Sublobectomy versus lobectomy for stage I non-small cell lung cancer in the elderly

Qiu, Chen; Wang, Guanghui; Xu, Jun; Cui, Lixuan; Wang, Dong; Ni, Yang; Qu, Xiao; Du, Jiajun

doi:10.1016/j.ijsu.2016.11.090

Cited by 35 publications

(38 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Well illustrated in this review is the benefit of VATS and limited resection followed by fewer postoperative complications as already reported in previous studies (9)(10)(11)(12).…”

supporting

confidence: 64%

Lung surgery in elderly patients: are we doing enough?

Scarci¹,

Crisci²,

Minervini³

2018

J. Thorac. Dis.

View full text Add to dashboard Cite

“…Well illustrated in this review is the benefit of VATS and limited resection followed by fewer postoperative complications as already reported in previous studies (9)(10)(11)(12).…”

supporting

confidence: 64%

Lung surgery in elderly patients: are we doing enough?

Scarci¹,

Crisci²,

Minervini³

2018

J. Thorac. Dis.

View full text Add to dashboard Cite

“…The collateral vascularization between the pulmonary and bronchial circulation could explain this result. It has been hypothesized that some conditions leading to narrowing of Conversion to thoracotomy 2 [3] Operation time (min), mean ± SD 154±51…”

Section: Discussionmentioning

confidence: 99%

“…Lung cancer recurrence 2 [3] PAL, prolonged air leak; ARDS, acute respiratory distress syndrome; LOS, length of hospital stay; NSCLC, non-small cell lung cancer; NET, neuroendocrine tumor.…”

Section: Discussionmentioning

confidence: 99%

Impact of near-infrared angiography on the quality of anatomical resection during video-assisted thoracic surgery segmentectomy

et al. 2018

View full text Add to dashboard Cite

Background:The aim of the present study was to assess the impact of near-infrared angiography in guiding intraoperatively sublobar anatomical resection by video-assisted thoracic surgery (VATS). Methods: We retrospectively analyzed data from 67 patients who underwent segmentectomy by VATS from November 2014 to November 2017 at the University Hospitals of Geneva, Switzerland. The need to modify arterial or parenchymal resection based on intraoperative near-infrared imaging was considered the primary study outcome. Results: A total of 67 patients (28 men, 39 women, mean age 66±10 years) underwent anatomical pulmonary segmentectomy by VATS. Histological analysis revealed a primary lung tumor in 59 patients. The mean ± standard deviation (SD) operation time was 154±51 minutes. Identification of the intersegmental plane (ISP) with near-infrared angiography was achieved in 88% of patients and led to modification of the resection during segmentectomy in 7 patients (10%), avoiding inappropriate resection; 2 patients had distant tumor recurrences (3%). Conclusions: Near-infrared angiography during VATS segmentectomy is effective for identifying ISPs, with respect to the oncological margins, as well as for correcting the anatomical resection.

show abstract

“…In consideration of the multiple small nodules in different lobes, lung functionpreserving was demanded for this patient because of the potential of a second operation. On the other hand, the lesion of the patient was a small potential invasive nodule (1.5 cm in longest diameter), recent study suggested that sublobectomy could achieve similar survival for patients with stage IA tumors less than 2 cm in diameter (10). Although similar result was reported by other research (11), whether sublobectomy for early lung cancer as a curative surgery still needed to be verified by RCTs such as JCOG0802/WJOG4607L, JCOG0804/WJOG4507L and JCOG1211 trials (12).…”

Section: Commentsmentioning

confidence: 99%

Uniportal video-assisted thoracoscopic combined segmentectomy for lung cancer with incomplete fissure

et al. 2017

View full text Add to dashboard Cite

This video clip demonstrated a performance of uniportal video-assisted thoracoscopic surgery combined segmentectomy. The patient had a potential invasive nodule located near the bifurcation of right bronchus, 3-dimensional reconstruction image showed the fissure between posterior segment of upper lobe and superior segment of lower lobe was incomplete. An up-to-down approach was applied in this operation with the en bloc resection of the two segments. Pathological report was adenocarcinoma with negative margin (TNM stage: T1aN0M0). Operative techniquesAfter being anesthetized with double-lumen endotracheal intubation, the patient was positioned in left lateral decubitus position. The uniportal incision located in the 5th intercostal space, anterior to latissimus dorsi and posterior to pectoralis major. We used a lap-protector to avoid contamination. In order to get a stable vision, we usually use a suture to fix the camera on one side of the incision (Figure 3). Both the operator and the camera holder stand on the ventral side. In this video, the procedures were as followed ( Figure 4): (I) Exploration: no pleural adhesions, pleural indentation, pleural effusion and pleural nodules were found; the dorsal half part of oblique fissure was incomplete; (II) At the middle of oblique fissure, the fissure was divided by using electrocautery to identify ascending artery of S2 (Asc. A2) and its proximate vein of S2 [V2(a+b)]; (III) Pulling the upper lobe caudally to expose and divide mediastinal pleura. After dissection of the level 10 lymph nodes, the artery and its branches of upper lobe were well exposed. The recurrent artery of S2 (Rec. A2) was carefully identified and cut off by a staple; (IV) The bronchus of S2 (B2) was well exposed by separation of all the adjacent tissues. After verifying the bronchus of apical segment (B1), B2 was cut off by a staple; (V) Beneath the B2 stump, the Asc. A2 was revealed integrally and cut off subsequently. We could

show abstract

Sublobectomy versus lobectomy for stage I non-small cell lung cancer in the elderly

Abstract: We concluded that sublobectomy might achieve similar survival rates when compared with lobectomy in elderly stage I NSCLC patients, especially for patients with low %FEV1 and stage IA tumours less than 2 cm in diameter.

Cited by 35 publications

References 20 publications

Lung surgery in elderly patients: are we doing enough?

Lung surgery in elderly patients: are we doing enough?

Impact of near-infrared angiography on the quality of anatomical resection during video-assisted thoracic surgery segmentectomy

Uniportal video-assisted thoracoscopic combined segmentectomy for lung cancer with incomplete fissure

Contact Info

Product

Resources

About