Outcomes after sublobar resection versus lobectomy in non–small cell carcinoma in situ

Holguin, Rolfy A. Perez; Olecki, Elizabeth J.; Wong, William G.; Stahl, Kelly A.; Go, Pauline H.; Taylor, Matthew D.; Reed, Michael F.; Shen, Chan

doi:10.1016/j.jtcvs.2022.05.032

The Journal of Thoracic and Cardiovascular Surgery

2023

DOI: 10.1016/j.jtcvs.2022.05.032

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Outcomes after sublobar resection versus lobectomy in non–small cell carcinoma in situ

Rolfy A. Perez Holguin

Elizabeth J. Olecki

William G. Wong

et al.

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2023

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Cited by 3 publications

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“…We read with great interest the retrospective study by Perez Holguin and colleagues 1 reporting that there is no difference in overall survival between sublobar resection and lobectomy in patients with cTis N0 M0 non–small cell lung cancer (NSCLC) with tumors ≤2 cm in the cohort of the National Cancer Database. The study aroused enormous interest and caused a heated discussion: “What are the practical implications of this study?” and, “Might these findings influence clinical practice?”.…”

mentioning

confidence: 99%

Surgery for patients with cTis N0 M0 non–small cell lung cancer: It's time to say less is more

Li¹,

Wang²

2023

JTCVS Open

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mentioning

confidence: 99%

Surgery for patients with cTis N0 M0 non–small cell lung cancer: It's time to say less is more

Li¹,

Wang²

2023

JTCVS Open

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Commentary: The sublobar resections and the difference between a conjecture and a theorem

Bertolaccini

Spaggiari

2023

The Journal of Thoracic and Cardiovascular Surgery

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Single-stage augmented fluoroscopic bronchoscopy localization and thoracoscopic resection of small pulmonary nodules in a hybrid operating room

Yang

Chung

et al. 2022

European Journal of Cardio-Thoracic Surgery

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Objectives Hybrid operating rooms have been increasingly used for image-guided lung surgery, and most surgical teams have used percutaneous localisation for small pulmonary nodules. We evaluated the feasibility and safety of augmented fluoroscopic bronchoscopy localisation under endotracheal tube intubation general anaesthesia followed by thoracoscopic surgery as a single-stage procedure in a hybrid operating room. Methods We retrospectively reviewed clinical records of patients who underwent single-stage augmented fluoroscopic bronchoscopy localisation under general anaesthesia followed by thoracoscopic surgery in a hybrid operating room between August 2020 and March 2022. Results Single-stage localisation and resection were performed for 85 nodules in 74 patients. Median nodule size was 8 mm (interquartile range [IQR], 6–9 mm), and median distance from the pleural space was 10.9 mm (IQR, 8–20 mm). All nodules were identifiable on cone-beam computed tomography images and marked transbronchially with indigo carmine dye (median markers per lesion: 3); microcoils were placed for deep margins in 16 patients. Median localisation time was 30 min (IQR 23–42 min), and median fluoroscopy duration was 3.3 min (IQR 2.2–5.3 min). Median radiation exposure (expressed as the dose area product) was 4303.6 μGym2 (IQR 2879.5-6268.7 μGym2). All nodules were successfully marked and resected, and the median global operating room time was 178.5 min (IQR 153.5–204 min). There were no localisation-related complications, and median length of postoperative stay was 1 d (IQR, 1–2 d). Conclusions Single-stage augmented fluoroscopic bronchoscopy localisation under general anaesthesia followed by thoracoscopic surgery was feasible and safe.

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Outcomes after sublobar resection versus lobectomy in non–small cell carcinoma in situ

Cited by 3 publications

References 30 publications

Surgery for patients with cTis N0 M0 non–small cell lung cancer: It's time to say less is more

Surgery for patients with cTis N0 M0 non–small cell lung cancer: It's time to say less is more

Commentary: The sublobar resections and the difference between a conjecture and a theorem

Single-stage augmented fluoroscopic bronchoscopy localization and thoracoscopic resection of small pulmonary nodules in a hybrid operating room

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