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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
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.
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.
Okada M. Radical sublobar resection for small diameter lung cancers. Thorac Surg Clin. 2013;23(3):301–11.
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]
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]
Jones DR, Stiles BM, Denlinger CE, et al. Pulmonary segmentectomy: results and complications. Ann Thorac Surg. 2003;76(2):343–8. [discussion: 8–9]
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.
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.
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.
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]
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.
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.
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.
Yim AP. VATS major pulmonary resection revisited–controversies, techniques, and results. Ann Thorac Surg. 2002;74(2):615–23.
Yang CF, D’Amico TA. Thoracoscopic segmentectomy for lung cancer. Ann Thorac Surg. 2012;94(2):668–81.
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.
Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg. 2004;77(2):726–8.
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.
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.
Rocco G. One-port (uniportal) video-assisted thoracic surgical resections–a clear advance. J Thorac Cardiovasc Surg. 2012;144(3):S27–31.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
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)