Short-term local control after VATS segmentectomy and lobectomy for solid NSCLC of less than 2 cm.

Details

Serval ID
serval:BIB_0629FD9A661B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Short-term local control after VATS segmentectomy and lobectomy for solid NSCLC of less than 2 cm.
Journal
Thoracic cancer
Author(s)
Darras M., Ojanguren A., Forster C., Zellweger M., Perentes J.Y., Krueger T., Gonzalez M.
ISSN
1759-7714 (Electronic)
ISSN-L
1759-7706
Publication state
Published
Issued date
02/2021
Peer-reviewed
Oui
Volume
12
Number
4
Pages
453-461
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
VATS pulmonary segmentectomy is increasingly proposed as a parenchyma-sparing resection for tumors smaller than 2 cm in diameter. The aim of this study was to compare short-term oncological results and local control in solid non-small cell lung cancers (NSCLCs) <2 cm surgically treated by intentional VATS segmentectomy or lobectomy.
This study was a single center retrospective study of consecutive patients undergoing VATS lobectomy (VL) or segmentectomy (VS) for solid <2 cm NSCLC from January 2014 to October 2019. Results In total, 188 patients with a median age of 65 years (male/female: 99/89) underwent VS (n = 96) or VL (n = 92). Segmentectomies in the upper lobes were performed in 57% and as a single segment in 55% of cases. There was no statistically significant difference between VS and VL in terms of demographics, comorbidities, postoperative outcomes, dissected lymph node stations (2.89 ± 0.95 vs. 2.93 ± 1, P = 0.58), rate of pN1 (2.2% vs. 2.1%, P = 0.96) or pN2 upstaging (1.09% vs. 1.06%, P = 0.98). Adjuvant chemotherapy was given in 15% of patients in the VL and 11% in the VS group. During follow-up (median: 23 months), no patients presented with local nodal recurrence or on the stapler line (VS group). Three patients on VL and two in VS groups presented with recurrence on the remnant operated lung. New primary pulmonary tumors were diagnosed in 3.3% and 6.3% of patients in the VL and VS groups, respectively.
Despite the short follow-up, our preliminary data shows that local control is comparable for VATS lobectomy and VATS segmentectomy for patients with NSCLC <2 cm.
Keywords
Lobectomy, VATS, lung cancer, lymph node dissection, segmentectomy
Pubmed
Web of science
Open Access
Yes
Create date
21/12/2020 16:24
Last modification date
05/05/2021 6:36
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