Sub-Lobar Resection: The New Standard of Care for Early-Stage Lung Cancer

被引:7
|
作者
Lee, Benjamin E. [1 ]
Altorki, Nasser [1 ]
机构
[1] Cornell Univ, Dept Cardiothorac Surg, Div Thorac Surg, Weill Cornell Med, Suite M404,525 East 68th St, New York, NY 10065 USA
关键词
NSCLC; sub-lobar resection; segmentectomy; wedge resection; lobectomy; SUBLOBAR RESECTION; WEDGE RESECTION; THORACIC SURGEONS; LOBECTOMY; SURVIVAL; SEGMENTECTOMY; CARCINOMA; DATABASE; OUTCOMES; PNEUMONECTOMY;
D O I
10.3390/cancers15112914
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The Lung Cancer Study Group previously established lobectomy as the standard of care for treatment of clinical T1N0 NSCLC. Advances in imaging technology and refinements in staging have prompted a re-investigation to determine the non-inferiority of sub-lobar resections to lobectomies. Two recent randomized studies, JCOG 0802 and CALGB 140503, are reviewed here in the context of LCSG 0821. The studies confirm non-inferiority for sub-lobar resection (wedge or segmentectomy) compared to lobectomy for peripheral T1N0 NSCLC less than or equal to 2 cm. Sub-lobar resection should therefore be considered the new standard of care in this sub-set of patients with NSCLC.
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页数:10
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