On 23 April 2024, the new National Comprehensive Cancer Network (NCCN) guidelines (Version 5.2024) recommended sublobar resection as the preferred approach for early-stage peripheral non-small cell lung cancer (NSCLC).
1 Compared with lobectomy, sublobar resection maximizes the preservation of lung parenchyma, thereby improving postoperative lung function.
2 This is particularly crucial for patients with limited pulmonary reserve or severe comorbidities, enabling them to maintain a better quality of life postsurgery. Standard segmentectomy in sublobar resection is often limited to specific patients. Anatomical partial lobectomy (APL), a refined surgical technique, has made significant progress in treating early-stage NSCLC in recent years.
3 Unlike standard segmentectomy or subsegmentectomy, APL centers around the tumor, using the anatomical structures within the safe resection margin as markers to define the resection scope.
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