ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2025
Lobectomy offers higher incidence of up-staging in patients with T1a-c non-small cell lung carcinomas: Is completion lobectomy necessary?
Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Completion lobectomy is defined as the excision of the remaining lobe following a previous sublobar resection. While it is considered a salvage option in selected cases, its impact on nodal staging and overall survival remains unclear in patients with early-stage non-small cell lung cancer (NSCLC). Aim: This study aimed to evaluate the effect of completion lobectomy on nodal upstaging and overall survival in patients with T1a-c NSCLC. Material and methods: A retrospective analysis was conducted on 477 patients with pathologically confirmed NSCLC and tumor size ≤ 3 cm, who underwent sublobar resection ( Results: The lobectomy group demonstrated significantly higher rates of N1 nodal involvement compared to the sublobar group ( Conclusions: Lobectomy results in higher pathological upstaging in cT1N0M0 NSCLC. Completion lobectomy is feasible and safe when nodal upstaging occurs following segmentectomy, though it may not confer a survival advantage in cT1aN0 cases.
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