Skip to main content

Indications and Technical Details of Segmentectomy for Lung Cancer

  • Chapter
  • First Online:
Segmentectomy for Early-Stage Lung Cancer

Abstract

In 1995, Lobectomy had been established as the standard method by the Lung Cancer Study Group (LCSG) in the treatment of early-stage lung cancer by showing that lobectomy provides a significant survival advantage over sublobar resection. Sublobar resection had been considered a compromise option for patients who could not tolerate lobectomy (e.g., comorbidities of high-risk, advanced age, and low cardiopulmonary function). However, the study (a) included subjects whose tumors measured over 2 cm in diameter, or who had received non-anatomic wedge resections; (b) did not identify significantly different overall survival; and (c) lacked complete pulmonary function testing data.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol. 2009;27(15):2553–62.

    Article  PubMed  Google Scholar 

  2. Okada M, Koike T, Higashiyama M, et al. Radical sublobar resection for small-sized non-small cell lung cancer: a multicenter study. J Thorac Cardiovasc Surg. 2006;132(4):769–75.

    Article  PubMed  Google Scholar 

  3. Okada M. Radical sublobar resection for small diameter lung cancers. Thorac Surg Clin. 2013;23(3):301–11.

    Article  PubMed  Google Scholar 

  4. Schuchert MJ, Abbas G, Awais O, et al. Anatomic segmentectomy for the solitary pulmonary nodule and early-stage lung cancer. Ann Thorac Surg. 2012;93(6):1780–5. [discussion: 6–7]

    Article  PubMed  Google Scholar 

  5. Mitchell JD, Yu JA, Bishop A, et al. Thoracoscopic lobectomy and segmentectomy for infectious lung disease. Ann Thorac Surg. 2012;93(4):1033–9. [discussion: 9–40]

    Article  PubMed  Google Scholar 

  6. Jones DR, Stiles BM, Denlinger CE, et al. Pulmonary segmentectomy: results and complications. Ann Thorac Surg. 2003;76(2):343–8. [discussion: 8–9]

    Article  PubMed  Google Scholar 

  7. Tsutani Y, Miyata Y, Nakayama H, et al. Oncologic outcomes of segmentectomy compared with lobectomy for clinical stage IA lung adenocarcinoma: propensity score-matched analysis in a multicenter study. J Thorac Cardiovasc Surg. 2013;146(2):358–64.

    Article  PubMed  Google Scholar 

  8. Pedersen JH, Ashraf H, Dirksen A, et al. The Danish randomized lung cancer CT screening trial–overall design and results of the prevalence round. J Thorac Oncol. 2009;4(5):608–14.

    Article  PubMed  Google Scholar 

  9. National Lung Screening Trial Research Team, Aberle DR, Adams AM, Berg CD, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011;365(5):395–409.

    Article  Google Scholar 

  10. 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. [discussion: 22–3]

    Article  CAS  PubMed  Google Scholar 

  11. Martin-Ucar AE, Nakas A, Pilling JE, et al. A case matched study of anatomical segmentectomy versus lobectomy for stage I lung cancer in high risk patients. Eur J Cardiothorac Surg. 2005;27(4):675–9.

    Article  PubMed  Google Scholar 

  12. Koike T, Yamato Y, Yoshiya K, et al. Intentional limited pulmonary resection for peripheral T1N0M0 small-sized lung cancer. J Thorac Cardiovasc Surg. 2003;125(4):924–8.

    Article  PubMed  Google Scholar 

  13. Smith CB, Swanson SJ, Mhango G, et al. Survival after segmentectomy and wedge resection in stage I non-small-cell lung cancer. J Thorac Oncol. 2013;8(1):73–8.

    Article  PubMed  Google Scholar 

  14. Yim AP. VATS major pulmonary resection revisited–controversies, techniques, and results. Ann Thorac Surg. 2002;74(2):615–23.

    Article  PubMed  Google Scholar 

  15. Yang CF, D’Amico TA. Thoracoscopic segmentectomy for lung cancer. Ann Thorac Surg. 2012;94(2):668–81.

    Article  PubMed  Google Scholar 

  16. Shiraishi T, Shirakusa T, Iwasaki A, et al. Video-assisted thoracoscopic surgery (VATS) segmentectomy for small peripheral lung cancer tumors: intermediate results. Surg Endosc. 2004;18(11):1657–62.

    CAS  PubMed  Google Scholar 

  17. Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg. 2004;77(2):726–8.

    Article  PubMed  Google Scholar 

  18. Gonzalez-Rivas D, Paradela M, Fernandez R, et al. Uniportal video-assisted thoracoscopic lobectomy: two years of experience. Ann Thorac Surg. 2013;95(2):426–32.

    Article  PubMed  Google Scholar 

  19. Gonzalez-Rivas D, Paradela M, Fieira E, et al. Single incision video-assisted thoracoscopic lobectomy: initial results. J Thorac Cardiovasc Surg. 2012;143(3):745–7.

    Article  PubMed  Google Scholar 

  20. Rocco G. One-port (uniportal) video-assisted thoracic surgical resections–a clear advance. J Thorac Cardiovasc Surg. 2012;144(3):S27–31.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Liu, J., Mao, G. (2023). Indications and Technical Details of Segmentectomy for Lung Cancer. In: Liu, J., Wu, D. (eds) Segmentectomy for Early-Stage Lung Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-99-0143-2_4

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-0143-2_4

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-0142-5

  • Online ISBN: 978-981-99-0143-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics