ReviewJournal of thoracic disease2023
Impact of surgical margin after sublobar resection of lung cancer: a narrative review.
Review in Journal of thoracic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 12 citations in OpenAlex.
- Article
- The Role of Histology in Predicting Spread Through Air Spaces (STAS) in Non-Small Cell Lung Cancer.Journal of personalized medicine · 2026Article
- Long-Term Outcomes of Indocyanine Green Versus Inflation-Deflation for Intersegmental Plane Identification in Segmentectomy for Early-Stage Lung Cancer.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Intraoperative Assessment of Anatomical Resection Margin Using a Novel Asymmetric Linear Stapler: An Initial Single Institution Experience.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Margin Quality Analysis and Risk Factors Associated With Insufficient Margins Following Segmentectomy for Small-Sized Non-Small Cell Lung Cancer.Thoracic cancer · 2026Article
- STAS More than a Prognostic Marker-An Evolving Factor in Operative and Adjuvant Treatment Decisions in Early-Stage NSCLC.Cancers · 2026Review
- Nodal Upstaging and Oncologic Outcomes After Segmentectomy Versus Lobectomy for Early-Stage Non-Small Cell Lung Cancer.Cancers · 2026Review
- Spatial classification of clinical T1a-bN0 non-small cell lung cancer in superior segment based on three-dimensional reconstruction: optimizing surgical margin and operative strategy.Journal of thoracic disease · 2026Article
- Impact of patient-specific three-dimensional reconstruction on surgical planning and perioperative outcomes in early-stage lung cancer: a randomised clinical trial.Frontiers in oncology · 2026Article
- Does surgical margin affect recurrence and survival after pulmonary segmentectomy for cT1 lung cancer?Journal of thoracic disease · 2025Article
- Analysis of lymph node metastasis based on consolidation tumor ratio and maximum standardized uptake value in clinical stage IA non-small cell lung cancer.Journal of thoracic disease · 2025Article
- Optical sensor for fast and accurate lung cancer detection with tissue autofluorescence and diffuse reflectance spectroscopy.Thoracic cancer · 2025Article
- Impact of Tumor Size and Differentiation Grade on Survival After Lobectomy and Segmentectomy for Patients with Early-Stage Lung Adenocarcinoma.Annals of surgical oncology · 2024Article
- Lobectomy Versus Segmentectomy for Early-Stage Non-small Cell Lung Cancer: Is Less More?Annals of surgical oncology · 2024Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Objective: The use of low-dose computed tomography for screening has improved the detection of early-stage lung cancers. In addition, two large clinical studies have recently reported good outcomes of sublobar resection for early-stage lung cancers, increasing the need for limited resection. However, locoregional recurrence is an important issue in sublobar resection, and R0-resection with sufficient surgical margin is essential to prevent recurrences. This study aimed to investigate the suitable surgical margin distance after sublobar resection of lung cancers with a review of the literature. Methods: We used the PubMed interface to search the Medline database for retrieving literature related to surgical margin after sublobar resection published between 2003 and 2023. Key Content and Findings: Overall, 175 papers were found; of them, we investigated the outcomes of 18 selected papers. The correlation between the actual surgical margin distances and recurrences was evaluated in seven articles. All the articles, except one, indicated that an increased margin distance was associated with survival and a lower risk of locoregional recurrence. Further, a surgical margin of 9-15 mm was reported to be sufficient. The correlation between the margin-tumor ratio (M/T) and recurrences was investigated in six articles, most of which demonstrated that the ratio of <1 would be a remarkable predictor of recurrence or poor survival. Although the correlation between surgical margin and spread through air spaces (STAS) was discussed in four articles, their findings remain debatable. Conclusions: A surgical margin of >10 mm or M/T of ≥1 would be necessary for sublobar resection for STAS-negative early-stage non-small cell lung cancer, although it is difficult to draw a definite conclusion about the appropriate surgical margin because of the characteristics of available literature (mainly retrospective, with different inclusion criteria and surgical margin measurement methods).
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