scholarly journals Comparison of perioperative and survival outcomes between sublobar resection and lobectomy of patients who underwent a second pulmonary resection

2021 ◽  
Author(s):  
Xingxin Yao ◽  
Difan Zheng ◽  
Chongze Yuan ◽  
Xiaoting Tao ◽  
Yizhou Peng ◽  
...  
Keyword(s):  
Pulmonary Resection ◽  
Survival Outcomes ◽  
Sublobar Resection

Factors impacting oncologic outcomes after sublobar pulmonary resection: Results from ACOSOG Z4032 (Alliance), a randomized trial for high-risk operable non-small cell lung cancer (NSCLC).

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 7524-7524
Author(s):  
Michael S Kent ◽  
Rodney Jerome Landreneau ◽  
Sumithra J. Mandrekar ◽  
Francis C Nichols ◽  
Thomas A. DiPetrillo ◽  
...  
Keyword(s):  
High Risk ◽  
Tumor Size ◽  
Pulmonary Resection ◽  
Staple Line ◽  
Statistical Significance ◽  
Oncologic Outcomes ◽  
Progression Rate ◽  
Sublobar Resection ◽  
Local Progression ◽  
Clinical Trial Information

7524 Background: A multicenter study (Z4032) compared sublobar resection (SR) to sublobar resection with brachytherapy (SRB) for stage I NSCLC. Local recurrence (LR) and overall survival (OS) rates at 3-years (3-yr) were similar between arms (see abstract 113613). This analysis combines arms, and evaluates the effect of factors previously reported to impact oncological outcomes after SR. Methods: 213 patients (pts) were evaluable for analysis. LR was defined as recurrence at the staple line (local progression), same lobe away from the staple line, or within hilar nodes. Factors assessed for impact on 3-yr outcomes were: resection type (wedge/segmentectomy), margin size (<1cm /≥1cm), margin:tumor ratio (<1/ ≥1), tumor size (≤2cm/>2cm) and staple line cytology (+/-). Results: LR occurred in 27/213 (12.6%) pts and included local progression in 12/213 (5.6%). OS rate at 3-yr was 152/213 (71.4%). Trends favored the use of segmentectomy, margin:tumor ratio≥1, tumor size ≤2cm and negative staple line cytology; no factor reached statistical significance at 3-yr. The only factor significantly (p=0.02) associated with decreased 3-yr LR was margin size ≥1cm (8.3%) compared to margin<1cm (19.3%). Conclusions: SR is a good option for high-risk pts with NSCLC. The 3-yr OS rate of 71.4% and local progression rate of 5.6% are useful benchmarks to compare to other therapies. A resection margin of at least 1 cm is desirable. Clinical trial information: NCT00107172. [Table: see text]

scholarly journals OA15.02 Survival Outcomes in Sublobar Resection for Clinical T1N0M0 Non-Small Cell Lung Cancer: Wedge Resection or Segmentectomy

2017 ◽  
Vol 12 (1) ◽  
pp. S301-S302
Author(s):  
Aki Kobayashi ◽  
Renta Ishikawa ◽  
Motoshi Takao ◽  
Akira Shimamoto ◽  
Atsushi Ito ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Wedge Resection ◽  
Small Cell ◽  
Survival Outcomes ◽  
Sublobar Resection ◽  
Small Cell Lung

scholarly journals Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shengcheng Lin ◽  
Chenglin Yang ◽  
Xiaotong Guo ◽  
Yafei Xu ◽  
Lixu Wang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Surgical Resection ◽  
Pulmonary Resection ◽  
Pulmonary Nodules ◽  
Ground Glass Opacity ◽  
Ground Glass ◽  
Sublobar Resection ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract Background Surgical resection is an appropriate treatment option for synchronous bilateral pulmonary nodules with ground-glass opacities. The applicability of simultaneous uniportal video-assisted thoracic surgery is not fully understood. We evaluated the feasibility and safety of performing such surgeries at our hospital. Methods Clinical data of 35 patients who underwent simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery at our hospital were reviewed retrospectively. Results Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery was performed for 35 patients (15 men, 20 women); 97 nodules were operated on, and the average nodule diameter was 11.4 mm (range, 1–38 mm). Computerized tomography showed that most nodules had ground-glass opacity (52/97, 53.6%); solid nodules (24/97, 24.7%) and nodules with mixed ground-glass opacity (21/97, 21.7%) were noted. Surgical resection included lobar-sublobar resection (11/35, 31.4%) and sublobar-sublobar resection (24/35, 68.6%). Wound infection and postoperative 30-day mortality were not observed. Pneumonia was the major postoperative complication, with a higher incidence in the lobar-sublobar group (6/10, 60%) than in the sublobar-sublobar group (4/25, 16%; P = 0.016). Pneumonia did not correlate with operative time (mean, 262.3 ± 108.1 vs. 261.9 ± 87.5 min, P = 0.991), duration of chest drainage (mean, 7.0 ± 4.0 vs 5.4 ± 2.1 days, P = 0.124), and postoperative hospital stay (mean, 10.2 ± 3.6 vs 10.2 ± 6.4 days, P = 0.978). The mean follow-up time was 8 (range, 3–22) months. Recurrence of primary lung cancer or mortality was not noted at the final follow-up. Conclusions Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery is feasible and safe for appropriate patients. Simultaneous lobar-sublobar pulmonary resection for bilateral nodules can increase the risk of developing pneumonia.

scholarly journals Simultaneous Uniportal Video-Assisted Thoracic Surgery of Bilateral Pulmonary Nodules

2020 ◽  
Author(s):  
ShengCheng Lin ◽  
Chenglin Yang ◽  
Xiaotong Guo ◽  
Yafei Xu ◽  
Lixu Wang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Surgical Resection ◽  
Pulmonary Resection ◽  
Pulmonary Nodules ◽  
Ground Glass Opacity ◽  
Ground Glass ◽  
Sublobar Resection ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract Background: Surgical resection is an appropriate treatment option for synchronous bilateral pulmonary nodules with ground-glass opacities. The applicability of simultaneous uniportal video-assisted thoracic surgery is not fully understood. We evaluated the experience in performing such surgeries at our hospital and the associated postoperative complications.Methods: Clinical data of 35 patients who underwent simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery at our hospital were reviewed retrospectively. Results: Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery was performed for 35 patients (15 men, 20 women); 97 nodules were operated on, and the average nodule diameter was 11.4 mm (range, 1-38 mm). Computerized tomography showed that most nodules had ground-glass opacity (52/97, 53.6%); solid nodules (24/97, 24.7%) and nodules with mixed ground-glass opacity (21/97, 21.7%) were noted. Surgical resection included lobar-sublobar resection (11/35, 31.4%) and sublobar-sublobar resection (24/35, 68.6%). Wound infection and postoperative 30-day mortality were not observed. Pneumonia was the major postoperative complication, with a higher incidence in the lobar-sublobar group (6/35, 17.1%) than in the sublobar-sublobar group (4/35, 11.4%; P = 0.021). Pneumonia did not correlate with operative time (mean, 262.3±108.1 vs. 261.9±87.5 min, P = 0.991), duration of chest drainage (mean, 7.0±4.0 vs 5.4±2.1 days, P = 0.124), and postoperative hospital stay (mean, 10.2±3.6 vs 10.2±6.4 days, P = 0.978). The mean follow-up time was 8 (range, 3-22) months. Recurrence of primary lung cancer or mortality was not noted at the final follow-up. Conclusions: Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery is feasible and safe for appropriate patients. Simultaneous lobar-sublobar pulmonary resection for bilateral nodules can increase the risk of developing pneumonia.

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