ArticleJournal of thoracic disease2025
The effect of lobar versus sublobar video-assisted thoracoscopic surgery lung resection on patient quality of life.
Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The debate regarding the optimal extent of resection for early-stage lung cancer continues despite 2 major phase 3 trials, yet data regarding patient quality of life (QoL) comparing lobar and sublobar resections is lacking. This study aimed to characterize changes to QoL in the short-term postoperative timeline. Methods: A single center retrospective study reviewed patients from 2017-2021 who underwent video-assisted thoracoscopic surgery (VATS) lobectomy, segmentectomy, and wedge resection for primary lung cancer. QoL was assessed using the Edmonton Symptom Assessment Scale (ESAS) and the Functional Assessment of Cancer Therapy-Lung (FACT-L). Univariate and regression analyses were performed to assess approaches. Results: Altogether, 134 patients met the inclusion criteria: lobectomies 65% (87/134), segmentectomies 17% (23/134), and wedge resections 18% (24/134). Stage I disease represented 73% (98/134), stage II 19% (26/134), and stage III 8% (10/134). Patients undergoing wedge resections did not experience a significant change in pre- versus postoperative FACT-L, and in fact experienced a decrease in anxiety (pre-op: 2.42±3.06 Conclusions: Amongst patients undergoing minimal access pulmonary surgery, the extent of pulmonary resection may influence early postoperative QoL. These non-randomized data are hypothesis generating and suggest that patients undergoing sublobar resections may experience a faster return to baseline QoL as compared to those who undergo lobectomy.
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