The Role of Sublobar Resections in the Treatment of Small Cell Lung Cancer


Abstract views: 35 / PDF downloads: 22

Authors

  • Cemal Özçelik Department of Thoracic Surgery, Çukurova University School of Medicine, Adana, Turkey
  • Alper Avcı Department of Thoracic Surgery, Çukurova University School of Medicine, Adana, Turkey

DOI:

https://doi.org/10.5152/EurJTher.2018.1007

Keywords:

Sublobar resection, segmentectomy, wedge resection, brachytherapy

Abstract

Lobectomy is the standard treatment in the early stages of non-small cell lung cancer. Today, however, it is questioned whether lobectomy should be performed in all early diagnosed patients. Sublobar resection remains a treatment option in elderly patients with low cardiopulmonary reserve who cannot tolerate sublobar resection lobectomy. In small tumors measuring 2 cm in diameter, sublobar resections can provide local recurrence rates and long survival rates equivalent to lobectomy when performed with the appropriate techniques in eligible patients. The addition of brachytherapy can further improve the results.

Metrics

Metrics Loading ...

References

Ginsberg RJ, Rubinstein LV. Randomized Trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Ann Thorac Surg 1995; 60: 615-23.

Wada H, Nakamura T, Nakamoto K, Maeda M, Watanabe Y. Thirty day operative mortality for thoracotomy in lung cancer. J Thorac Cardiovasc Surg 1998; 115: 70-3.

Keenan RJ, Landreneau RJ, Maley RH, Singh D, Macherey R, Bartley S, et al. Segmental resection spares pulmonary function in patients with stage I lung cancer. Ann Thorac Surg 2004; 78: 228-33.

Martin-Ucar AE, Nakas A, Pilling JE, West KJ, Waller DA. A casematched study of anatomical segmentectomy versus lobectomy for stage I lung cancer in high-risk patients. Eur J Cardiothorac Surg 2005; 27: 675-9.

El-Sherif A, Gooding WE, Santos R, Pettiford B, Ferson PF, Fernando HC, et al. Outcomes of sublobar resection versus lobectomy for stage I non-small cell lung cancer: A 13-year analysis. Ann Thorac Surg 2006; 82: 408-16.

Hou B, Deng XF, Zhou D, Liu QX, Dai JG. Segmentectomy versus wedge resection for the treatment of high-risk operable patients with stage I non-small cell lung cancer: a meta-analysis. Ther Adv Respir Dis 2016; 10: 435-43.

Cerfolio RJ, Bryant AS. Survival and outcomes of pulmonary resection for non-small cell lung cancer in the elderly: a nested case-control study. Ann Thorac Surg 2006; 82: 424-9.

Groth SS, Rueth NM, Hodges JS, Habermann EB, Andrade RS, D’Cunha J, et al. Conditional cancer-specific versus cardiovascular-specific survival after lobectomy for stage I non-small cell lung cancer. Ann Thorac Surg 2010; 90: 375-82.

Dell’Amore A, Monteverde M, Martucci N, Sanna S, Caroli G, Dolci G, et al. Lobar and sub-lobar lung resection in octogenarians with early stage non-small cell lung cancer: factors affecting surgical outcomes and long-term results. Gen Thorac Cardiovasc Surg 2015; 63: 222-30.

Kilic A, Schuchert MJ, Pettiford BL, Pennathur A, Landreneau JR, Landreneau JP, et al.Anatomic segmentectomy for stage I nonsmall cell lung cancer (NSCLC) in the elderly Ann Thorac Surg, 2009; 87(6):1662-1666

Okada M, Nishio W, Sakamoto T, Uchino K, Yuki T, Nakagawa A, et al. Effect of tumor size on prognosis in patients with non-small cell lung cancer: The role of segmentectomy as a type of lesser resection J Thorac Cardiovasc Surg 2005; 129: 87-93.

Okada M, Koike T, Higashiyama M, Yamato Y, Kodama K, Tsubota N. Radical sublobar resection for small-sized non-small cell lung cancer: A multicenter study. J Thorac Cardiovasc Surg 2006; 132: 769-75.

Eguchi T, Kadota K, Park BJ, Travis WD, Jones DR, Adusumilli PS. The new IASLC-ATS-ERS lung adenocarcinoma classification: what the surgeon should know. Semin Thorac Cardiovasc Surg 2014; 26: 210-22.

Altorki NK, Kamel MK, Narula N, Ghaly G, Nasar A, Rahouma M, et al. Anatomical Segmentectomy and Wedge Resections Are Associated with Comparable Outcomes for Patients with Small cT1N0 NonSmall Cell Lung Cancer. J Thorac Oncol 2016; 11: 1984-92

Owen RM, Force SD, Gal AA, Feingold PL, Pickens A, Miller DL, et al. Routine intraoperative frozen section analysis of bronchial margins is of limited utility in lung cancer resection. Ann Thorac Surg 2013; 95: 1859-65; discussion 1865-6.

Mohiuddin K, Haneuse S, Sofer T, Gill R, Jaklitsch MT, Colson YL, et al. Relationship between margin distance and local recurrence among patients undergoing wedge resection for small (≤2 cm) nonsmall cell lung cancer. J Thorac Cardiovasc Surg 2014; 147: 1169-75.

Higashiyama M, Kodama K, Takami K, Higaki N, Nakayama T, Yokouchi H. Intraoperative lavage cytologic analysis of surgical margins in patients undergoing limited surgery for lung cancer. J Thorac Cardiovasc Surg 2003; 125: 101-7.

Tsunezuka H, Kato D, Okada S, Furuya T, Shimada J, Inoue M. Surgical outcome of wide wedge resection in poor-risk patients with clinical-N0 non-small cell lung cancer. Gen Thorac Cardiovasc Surg 2017; 65: 581-6.

Sienel W, Dango S, Kirschbaum A, Cucuruz B, Hörth W, Stremmel C, et al. Sublobar resections in stage IA non-small cell lung cancer: segmentectomies result in significantly better cancer-related survival than wedge resections. Eur J Cardiothorac Surg 2008; 33: 728-34.

Yano M, Yoshida J, Koike T, Kameyama K, Shimamoto A, Nishio W, et al. The outcomes of a limited resection for non-small cell lung cancer based on differences in pathology. World J Surg 2016; 40: 2688-97.

Moon Y, Lee KY, Moon SW, Park JK. Sublobar Resection Margin Width Does Not Affect Recurrence of Clinical N0 Non-small Cell Lung Cancer Presenting as GGO-Predominant Nodule of 3 cm or Less. World J Surg 2017; 41: 472-9.

Takizawa T, Haga M, Yagi N, Terashima M, Uehara H, Yokoyama A, et al. Pulmonary function after segmentectomy for small peripheral carcinoma of the lung J Thorac Cardiovasc Surg 1999; 118: 536-41.

Khullar OV, Liu Y, Gillespie T, Higgins KA, Ramalingam S, Lipscomb J, et al. Survival After Sublobar Resection versus Lobectomy for Clinical Stage IA Lung Cancer: An Analysis from the National Cancer Data Base. J Thorac Oncol 2015; 10: 1625-33.

Kates M, Swanson S, Wisnivesky JP. Survival following lobectomy and limited resection for the treatment of stage I non-small cell lung cancer<=1 cm in size: a review of SEER data. Chest 2011; 139: 491-6.

Odell DD, Kent MS, Fernando HC. Sublobar Resection with Brachytherapy Mesh for Stage I Non-Small Cell Lung Cancer. Semin Thorac Cardiovasc Surg 2010; 22: 32-7.

d’Amato TA, Galloway M, Szydlowski G, Chen A, Landreneau RJ. Intraoperative brachytherapy following thoracoscopic wedge resection of stage I lung cancer Chest. 1998; 114: 1112-5.

Birdas TJ, Koehler RP, Colonias A, Trombetta M, Maley RH, Landreneau RJ, et al. Sublobar resection with brachytherapy versus lobectomy for stage Ib nonsmall cell lung cancer. Ann Thorac Surg 2006; 81: 434-8; discussion 438-9.

Downloads

Published

2023-04-19

How to Cite

Özçelik, C., & Avcı, A. (2023). The Role of Sublobar Resections in the Treatment of Small Cell Lung Cancer. European Journal of Therapeutics, 24(S1), S29-S32. https://doi.org/10.5152/EurJTher.2018.1007

Issue

Section

Original Articles