Minimally Invasive and Sublobar Resections for Lung Cancer

Surg Clin North Am. 2022 Jun;102(3):483-492. doi: 10.1016/j.suc.2022.01.006.

Abstract

Current guidelines for non-small cell lung cancer (NSCLC) recommend segmentectomy over lobectomy for patients with poor pulmonary reserve or for peripheral nodules less than or equal to 2 cm with adenocarcinoma in situ histology, greater than 50% ground-glass opacity on computed tomography, or radiologic doubling time greater than or equal to 400 days. However, emerging data suggest oncologic equivalence of segmentectomy to lobectomy for less than or equal to 2 cm, peripheral stage IA NSCLC regardless of histologic type or radiographic findings.

Keywords: Lung cancer; Minimally-invasive; Segmentectomy; Sublobar resection; VATS.

Publication types

  • Review

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / pathology
  • Carcinoma, Non-Small-Cell Lung* / surgery
  • Humans
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / surgery
  • Neoplasm Staging
  • Pneumonectomy / methods
  • Tomography, X-Ray Computed