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Review Article|Articles in Press

Sublobar Resections

Indications and Approaches
Published:February 26, 2023DOI:https://doi.org/10.1016/j.thorsurg.2023.01.011

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      References

        • Sugarbaker D.J.
        Sugarbaker's adult chest surgery.
        Third edition. McGraw Hill Education, New York2020
        • Hoy H.
        • Lynch T.
        • Beck M.
        Surgical Treatment of Lung Cancer.
        Crit Care Nurs Clin. 2019; 31: 303-313
        • Yaldız D.
        • Yakut F.C.
        • Kaya Ş Örs
        • et al.
        The Role of Sublobar Resection in T1 N0 Non-Small-Cell Pulmonary Carcinoma.
        Turk Thorac J. 2020; 21: 308-313
        • Suzuki K.
        • Watanabe S.I.
        • Wakabayashi M.
        • et al.
        A single-arm study of sublobar resection for ground-glass opacity dominant peripheral lung cancer.
        J Thorac Cardiovasc Surg. 2022; 163: 289-301.e282
        • Mathisen D.J.
        • Morse C.R.
        Thoracic surgery. Lung resections, bronchoplasty.
        Wolters Kluwer, Philadelphia2015
        • Ginsberg R.J.
        • Rubinstein L.V.
        Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group.
        Ann Thorac Surg. 1995; 60 (; discussion 622-613): 615-622
        • Fourdrain A.
        • Epailly J.
        • Blanchard C.
        • et al.
        Lymphatic drainage of lung cancer follows an intersegmental pathway within the visceral pleura.
        Lung Cancer. 2021; 154: 118-123
        • Şahin M.
        • Yenigün M.B.
        • Kocaman G.
        • et al.
        Sublobar resections in early-stage non-small cell lung cancer.
        Turk Gogus Kalp Damar Cerrahisi Derg. 2019; 27: 367-373
        • Cao C.
        • Tian D.H.
        • Fu B.
        • et al.
        The problem with sublobar resections.
        J Thorac Dis. 2018; 10: S3224-S3226
        • Cao C.
        • Gupta S.
        • Chandrakumar D.
        • et al.
        Meta-analysis of intentional sublobar resections versus lobectomy for early stage non-small cell lung cancer.
        Ann Cardiothorac Surg. 2014; 3: 134-141
        • Berfield K.S.
        • Wood D.E.
        Sublobar resection for stage IA non-small cell lung cancer.
        J Thorac Dis. 2017; 9: S208-S210
        • Whitson B.A.
        • Groth S.S.
        • Andrade R.S.
        • et al.
        Survival after lobectomy versus segmentectomy for stage I non-small cell lung cancer: a population-based analysis.
        Ann Thorac Surg. 2011; 92: 1943-1950
        • Deng H.Y.
        • Tang X.
        • Zhou Q.
        Sublobar resection: an alternative to lobectomy in treating stage I non-small-cell lung cancer?.
        Eur J Cardio Thorac Surg. 2020; 57: 613
        • Gossot D.
        Lobar or sublobar resection for early-stage lung cancer: at the crossroads.
        Eur J Cardio Thorac Surg. 2021; 60: 1295-1296
        • Altorki N.K.
        • Wang X.
        • Wigle D.
        • et al.
        Perioperative mortality and morbidity after sublobar versus lobar resection for early-stage non-small-cell lung cancer: post-hoc analysis of an international, randomised, phase 3 trial (CALGB/Alliance 140503).
        Lancet Respir Med. 2018; 6: 915-924
        • Sihoe A.D.L.
        Should sublobar resection be offered for screening-detected lung nodules?.
        Transl Lung Cancer Res. 2021; 10: 2418-2426
        • Yendamuri S.
        • Sharma R.
        • Demmy M.
        • et al.
        Temporal trends in outcomes following sublobar and lobar resections for small (≤ 2 cm) non-small cell lung cancers--a Surveillance Epidemiology End Results database analysis.
        J Surg Res. 2013; 183: 27-32
        • Huang C.S.
        • Hsu P.K.
        • Chen C.K.
        • et al.
        Surgeons' preference sublobar resection for stage I NSCLC less than 3 cm.
        Thorac Cancer. 2020; 11: 907-917
        • Kamel M.K.
        • Lee B.
        • Harrison S.W.
        • et al.
        Sublobar resection is comparable to lobectomy for screen-detected lung cancer.
        J Thorac Cardiovasc Surg. 2022; 163: 1907-1915
        • Nakamura K.
        • Saji H.
        • Nakajima R.
        • et al.
        A phase III randomized trial of lobectomy versus limited resection for small-sized peripheral non-small cell lung cancer (JCOG0802/WJOG4607L).
        Jpn J Clin Oncol. 2010; 40: 271-274
        • Saji H.
        • Okada M.
        • Tsuboi M.
        • et al.
        Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial.
        Lancet. 2022; 399: 1607-1617
        • Moon Y.
        • Lee K.Y.
        • Moon S.W.
        • et al.
        Sublobar Resection Margin Width Does Not Affect Recurrence of Clinical N0 Non-small Cell Lung Cancer Presenting as GGO-Predominant Nodule of 3 cm or Less.
        World J Surg. 2017; 41: 472-479
        • Chen E.
        • Wang J.
        • Jia C.
        • et al.
        Sublobar resection with intraoperative brachytherapy versus sublobar resection alone for early-stage non-small-cell lung cancer: a meta-analysis.
        Interact Cardiovasc Thorac Surg. 2021; 33: 377-384
        • Sakurai H.
        • Asamura H.
        Sublobar resection for early-stage lung cancer.
        Transl Lung Cancer Res. 2014; 3: 164-172
        • Jiang J.
        • Chang S.H.
        • Kent A.J.
        • et al.
        Current Novel Advances in Bronchoscopy.
        Front Surg. 2020; 7: 596925
        • Simoff M.J.
        • Pritchett M.A.
        • Reisenauer J.S.
        • et al.
        Shape-sensing robotic-assisted bronchoscopy for pulmonary nodules: initial multicenter experience using the Ion™ Endoluminal System.
        BMC Pulm Med. 2021; 21: 322
        • Kumar A.
        • Caceres J.D.
        • Vaithilingam S.
        • et al.
        Robotic Bronchoscopy for Peripheral Pulmonary Lesion Biopsy: Evidence-Based Review of the Two Platforms.
        Diagnostics. 2021; 11
        • Agrawal A.
        • Hogarth D.K.
        • Murgu S.
        Robotic bronchoscopy for pulmonary lesions: a review of existing technologies and clinical data.
        J Thorac Dis. 2020; 12: 3279-3286
        • Sato M.
        Strategies to improve the accuracy of lung stapling in uniportal and multiportal thoracoscopic sublobar lung resections.
        Eur J Cardio Thorac Surg. 2020; 58: i108-i110
        • Zhang C.
        • Lin H.
        • Fu R.
        • et al.
        Application of indocyanine green fluorescence for precision sublobar resection.
        Thorac Cancer. 2019; 10: 624-630
        • Brunelli A.
        • Refai M.
        • Salati M.
        • et al.
        Predicted versus observed FEV1 and DLCO after major lung resection: a prospective evaluation at different postoperative periods.
        Ann Thorac Surg. 2007; 83: 1134-1139
        • El-Sherif A.
        • Fernando H.C.
        • Santos R.
        • et al.
        Margin and local recurrence after sublobar resection of non-small cell lung cancer.
        Ann Surg Oncol. 2007; 14: 2400-2405
        • Mynard N.
        • Nasar A.
        • Rahouma M.
        • et al.
        Extent of resection influences survival in early-stage lung cancer with occult nodal disease.
        Ann Thorac Surg. 2022; 114: 959-967
        • Tong C.
        • Li T.
        • Huang C.
        • et al.
        Risk Factors and Impact of Conversion to Thoracotomy From 20,565 Cases of Thoracoscopic Lung Surgery.
        Ann Thorac Surg. 2020; 109: 1522-1529
        • Batchelor T.J.P.
        • Rasburn N.J.
        • Abdelnour-Berchtold E.
        • et al.
        Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS).
        Eur J Cardio Thorac Surg. 2019; 55: 91-115
        • Chen J.
        • Volpi S.
        • Ali J.M.
        • et al.
        Comparison of post-operative pain and quality of life between uniportal subxiphoid and intercostal video-assisted thoracoscopic lobectomy.
        J Thorac Dis. 2020; 12: 3582-3590
        • Yang X.
        • Wang L.
        • Zhang C.
        • et al.
        The Feasibility and Advantages of Subxiphoid Uniportal Video-Assisted Thoracoscopic Surgery in Pulmonary Lobectomy.
        World J Surg. 2019; 43: 1841-1849
        • Yang H.X.
        • Woo K.M.
        • Sima C.S.
        • et al.
        Long-term Survival Based on the Surgical Approach to Lobectomy For Clinical Stage I Nonsmall Cell Lung Cancer: Comparison of Robotic, Video-assisted Thoracic Surgery, and Thoracotomy Lobectomy.
        Ann Surg. 2017; 265: 431-437
        • Ng C.S.
        • Ong B.H.
        • Chao Y.K.
        • et al.
        Use of indocyanine green fluorescence imaging in thoracic and esophageal surgery.
        Ann Thorac Surg. 2022;
        • Mehta M.
        • Patel Y.S.
        • Yasufuku K.
        • et al.
        Near-infrared mapping with indocyanine green is associated with an increase in oncological margin length in minimally invasive segmentectomy.
        J Thorac Cardiovasc Surg. 2019; 157: 2029-2035
        • Wei B.
        • Cerfolio R.
        Technique of robotic segmentectomy.
        J Vis Surg. 2017; 3: 140
        • Suzuki K.
        • Nagai K.
        • Yoshida J.
        • et al.
        Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking.
        Chest. 1999; 115: 563-568
        • Imperatori A.
        • Nardecchia E.
        • Cattoni M.
        • et al.
        Perioperative identifications of non-palpable pulmonary nodules: a narrative review.
        J Thorac Dis. 2021; 13: 2524-2531
        • Liu C.
        • Liao H.
        • Guo C.
        • et al.
        Single-direction thoracoscopic basal segmentectomy.
        J Thorac Cardiovasc Surg. 2020; 160: 1586-1594
        • Handa Y.
        • Tsutani Y.
        • Mimae T.
        • et al.
        Complex Segmentectomy for Hypermetabolic Clinical Stage IA Non-Small Cell Lung Cancer.
        Ann Thorac Surg. 2022; 113: 1317-1324
        • Wei S.
        • Guo C.
        • He J.
        • et al.
        Effect of Vein-First vs Artery-First Surgical Technique on Circulating Tumor Cells and Survival in Patients With Non-Small Cell Lung Cancer: A Randomized Clinical Trial and Registry-Based Propensity Score Matching Analysis.
        JAMA Surg. 2019; 154: e190972
        • Dolan D.
        • Swanson S.J.
        • Gill R.
        • et al.
        Survival and Recurrence Following Wedge Resection Versus Lobectomy for Early-Stage Non-Small Cell Lung Cancer.
        Semin Thorac Cardiovasc Surg. 2022; 34: 712-723
        • Stamatis G.
        • Leschber G.
        • Schwarz B.
        • et al.
        Perioperative course and quality of life in a prospective randomized multicenter phase III trial, comparing standard lobectomy versus anatomical segmentectomy in patients with non-small cell lung cancer up to 2 cm, stage IA (7th edition of TNM staging system).
        Lung Cancer. 2019; 138: 19-26
        • Wang X.
        • Guo H.
        • Hu Q.
        • et al.
        Pulmonary function after segmentectomy versus lobectomy in patients with early-stage non-small-cell lung cancer: a meta-analysis.
        J Int Med Res. 2021; 49 (3000605211044204)
        • Tane S.
        • Nishio W.
        • Nishioka Y.
        • et al.
        Evaluation of the Residual Lung Function After Thoracoscopic Segmentectomy Compared With Lobectomy.
        Ann Thorac Surg. 2019; 108: 1543-1550
        • Saito H.
        • Nakagawa T.
        • Ito M.
        • et al.
        Pulmonary function after lobectomy versus segmentectomy in patients with stage I non-small cell lung cancer.
        World J Surg. 2014; 38: 2025-2031
        • Handa Y.
        • Tsutani Y.
        • Mimae T.
        • et al.
        Postoperative Pulmonary Function After Complex Segmentectomy.
        Ann Surg Oncol. 2021; 28: 8347-8355
        • Nomori H.
        • Shiraishi A.
        • Yamazaki I.
        • et al.
        Extent of Segmentectomy That Achieves Greater Lung Preservation Than Lobectomy.
        Ann Thorac Surg. 2021; 112: 1127-1133
        • Chen L.
        • Gu Z.
        • Lin B.
        • et al.
        Pulmonary function changes after thoracoscopic lobectomy versus intentional thoracoscopic segmentectomy for early-stage non-small cell lung cancer.
        Transl Lung Cancer Res. 2021; 10: 4141-4151
        • Gu Z.
        • Wang H.
        • Mao T.
        • et al.
        Pulmonary function changes after different extent of pulmonary resection under video-assisted thoracic surgery.
        J Thorac Dis. 2018; 10: 2331-2337
        • Tao H.
        • Tanaka T.
        • Hayashi T.
        • et al.
        Influence of stapling the intersegmental planes on lung volume and function after segmentectomy.
        Interact Cardiovasc Thorac Surg. 2016; 23: 548-552
        • Salazar M.C.
        • Canavan M.E.
        • Walters S.L.
        • et al.
        The Survival Advantage of Lobectomy over Wedge Resection Lessens as Health-Related Life Expectancy Decreases.
        JTO Clin Res Rep. 2021; 2: 100143
        • Cao J.
        • Yuan P.
        • Wang Y.
        • et al.
        Survival Rates After Lobectomy, Segmentectomy, and Wedge Resection for Non-Small Cell Lung Cancer.
        Ann Thorac Surg. 2018; 105: 1483-1491
        • Mimae T.
        • Saji H.
        • Nakamura H.
        • et al.
        Survival of Octogenarians with Early-Stage Non-small Cell Lung Cancer is Comparable Between Wedge Resection and Lobectomy/Segmentectomy: JACS1303.
        Ann Surg Oncol. 2021; 28: 7219-7227
        • Chan E.G.
        • Chan P.G.
        • Mazur S.N.
        • et al.
        Outcomes with segmentectomy versus lobectomy in patients with clinical T1cN0M0 non-small cell lung cancer.
        J Thorac Cardiovasc Surg. 2021; 161: 1639-1648.e1632
        • Dolan D.P.
        • White A.
        • Mazzola E.
        • et al.
        Outcomes of superior segmentectomy versus lower lobectomy for superior segment Stage I non-small-cell lung cancer are equivalent: An analysis of 196 patients at a single, high volume institution.
        J Surg Oncol. 2021; 123: 570-578
        • Kamel M.K.
        • Rahouma M.
        • Lee B.
        • et al.
        Segmentectomy Is Equivalent to Lobectomy in Hypermetabolic Clinical Stage IA Lung Adenocarcinomas.
        Ann Thorac Surg. 2019; 107: 217-223
        • Razi S.S.
        • Nguyen D.
        • Villamizar N.
        Lobectomy does not confer survival advantage over segmentectomy for non-small cell lung cancer with unsuspected nodal disease.
        J Thorac Cardiovasc Surg. 2020; 159: 2469-2483.e2464
        • Bao F.
        • Ye P.
        • Yang Y.
        • et al.
        Segmentectomy or lobectomy for early stage lung cancer: a meta-analysis.
        Eur J Cardio Thorac Surg. 2014; 46: 1-7
        • Baig M.Z.
        • Razi S.S.
        • Muslim Z.
        • et al.
        Lobectomy demonstrates superior survival than segmentectomy for high-grade non-small cell lung cancer: the national cancer database analysis.
        Am Surg. 2021; (31348211011116)