Erschienen in:
22.06.2023 | ASO Author Reflections
ASO Author Reflections: Three-Dimensional-Guided Segmentectomy can be an Alternative to Lobectomy for Small-Sized Non-small Cell Lung Cancer in the Middle-Third Lung Parenchyma
verfasst von:
Zhihua Li, MD, Weibing Wu, MD, Liang Chen, MD
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 11/2023
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Excerpt
Nowadays, segmentectomy has become a standard surgical procedure for small-sized (≤ 2 cm) non-small cell lung cancer (NSCLC) in the peripheral lung field.
1 However, a substantial portion of pulmonary nodules were not found in the outer-third lung parenchyma but in the middle/inner-third. The difficulty in performing segmentectomy for deep nodules was how to deal with the contradiction between achieving adequate surgical margins and reserving more healthy lung parenchyma. With the development and use of three-dimensional (3D) navigation, limited studies have explored the feasibility and efficacy of segmentectomy for deep NSCLC.
2,3 These studies indicated that segmentectomy with 3D navigation was feasible and safe for selected deep small-sized NSCLCs. Our center has reported 3D-guided cone-shaped segmentectomy and anatomical pulmonary sublobar resection based on subsegment, which had the advantages of less resection of lung parenchyma and more sufficient surgical margin.
4 However, whether 3D-guided segmentectomy could achieve comparable long-term outcomes with lobectomy for small-sized NSCLCs in the middle-third lung parenchyma remained unclear. …
