Evidence map›Paper›PMID 33270380›Full record

ArticleThoracic cancer2021

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

Marc Darras, Amaya Ojanguren, Céline Forster, Matthieu Zellweger, Jean Yannis Perentes, Thorsten Krueger, Michel Gonzalez

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Marc Darras *Service of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.ORCID 0000-0001-9596-407X
Amaya Ojanguren *Service of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Céline ForsterService of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Matthieu ZellwegerService of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Jean Yannis PerentesService of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Thorsten KruegerService of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Michel GonzalezService of Thoracic Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.ORCID 0000-0001-8705-4279
University Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVATS 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.

methodsThis 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.

conclusionsDespite 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.

Indexed as

AgedCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMastectomy, SegmentalProspective StudiesRetrospective StudiesLobectomylung cancerlymph node dissectionsegmentectomyVATS

Identifiers

PMID33270380
PMCPMC7882390
OpenAlexW3109826267

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.