Galanis, Michail; Leivaditis, Vasileios; Gioutsos, Konstantinos; Panagiotopoulos, Ioannis; Kyratzopoulos, Asterios; Mulita, Francesk; Papaporfyriou, Anastasia; Verras, Georgios-Ioannis; Tasios, Konstantinos; Antzoulas, Andreas; Skevis, Konstantinos; Kontou, Theoni; Koletsis, Efstratios; Ehle, Benjamin; Dahm, Manfred; Grapatsas, Konstantinos (2023). Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome? Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 20(3), pp. 179-186. Termedia Publishing House 10.5114/kitp.2023.131943
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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.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery |
UniBE Contributor: |
Galanis, Michail, Gioutsos, Konstantinos |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1731-5530 |
Publisher: |
Termedia Publishing House |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
08 Nov 2023 16:43 |
Last Modified: |
08 Nov 2023 16:52 |
Publisher DOI: |
10.5114/kitp.2023.131943 |
PubMed ID: |
37937171 |
Uncontrolled Keywords: |
disease-free survival lobectomy non-small-cell lung carcinoma overall survival recurrence segmentectomy |
BORIS DOI: |
10.48350/188683 |
URI: |
https://boris.unibe.ch/id/eprint/188683 |
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