Evidence map›Paper›PMID 38635057›Full record

ArticleSurgery today2024

Clinical outcomes of left upper segmentectomy vs. lobectomy for early non-small-cell lung cancer: a nationwide database study in Japan.

Shinya Tane, Jiro Okami, Yoshimasa Maniwa, Yasushi Shintani, Hiroyuki Ito, Takashi Ohtsuka, Shinichi Toyooka, Takeshi Mori, Shun-Ichi Watanabe, Masayuki Chida and 8 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Surgery today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Oncological and Surgical Outcomes of Left Trisegmentectomy or Lingulectomy Versus Upper Lobectomy for Early-Stage Non-Small Cell Lung Cancer: A Multicentre Study.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  7. Review
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

18 authors at 16 institutions in 1 country.

Shinya TaneDivision of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. shinyatane@gmail.com.ORCID http://orcid.org/0000-0003-3747-5088
Jiro OkamiDepartment of General Thoracic Surgery, Osaka International Cancer Institute, Osaka, Japan.
Yoshimasa ManiwaDivision of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Yasushi ShintaniDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Hiroyuki ItoDepartment of Thoracic Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Takashi OhtsukaDivision of General Thoracic Surgery, Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
Shinichi ToyookaDepartment of Thoracic, Breast and Endocrinological Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Takeshi MoriDepartment of Thoracic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
Shun-Ichi WatanabeDepartment of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan.
Masayuki ChidaDepartment of General Thoracic Surgery, Dokkyo Medical University, Mibu, Japan.
Shunsuke EndoDepartment of Thoracic Surgery, Jichi Ika University Saitama Medical Center, Saitama, Japan.
Ryoichi NakanishiDepartment of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Mitsutaka KadokuraRespiratory Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Hidemi SuzukiDepartment of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Etsuo MiyaokaDepartment of Mathematics, Tokyo University of Science, Tokyo, Japan.
Ichiro YoshinoDepartment of Thoracic Surgery, School of Medicine, International University of Health and Welfare, Narita, Japan.
Hiroshi DateDepartment of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Japanese Joint Committee of Lung Cancer Registry
Kobe University · JPChiba University · JPDokkyo Medical University · JPInternational University of Health and Welfare · JPJapanese Red Cross Kumamoto Hospital · JPJichi Medical University · JPJikei University School of Medicine · JPKanagawa Prefectural Hospital Organization · JPKyoto University · JPNagoya City University · JPOkayama University · JPOsaka International Cancer Institute · JPShowa University Northern Yokohama Hospital · JPThe University of Osaka · JPTokyo National Hospital · JPTokyo University of Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGiven that left upper lobe and right upper and middle lobes share a similar anatomy, segmentectomy, such as upper division and lingulectomy, should yield identical oncological clearance to left upper lobectomy. We compared the prognosis of segmentectomy with that of lobectomy for early stage non-small-cell lung cancer (NSCLC) in the left upper lobe.

methodsWe retrospectively examined 2115 patients who underwent segmentectomy or lobectomy for c-stage I (TNM 8th edition) NSCLC in the left upper lobe in 2010. We compared the oncological outcomes of segmentectomy (n = 483) and lobectomy (n = 483) using a propensity score matching analysis.

resultsThe 5-year recurrence-free and overall survival rates in the segmentectomy and lobectomy groups were comparable, irrespective of c-stage IA or IB. Subset analyses according to radiological tumor findings showed that segmentectomy yielded oncological outcomes comparable to those of lobectomy for non-pure solid tumors. In cases where the solid tumor exceeded 20 mm, segmentectomy showed a recurrence-free survival inferior to that of lobectomy (p = 0.028), despite an equivalent overall survival (p = 0.38).

conclusionSegmentectomy may be an acceptable alternative to lobectomy with regard to the overall survival of patients with c-stage I NSCLC in the left upper lobe.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsNeoplasm StagingPneumonectomyAgedDatabases, FactualFemaleHumansJapanMaleMiddle AgedPropensity ScoreRetrospective StudiesSurvival RateTreatment OutcomeLeft upper lobeNon-small-cell lung cancerPrognosisSegmentectomy

Identifiers

PMID38635057
PMCPMC11413095
OpenAlexW4394920992

What OpenQuestion holds

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LicenceCC BY
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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.