peripheral stage IA non-small-cell lung cancer. N Engl J Med. 2023;388(6):489–98. https://doi.org/10.1056/NEJMoa2212083 .
doi: 10.1056/NEJMoa2212083
pubmed: 36780674
pmcid: 10036605
Saji H, Okada M, Tsuboi M, Nakajima R, Suzuki K, Aokage K, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399(10335):1607–17. https://doi.org/10.1016/s0140-6736(21)02333-3 .
doi: 10.1016/s0140-6736(21)02333-3
pubmed: 35461558
Iwano S, Yokoi K, Taniguchi T, Kawaguchi K, Fukui T, Naganawa S. Planning of segmentectomy using three-dimensional computed tomography angiography with a virtual safety margin: Technique and initial experience. Lung Cancer. 2013;81(3):410–5. https://doi.org/10.1016/j.lungcan.2013.06.001 .
doi: 10.1016/j.lungcan.2013.06.001
pubmed: 23838090
Ueda K, Tanaka T, Li TS, Tanaka N, Hamano K. Quantitative computed tomography for the prediction of pulmonary function after lung cancer surgery: a simple method using simulation software. Eur J Cardiothorac Surg. 2009;35(3):414–8. https://doi.org/10.1016/j.ejcts.2008.04.015 .
doi: 10.1016/j.ejcts.2008.04.015
pubmed: 18485724
Yoshimoto K, Nomori H, Mori T, Kobayashi H, Ohba Y, Shibata H, et al. Prediction of pulmonary function after lung lobectomy by subsegments counting, computed tomography, single photon emission computed tomography and computed tomography: a comparative study. Eur J Cardiothorac Surg. 2009;35(3):408–13. https://doi.org/10.1016/j.ejcts.2008.10.057 .
doi: 10.1016/j.ejcts.2008.10.057
pubmed: 19162496
Ueda K, Tanaka T, Hayashi M, Li TS, Tanaka N, Hamano K. Computed tomography-defined functional lung volume after segmentectomy versus lobectomy. Eur J Cardiothorac Surg. 2010;37(6):1433–7. https://doi.org/10.1016/j.ejcts.2010.01.002 .
doi: 10.1016/j.ejcts.2010.01.002
pubmed: 20153214
Kobayashi K, Saeki Y, Kitazawa S, Kobayashi N, Kikuchi S, Goto Y, et al. Three-dimensional computed tomographic volumetry precisely predicts the postoperative pulmonary function. Surg Today. 2017;47(11):1303–11. https://doi.org/10.1007/s00595-017-1505-y .
doi: 10.1007/s00595-017-1505-y
pubmed: 28378062
Fan Z, Zhao S, Wang L, Li F, Wang J, Gu C. Comparison between functional lung volume measurement and segment counting for predicting postoperative pulmonary function after pulmonary resection in lung cancer patients. BMC Pulm Med. 2023;23(1):6. https://doi.org/10.1186/s12890-022-02299-y .
doi: 10.1186/s12890-022-02299-y
pubmed: 36604712
pmcid: 9817321
Nomori H, Cong Y, Sugimura H. Systemic and regional pulmonary function after segmentectomy. J Thorac Cardiovasc Surg. 2016;152(3):747–53. https://doi.org/10.1016/j.jtcvs.2016.05.059 .
doi: 10.1016/j.jtcvs.2016.05.059
pubmed: 27368528
Tane S, Nishio W, Nishioka Y, Tanaka H, Ogawa H, Kitamura Y, et al. Evaluation of the residual lung function after thoracoscopic segmentectomy compared with lobectomy. Ann Thorac Surg. 2019;108(5):1543–50. https://doi.org/10.1016/j.athoracsur.2019.05.052 .
doi: 10.1016/j.athoracsur.2019.05.052
pubmed: 31302085
Nomori H, Yamazaki I, Machida Y, Otsuki A, Cong Y, Sugimura H, et al. Lobectomy versus segmentectomy: a propensity score-matched comparison of postoperative complications, pulmonary function and prognosis. Interact Cardiovasc Thorac Surg. 2022;34(1):57–65. https://doi.org/10.1093/icvts/ivab212 .
doi: 10.1093/icvts/ivab212
pubmed: 34999814
Nomori H, Shiraishi A, Cong Y, Sugimura H, Mishima S. Differences in postoperative changes in pulmonary functions following segmentectomy compared with lobectomy. Eur J Cardiothorac Surg. 2018;53(3):640–7. https://doi.org/10.1093/ejcts/ezx357 .
doi: 10.1093/ejcts/ezx357
pubmed: 29048464
Suzuki H, Morimoto J, Mizobuchi T, Fujiwara T, Nagato K, Nakajima T, et al. Does segmentectomy really preserve the pulmonary function better than lobectomy for patients with early-stage lung cancer? Surg Today. 2017;47(4):463–9. https://doi.org/10.1007/s00595-016-1387-4 .
doi: 10.1007/s00595-016-1387-4
pubmed: 27484067
Wakamatsu I, Matsuguma H, Nakahara R, Chida M. Factors associated with compensatory lung growth after pulmonary lobectomy for lung malignancy: an analysis of lung weight and lung volume changes based on computed tomography findings. Surg Today. 2020;50(2):144–52. https://doi.org/10.1007/s00595-019-01863-0 .
doi: 10.1007/s00595-019-01863-0
pubmed: 31440912
Ferguson MK, Watson S, Johnson E, Vigneswaran WT. Predicted postoperative lung function is associated with all-cause long-term mortality after major lung resection for cancer. Eur J Cardiothorac Surg. 2014;45(4):660–4. https://doi.org/10.1093/ejcts/ezt462 .
doi: 10.1093/ejcts/ezt462
pubmed: 24052607
Chen L, Gu Z, Lin B, Wang W, Xu N, Liu Y, et al. Pulmonary function changes after thoracoscopic lobectomy versus intentional thoracoscopic segmentectomy for early-stage non-small cell lung cancer. Transl Lung Cancer Res. 2021;10(11):4141–51. https://doi.org/10.21037/tlcr-21-661 .
doi: 10.21037/tlcr-21-661
pubmed: 35004245
pmcid: 8674599
Altorki N, Wang X, Damman B, Mentlick J, Landreneau R, Wigle D, et al. Lobectomy, segmentectomy, or wedge resection for peripheral clinical T1aN0 non-small cell lung cancer: a post hoc analysis of CALGB 140503 (Alliance). J Thorac Cardiovasc Surg. 2023. https://doi.org/10.1016/j.jtcvs.2023.07.008 .
doi: 10.1016/j.jtcvs.2023.07.008
pubmed: 37926198
Greillier L, Thomas P, Loundou A, Doddoli C, Badier M, Auquier P, et al. Pulmonary function tests as a predictor of quantitative and qualitative outcomes after thoracic surgery for lung cancer. Clin Lung Cancer. 2007;8(9):554–61. https://doi.org/10.3816/CLC.2007.n.042 .
doi: 10.3816/CLC.2007.n.042
pubmed: 18186960
Almquist D, Khanal N, Smith L, Ganti AK. Preoperative pulmonary function Tests (PFTs) and outcomes from resected early stage non-small cell lung cancer (NSCLC). Anticancer Res. 2018;38(5):2903–7. https://doi.org/10.21873/anticanres.12537 .
doi: 10.21873/anticanres.12537
pubmed: 29715115