ArticleTranslational lung cancer research2021
Pulmonary function changes after thoracoscopic lobectomy versus intentional thoracoscopic segmentectomy for early-stage non-small cell lung cancer.
Article in Translational lung cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed, 37 citations in OpenAlex.
- Marginal benefit of segmentectomy over lobectomy in minimally invasive surgery for stage IA lung cancer.Translational lung cancer research · 2026Article
- Development and validation of a nomogram for predicting heterogeneous patient-reported outcome recovery trajectories after lung cancer surgery: a retrospective study.Journal of cardiothoracic surgery · 2026Article
- Post-operative volume changes in residual lung lobes after VATS pulmonary segmentectomy for early stage non-small cell lung cancer.Journal of cardiothoracic surgery · 2026Article
- Anatomical Sublobar Resection for Multi-Intersegmental Pulmonary Nodules.Thoracic cancer · 2026Article
- Reverse watershed method applied to thoracoscopic S9 segmentectomy: a retrospective study.Journal of cardiothoracic surgery · 2025Article
- Anatomical Resections for Pulmonary Metastases: A Narrative Review of Indications, Techniques, and Outcomes.Cancers · 2025Review
- Article
- Survival after wedge resection, segmentectomy and lobectomy for clinical stage IA non-small cell lung cancer: a systematic review and network meta-analysis.Translational lung cancer research · 2025Article
- Development and validation of a nomogram for predicting high-risk pathology in clinical stage lA left upper lobe lung adenocarcinoma.BMC surgery · 2025Article
- Segmentectomy versus lobectomy: does FEV1.0 change accurately reflect the postoperative cardiopulmonary function?General thoracic and cardiovascular surgery · 2025Article
- Postoperative Lung Function Advantages in Pulmonary Segmentectomy for Early-Stage Lung Cancer.Thoracic cancer · 2025Article
- Therapeutic effects of single-port thoracoscopic anatomical segmentectomy on early-stage non-small-cell lung cancer.Journal of minimal access surgery · 2025Article
- Three-dimensional reconstruction for determining positional indications of pulmonary segmentectomy/subsegmentectomy for ground glass opacity-dominant clinical T1a-bN0 non-small cell lung cancer.Translational lung cancer research · 2024Article
- Effect of Resected Lung Volume on Pulmonary Function and Residual Lung Volume in Patients Undergoing Segmentectomy: A Retrospective Study.Annals of surgical oncology · 2024Article
- Quantitative computed tomography assessment of pulmonary function and compensation after lobectomy and segmentectomy in lung cancer patients.Journal of thoracic disease · 2024Article
- Article
- [Impact of the Size and Depth of Pulmonary Nodules on the Surgical Approach for Lung Resection in the Treatment of Early-stage Lung Cancer ≤2 cm].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024Article
- Agreement between observed and predicted postoperative forced expiratory volume in one second, forced vital capacity, and diffusing capacity for carbon monoxide after anatomic lung resection.Journal of thoracic disease · 2024Article
- Ground glass opacity resection extent assessment trialFrontiers in oncology · 2023Article
- Pulmonary function changes after sublobar resection in patients with peripheral non-subpleural nodules.BMC surgery · 2022Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracoscopic segmentectomy is increasingly used in the surgical treatment of early-stage non-small cell lung cancer. However, it remains unclear whether pulmonary function loss after thoracoscopic lung resection is in direct proportion to the number of resected segments, and thus intentional thoracoscopic segmentectomy has the function-preserving advantage over thoracoscopic lobectomy.
methodsIn this prospective observational study, spirometry tests were performed preoperatively and 6 months postoperatively. The observed functional loss was compared with the expected loss estimated by the segment counting method. Resection extent index was introduced as the number of resected segments to total number of segments in the corresponding lobe. Spirometry changes after thoracoscopic lobectomy and intentional thoracoscopic segmentectomy were compared using propensity score matching.
resultsThere were 338 thoracoscopic lobectomies and 321 thoracoscopic segmentectomies. Overall, the observed pulmonary function loss after segmentectomy was significantly less than after lobectomy. But the observed functional loss was significantly greater than the expected loss after segmentectomy. And pulmonary function loss per segment resected was almost doubled after segmentectomy comparing to lobectomy. For segmentectomies with a resection extent index less than 0.5, especially single segmentectomies, pulmonary function loss was significantly less than after corresponding lobectomies. Otherwise, no significant differences in spirometry changes between lobectomies and segmentectomies were detected.
conclusionsPulmonary function loss after thoracoscopic lung resection cannot be accurately evaluated by the number of resected segments. According to the resection extent index, intentional thoracoscopic segmentectomy may help preserve more pulmonary function than thoracoscopic lobectomy only when less than half of the corresponding lobe are resected.
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