Skip to main content

Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function

  • Chapter
Difficult Decisions in Thoracic Surgery

Abstract

Historically, the surgical procedure of choice for curative resection of lung cancer, even in its early stages, has been a lobectomy or pneumonectomy. The role of a more conservative resection, such as a segmentectomy or wedge resection, has been explored by many, paralleling the interest in conservative resection of breast cancer, where studies determined that clinical results of lumpectomy compared favorably with modified radical mastectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Jensik RJ, Faber LP, Milloy FJ, Monson DO. Segmental resection for lung cancer. A fifteen-year experience. J Thorac Cardiovasc Surg 1973;66:563–572.

    PubMed  CAS  Google Scholar 

  2. Hoffmann TH, Ransdell HT. Comparison of lobectomy and wedge resection for carcinoma of the lung. J Thorac Cardiovasc Surg 1980;79:211–217.

    PubMed  CAS  Google Scholar 

  3. Read RC, Yoder G, Schaeffer RC. Survival after conservative resection for T1 N0 M0 non-small cell lung cancer. Ann Thorac Surg 1990;49:391–398.

    Article  PubMed  CAS  Google Scholar 

  4. Harpole DH Jr, Herndon JE 2nd, Young WG Jr, Wolfe WG, Sabiston DC Jr. Stage I nonsmall cell lung cancer. A multivariate analysis of treatment methods and patterns of recurrence. Cancer 1995;76:787–796.

    Article  PubMed  Google Scholar 

  5. Cerfolio RJ, Allen MS, Trastek VF, Deschamps C, Scanlon PD, Pairolero PC. Lung resection in patients with compromised pulmonary function. Ann Thorac Surg 1996;62:348–351.

    Article  PubMed  CAS  Google Scholar 

  6. Lederle FA. Lobectomy versus limited resection in T1 N0 lung cancer. Ann Thorac Surg 1996;62:1249–1250.

    Article  PubMed  CAS  Google Scholar 

  7. Warren WH, Faber LP. Segmentectomy versus lobectomy in patients with stage I pulmonary carcinoma. Five-year survival and patterns of intrathoracic recurrence. J Thorac Cardiovasc Surg 1994;107:1087–1093.

    PubMed  CAS  Google Scholar 

  8. Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 nonsmall cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg 1995;60:615–62.

    Article  PubMed  CAS  Google Scholar 

  9. Mathisen DJ, Jensik RJ, Faber LP, Kittle CF. Survival following sequential resections for second and third primary lung cancers. J Thorac Cardiovasc Surg 1984;88:502–510.

    PubMed  CAS  Google Scholar 

  10. Jones DR, Stiles BM, Denlinger CE, Antippa P, Daniel TM. Pulmonary segmentectomy: results and complications. Ann Thorac Surg 2003;76:343–348.

    Article  PubMed  Google Scholar 

  11. Campione A, Ligabue T, Luzzi L, et al. Comparison between segmentectomy and larger resection of stage IA non-small cell lung carcinoma. J Cardiovasc Surg 2004;45:67–70.

    CAS  Google Scholar 

  12. Porrello C, Alifano M, Forti Parri SN, et al. Surgical treatment of stage I lung cancer. Results and prognostic factors. J Cardiovasc Surg 2002;43:723–727.

    CAS  Google Scholar 

  13. Landreneau RJ, Sugarbaker DJ, Mack MJ, et al. Wedge resection versus lobectomy for stage I (T1 N0 M0) non-small-cell lung cancer. J Thorac Cardiovasc Surg 1997;113:691–698.

    Article  PubMed  CAS  Google Scholar 

  14. Sugarbaker DJ, Strauss GM. Extent of surgery and survival in early lung carcinoma: implications for overdiagnosis in stage IA nonsmall cell lung carcinoma. Cancer 2000;89:2432–2437.

    Article  PubMed  CAS  Google Scholar 

  15. Miller DL, Rowland CM, Deschamps C, Allen MS, Trastek VF, Pairolero PC. Surgical treatment of non-small cell lung cancer 1 cm or less in diameter. Ann Thorac Surg 2002;73:1545–1550.

    Article  PubMed  Google Scholar 

  16. Takizawa T, Haga M, Yagi N, et al. Pulmonary function after segmentectomy for small peripheral carcinoma of the lung. J Thorac Cardiovasc Surg 1999;118:536–541.

    Article  PubMed  CAS  Google Scholar 

  17. Kodama K, Doi O, Higashiyama M, Yokouchi H. Intentional limited resection for selected patients with T1 N0 M0 non-small-cell lung cancer: a single-institution study. J Thorac Cardiovasc Surg 1997;114:347–353.

    Article  PubMed  CAS  Google Scholar 

  18. Tsubota N, Ayabe K, Doi O, et al. Ongoing prospective study of segmentectomy for small lung tumors. Ann Thorac Surg 1998;66:1787–1790.

    Article  PubMed  CAS  Google Scholar 

  19. Yoshikawa K, Tsubota N, Kodama K, Ayabe H, Taki T, Mori T. Prospective study of extended segmentectomy for small lung tumors: the final report. Ann Thorac Surg 2002;73:1055–1058.

    Article  PubMed  Google Scholar 

  20. Okada M, Yoshikawa K, Hatta T, Tsubota N. Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller? Ann Thorac Surg 2001;71:956–960.

    Article  PubMed  CAS  Google Scholar 

  21. Koike T, Yamato Y, Yoshiya K, Shimoyama T, Suzuki R. I ntentional limited pulmonary resection for peripheral T1 N0 M0 small-sized lung cancer. J Thorac Cardiovasc Surg 2003;125:924–928.

    Article  PubMed  Google Scholar 

  22. Keenan RJ, Landreneau RJ, Maley RH Jr, et al. Segmental resection spares pulmonary function in patients with stage I lung cancer. Ann Thorac Surg 2004;78:228–233.

    Article  PubMed  Google Scholar 

  23. Mery CM, Pappas AN, Bueno R, et al. Similar longterm survival of elderly patients with non-small cell lung cancer treated with lobectomy or wedge resection within the surveillance, epidemiology, and end results database. Chest 2005;128:237–245.

    Article  PubMed  Google Scholar 

  24. Port JL, Kent MS, Korst RJ, Libby D, Pasmantier M, Altorki NK. Tumor size predicts survival within stage IA non-small cell lung cancer. Chest 2003;124:1828–1833.

    Article  PubMed  Google Scholar 

  25. Yamato Y, Tsuchida M, Watanabe T, et al. Early results of a prospective study of limited resection for bronchioloalveolar adenocarcinoma of the lung. Ann Thorac Surg 2001;71:971–974.

    Article  PubMed  CAS  Google Scholar 

  26. Noguchi M, Morikawa A, Kawasaki M, et al. Small adenocarcinoma of the lung. Histologic characteristics and prognosis. Cancer 1995;75:2844–2852.

    Article  PubMed  CAS  Google Scholar 

  27. Nakamura H, Kawasaki N, Taguchi M, Kabasawa K. Survival following lobectomy vs limited resection for stage I lung cancer: a meta-analysis. Br J Cancer 2005;92:1033–1037.

    Article  PubMed  CAS  Google Scholar 

  28. Harbour R, Miller J. A new system for grading recommendations in evidence-based guidelines. BMJ 2001;323:334–336.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag London Limited

About this chapter

Cite this chapter

Kim, A.W., Warren, W.H. (2007). Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function. In: Ferguson, M.K. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-474-8_13

Download citation

  • DOI: https://doi.org/10.1007/978-1-84628-474-8_13

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-384-0

  • Online ISBN: 978-1-84628-474-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics