Perioperative outcomes of thoracoscopic complex segmentectomy for stage <b>Ⅰ</b> non-small cell lung cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 WANG Huan , LIU Jian , CHEN Jian , ZHAN Bicheng

Department of Cardiothoracic Surgery, Anqing Hospital Affiliated to Anhui Medical University, Anqing, 246000, Anhui, P.R.China;

Corresponding author：

WANG Huan, Email: 84703677@qq.com

Keywords：

Non-small cell lung cancer; thoracoscopic segmentectomy; complications; surgical treatment

DOI：

10.7507/1007-4848.202005046

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the efficacy of thoracoscopic complex segmentectomy for stageⅠnon-small cell lung cancer (NSCLC).Methods We retrospectively reviewed the perioperative clinical data of patients with stageⅠNSCLC who underwent thoracoscopic complex segmentectomy (n=58) or simple segmentectomy (n=33) between January 2017 and March 2020 in our hospital. There were 36 males and 55 females with a median age of 57 years (range: 50-66 years). The clinical data of the two groups were compared.Results There were no significant differences between the two groups in characteristics including age, sex, weight, comorbidities, preoperative pulmonary function, dominant composition of tumor, tumor histology and size, overall complications, estimated blood loss, prolonged air leakage, length of hospital stay, length of drainage, surgical margin distance or number of dissected lymph nodes. Only the operation time and number of staples for making intersegmental plane were significantly different between the two groups (P<0.05). There was no perioperative death in both groups.Conclusion Thoracoscopic complex segmentectomy is a feasible and safe technique for stageⅠNSCLC.

Citation： WANG Huan, LIU Jian, CHEN Jian, ZHAN Bicheng. Perioperative outcomes of thoracoscopic complex segmentectomy for stage Ⅰ non-small cell lung cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(5): 555-559. doi: 10.7507/1007-4848.202005046 Copy

1.	Wood DE. National Comprehensive Cancer Network (NCCN) clinical practice guidelines for lung cancer screening. Thorac Surg Clin, 2015, 25(2): 185-197.
2.	Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg, 1995, 60(3): 615-622.
3.	Gierada DS, Black WC, Chiles C, et al. Low-dose CT screening for lung cancer: Evidence from 2 decades of study. Radiol Imaging Cancer, 2020, 2(2): e190058.
4.	Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
5.	Hennon M, Landreneau RJ. Role of segmentectomy in treatment of early-stage non-small cell lung cancer. Ann Surg Oncol, 2018, 25(1): 59-63.
6.	Raman V, Yang CJ, Deng JZ, et al. Surgical treatment for early stage non-small cell lung cancer. J Thorac Dis, 2018, 10(Suppl 7): S898-S904.898-904.
7.	Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
8.	Handa Y, Tsutani Y, Mimae T, et al. Complex segmentectomy in the treatment of stage ⅠA non-small-cell lung cancer. Eur J Cardiothorac Surg, 2020, 57(1): 114-121.
9.	Mimae T, Okada M. Are segmentectomy and lobectomy comparable in terms of curative intent for early stage non-small cell lung cancer? Gen Thorac Cardiovasc Surg, 2020, 68(7): 703-706.
10.	Hirji SA, Swanson SJ. T1a lung carcinoma: The place of segmentectomy in the treatment array. J Thorac Dis, 2018, 10(Suppl 10): S1151-S1156.
11.	刘洋, 钟声逸, 何绮华, 等. Ⅰ 期肺腺癌 VATS 肺叶切除与亚肺叶切除预后比较. 中国肺癌杂志, 2017, 20(1): 47-54.
12.	Bedetti B, Bertolaccini L, Rocco R, et al. Segmentectomy versus lobectomy for stage Ⅰ non-small cell lung cancer: A systematic review and meta-analysis. J Thorac Dis, 2017, 9(6): 1615-1623.
13.	Chan EG, Chan PG, Mazur SN, et al. Outcomes with segmentectomy versus lobectomy in patients with clinical T1cN0M0 non-small cell lung cancer. J Thorac Cardiovasc Surg, 2020. [Epub ahead of print].
14.	Sawabata N, Kawase A, Takahashi N, et al. Validating margin status in lung wedge resection for clinical stage Ⅰ non-small cell lung cancer. Surg Today, 2018, 48(10): 963-967.
15.	Schuchert MJ, Pettiford BL, Keeley S, et al. Anatomic segmentectomy in the treatment of stage Ⅰ non-small cell lung cancer. Ann Thorac Surg, 2007, 84(3): 926-932.
16.	Fell SC, Kirby TJ. Limited pulmonary resection. New York: Churchill Livingstone, 2002.1002-1004.
17.	Sawabata N, Maeda H, Matsumura A, et al. Clinical implications of the margin cytology findings and margin/tumor size ratio in patients who underwent pulmonary excision for peripheral non-small cell lung cancer. Surg Today, 2012, 42(3): 238-244.
18.	Lardinois D, De Leyn P, Van Schil P, et al. ESTS guidelines for intraoperative lymph node staging in non-small cell lung cancer. Eur J Cardiothorac Surg, 2006, 30(5): 787-792.
19.	Goldstraw P. Report on the international workshop on intrathoracic staging. Lung Cancer, 1997, 18(1): 107-111.
20.	Zhong N, Mi Y, Huang B, et al. Comparison of efficacy between thoracoscopic anatomic segmentectomy and thoracoscopic lobectomy in treating early-stage non-small cell lung cancer. J Buon, 2020, 25(1): 255-261.
21.	Song CY, Sakai T, Kimura D, et al. Comparison of perioperative and oncological outcomes between video-assisted segmentectomy and lobectomy for patients with clinical stage ⅠA non-small cell lung cancer: A propensity score matching study. J Thorac Dis, 2018, 10(8): 4891-4901.
22.	McKenna RJ, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: Experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
23.	Chandler D, Mosieri C, Kallurkar A, et al. Perioperative strategies for the reduction of postoperative pulmonary complications. Best Pract Res Clin Anaesthesiol, 2020, 34(2): 153-166.
24.	Ojanguren A, Gossot D, Seguin-Givelet A. Division of the intersegmental plane during thoracoscopic segmentectomy: Is stapling an issue? J Thorac Dis, 2016, 8(8): 2158-2164.

1. Wood DE. National Comprehensive Cancer Network (NCCN) clinical practice guidelines for lung cancer screening. Thorac Surg Clin, 2015, 25(2): 185-197.
2. Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg, 1995, 60(3): 615-622.
3. Gierada DS, Black WC, Chiles C, et al. Low-dose CT screening for lung cancer: Evidence from 2 decades of study. Radiol Imaging Cancer, 2020, 2(2): e190058.
4. Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
5. Hennon M, Landreneau RJ. Role of segmentectomy in treatment of early-stage non-small cell lung cancer. Ann Surg Oncol, 2018, 25(1): 59-63.
6. Raman V, Yang CJ, Deng JZ, et al. Surgical treatment for early stage non-small cell lung cancer. J Thorac Dis, 2018, 10(Suppl 7): S898-S904.898-904.
7. Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
8. Handa Y, Tsutani Y, Mimae T, et al. Complex segmentectomy in the treatment of stage ⅠA non-small-cell lung cancer. Eur J Cardiothorac Surg, 2020, 57(1): 114-121.
9. Mimae T, Okada M. Are segmentectomy and lobectomy comparable in terms of curative intent for early stage non-small cell lung cancer? Gen Thorac Cardiovasc Surg, 2020, 68(7): 703-706.
10. Hirji SA, Swanson SJ. T1a lung carcinoma: The place of segmentectomy in the treatment array. J Thorac Dis, 2018, 10(Suppl 10): S1151-S1156.
11. 刘洋, 钟声逸, 何绮华, 等. Ⅰ 期肺腺癌 VATS 肺叶切除与亚肺叶切除预后比较. 中国肺癌杂志, 2017, 20(1): 47-54.
12. Bedetti B, Bertolaccini L, Rocco R, et al. Segmentectomy versus lobectomy for stage Ⅰ non-small cell lung cancer: A systematic review and meta-analysis. J Thorac Dis, 2017, 9(6): 1615-1623.
13. Chan EG, Chan PG, Mazur SN, et al. Outcomes with segmentectomy versus lobectomy in patients with clinical T1cN0M0 non-small cell lung cancer. J Thorac Cardiovasc Surg, 2020. [Epub ahead of print].
14. Sawabata N, Kawase A, Takahashi N, et al. Validating margin status in lung wedge resection for clinical stage Ⅰ non-small cell lung cancer. Surg Today, 2018, 48(10): 963-967.
15. Schuchert MJ, Pettiford BL, Keeley S, et al. Anatomic segmentectomy in the treatment of stage Ⅰ non-small cell lung cancer. Ann Thorac Surg, 2007, 84(3): 926-932.
16. Fell SC, Kirby TJ. Limited pulmonary resection. New York: Churchill Livingstone, 2002.1002-1004.
17. Sawabata N, Maeda H, Matsumura A, et al. Clinical implications of the margin cytology findings and margin/tumor size ratio in patients who underwent pulmonary excision for peripheral non-small cell lung cancer. Surg Today, 2012, 42(3): 238-244.
18. Lardinois D, De Leyn P, Van Schil P, et al. ESTS guidelines for intraoperative lymph node staging in non-small cell lung cancer. Eur J Cardiothorac Surg, 2006, 30(5): 787-792.
19. Goldstraw P. Report on the international workshop on intrathoracic staging. Lung Cancer, 1997, 18(1): 107-111.
20. Zhong N, Mi Y, Huang B, et al. Comparison of efficacy between thoracoscopic anatomic segmentectomy and thoracoscopic lobectomy in treating early-stage non-small cell lung cancer. J Buon, 2020, 25(1): 255-261.
21. Song CY, Sakai T, Kimura D, et al. Comparison of perioperative and oncological outcomes between video-assisted segmentectomy and lobectomy for patients with clinical stage ⅠA non-small cell lung cancer: A propensity score matching study. J Thorac Dis, 2018, 10(8): 4891-4901.
22. McKenna RJ, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: Experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
23. Chandler D, Mosieri C, Kallurkar A, et al. Perioperative strategies for the reduction of postoperative pulmonary complications. Best Pract Res Clin Anaesthesiol, 2020, 34(2): 153-166.
24. Ojanguren A, Gossot D, Seguin-Givelet A. Division of the intersegmental plane during thoracoscopic segmentectomy: Is stapling an issue? J Thorac Dis, 2016, 8(8): 2158-2164.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Perioperative outcomes of thoracoscopic complex segmentectomy for stage Ⅰ non-small cell lung cancer

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