Evidence map›Paper›PMID 41984418›Full record

ArticleAnnals of surgical oncology2026

Thoracoscopic Incomplete Anatomical Segmentectomy for Ground-Glass-Dominant Lung Cancer: Associations with Lower Postoperative Cough Burden and Faster Symptom Recovery.

Dezhao Tang, Junhan Wu, Xiangling Li, Cheng Deng, Yizhang Chen, Yong Tang, Qiuling Shi, Rixin Chen, Guibin Qiao

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Article in Annals of surgical oncology, 2026. 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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5 · Who and what money

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9 authors.

Dezhao Tang *Department of Cardiovascular and Thoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, Guangxi Medical University, Nanning, China.
Junhan Wu *Department of Thoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Xiangling LiGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Cheng DengDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Yizhang ChenDepartment of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yong TangDepartment of Thoracic Surgery, Shenzhen Nanshan People's Hospital, Shenzhen, China.
Qiuling ShiState Key Laboratory of Ultrasound in Medicine and Engineering, School of Public Health and Management, Chongqing Medical University, Chongqing, China.
Rixin ChenResearch Center of Medical Sciences, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China. chenrixin@gdph.org.cn.
Guibin QiaoDepartment of Thoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China. guibinqiao@126.com.ORCID http://orcid.org/0000-0001-9200-9317

Funding

Guangzhou Major Clinical Technology Project 2026P-ZD002Noncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0529400
6 · The paper itself

Abstract

backgroundThe resection of pulmonary segmental tissue involving isolation and transection of only the target segmental artery without individual dissection of the segmental bronchus is defined as an incomplete anatomic segmentectomy (IAS). Few studies have compared postoperative symptoms between complete anatomical segmentectomy (CAS) and IAS. This study aims to evaluate symptom burden after these two surgical approaches. PATIENTS AND

methodsWe analyzed prospective data from patients with stage IA1-IA2 NSCLC (predominantly ground-glass opacity) undergoing segmentectomy (2021-2023). Patients were grouped into CAS or IAS. Symptoms were assessed using the Perioperative Symptom Assessment for Lung Surgery (PSA-Lung) questionnaire via electronic patient reported outcomes system during and after hospitalization. After propensity score matching, postoperative symptom burden was compared between groups.

resultsAmong 184 patients, 97 patients (52.7%) underwent CAS, while 87 patients (47.3%) underwent IAS. After propensity score matching (PSM), 53 patients in each group were included in the analysis. Within 7 days postdischarge, the IAS group presented lower cough (P = 0.037) than did the CAS group. The time to recovery of postoperative cough scores to preoperative levels was significantly shorter in the IAS group than in the CAS group. The IAS group also had a shorter operative time (P = 0.012), less intraoperative blood loss (P = 0.003), and lower surgical material cost (P = 0.001).

conclusionsCompared with CAS, IAS simplified the surgical procedure and reduced operative time. Longitudinal analysis of PSA-Lung scores demonstrated a lower overall postoperative cough burden in the IAS group during follow-up, along with a shorter time to symptom recovery, suggesting a potential advantage in postoperative symptom experience under comparable oncologic and surgical safety conditions.

Indexed as

Carcinoma, Non-Small-Cell LungCoughLung NeoplasmsPneumonectomyPostoperative ComplicationsThoracic Surgery, Video-AssistedThoracoscopyAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProspective StudiesSymptom BurdenLung cancerPatient reported outcomesSegmentectomySymptom burdenVideo-assisted thoracoscopic surgery (VATS)

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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.