The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Dotdaev A.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Ryabov A.B.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Pikin O.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Kolbanov K.I.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Anatomic segmental lung resections for malignant neoplasms of the lung

Authors:

Dotdaev A.A., Ryabov A.B., Pikin O.V., Kolbanov K.I.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2024;13(5): 69‑75

DOI: 10.17116/onkolog20241305169

Views: 259

Downloaded: 3

Buy for 200₽
Contact the author
Table of contents

To cite this article:

Dotdaev AA, Ryabov AB, Pikin OV, Kolbanov KI. Anatomic segmental lung resections for malignant neoplasms of the lung. P.A. Herzen Journal of Oncology. 2024;13(5):69‑75. (In Russ.)
https://doi.org/10.17116/onkolog20241305169

Подписка 2025 (P.A. Herzen Journal of Oncology)
МСФ на ЯМ
Close metadata
Recommended articles:
Ten-year follow-up of a patient after an anatomical upper-zonal lung rese­ction for peri­pheral non-small cell lung cancer. P.A. Herzen Journal of Onco­logy. 2024;(3):59-62
Intraoperative near-infrared fluorescence imaging of peri­pheral lung tumors. Piro­gov Russian Journal of Surgery. 2024;(1):79-85
Right-sided upper lobe­ctomy in a patient with right aortic arch: a case report and lite­rature review. Piro­gov Russian Journal of Surgery. 2024;(2):90-96
Cost-effectiveness analysis of low-dose computed tomo­graphy for lung cancer screening. Medi­cal Technologies. Asse­ssment and Choice. 2024;(1):60-73
Clinical, labo­ratory and radiological indi­cators for lung cancer. Labo­ratory Service. 2024;(2):45-54
Exosomal non-coding rnas as pote­ntial biomarkers in the diagnosis and prognosis of lung cancer. Review. Labo­ratory Service. 2024;(3):42-49

Lung cancer is one of the leading causes of cancer-related mortality worldwide. For a long period of time, lobectomy was considered the minimum surgical treatment for patients with non-small cell lung cancer (NSCLC). Minimising the surgical volume for primary lung tumour has been debated for over 25 years. Anatomic segmental lung resection preserves more lung tissue volume than lobectomy. The effect of anatomic segmental lung resection on long-term survival remains controversial.

Keywords:

segmentectomy
segmental resection
lung cancer
lung metastases
three-dimensional reconstruction

Authors:

Dotdaev A.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Ryabov A.B.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Pikin O.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Kolbanov K.I.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Received:

19.09.2023

Accepted:

24.01.2024

List of references:

  1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.  https://doi.org/10.3322/caac.21492
  2. Whitson BA, Groth SS, Andrade RS, Maddaus MA, Habermann EB, D’Cunha J. Survival after lobectomy versus segmentectomy for stage I non-small cell lung cancer: a population-based analysis. Ann Thorac Surg. 2011;92(6):1943-1950. https://doi.org/10.1016/j.athoracsur.2011.05.091
  3. Churchill ED, Belsey R. Segmental pneumonectomy in bronchiectasis: the lingula segment of the left upper lobe. Ann Surg. 1939;109(4):481-499.  https://doi.org/10.1097/00000658-193904000-00001
  4. Ramsay H. Whither tuberculosis? BMJ. 1949;1:152.  https://doi.org/10.1136/bmj.1.4594.152-b
  5. Overholt R, Atwell S. Cancer of the lung. New York: American Cancer Society; 1950.
  6. Jensik RJ, Faber LP, Milloy FJ, Monson DO. Segmental resection for lung cancer. A fifteen-year experience. J Thorac Cardiovasc Surg. 1973;66(4):563-572. 
  7. Weissberg D, Straehley CJ, Scully NM, Margulies DR. Less than lobar resections for bronchogenic carcinoma. Scand J Thorac Cardiovasc Surg. 1993;27(3-4):121-126.  https://doi.org/10.3109/14017439309099098
  8. Pastorino U, Valente M, Bedini V, Infante M, Tavecchio L, Ravasi G. Limited resection for Stage I lung cancer. Eur J Surg Oncol. 1991;17(1):42-46. 
  9. Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995;60(3):615-622; discussion 622-623.  https://doi.org/10.1016/0003-4975(95)00537-u
  10. Okada M, Nishio W, Sakamoto T, Uchino K, Yuki T, Nakagawa A, Tsubota N. Effect of tumor size on prognosis in patients with non-small cell lung cancer: the role of segmentectomy as a type of lesser resection. J Thorac Cardiovasc Surg. 2005;129(1):87-93.  https://doi.org/10.1016/j.jtcvs.2004.04.030
  11. Sienel W, Dango S, Kirschbaum A, Cucuruz B, Hörth W, Stremmel C, Passlick B. Sublobar resections in stage IA non-small cell lung cancer: segmentectomies result in significantly better cancer-related survival than wedge resections. Eur J Cardiothorac Surg. 2008;33(4):728-734.  https://doi.org/10.1016/j.ejcts.2007.12.048
  12. Hwang Y, Kang CH, Kim HS, Jeon JH, Park IK, Kim YT. Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy on the patients with non-small cell lung cancer: a propensity score matching study. Eur J Cardiothorac Surg. 2015;48(2):273-278.  https://doi.org/10.1093/ejcts/ezu422
  13. Landreneau RJ, Normolle DP, Christie NA, et al. Recurrence and survival outcomes after anatomic segmentectomy versus lobectomy for clinical stage I non-small-cell lung cancer: a propensity-matched analysis. J Clin Oncol. 2014;32(23):2449-2455. https://doi.org/10.1200/JCO.2013.50.8762
  14. El-Sherif A, Gooding WE, Santos R, Pettiford B, Ferson PF, Fernando HC, Urda SJ, Luketich JD, Landreneau RJ. Outcomes of sublobar resection versus lobectomy for stage I non-small cell lung cancer: a 13-year analysis. Ann Thorac Surg. 2006;82(2):408-415; discussion 415-416.  https://doi.org/10.1016/j.athoracsur.2006.02.029
  15. Mediratta N, Shackcloth M, Page R, Woolley S, Asante-Siaw J, Poullis M. Should males ever undergo wedge resection for stage 1 non-small-cell lung cancer? A propensity analysis. Eur J Cardiothorac Surg. 2014;46(2):267-273; discussion 273.  https://doi.org/10.1093/ejcts/ezt603
  16. Zhong C, Fang W, Mao T, Yao F, Chen W, Hu D. Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy for small-sized stage IA lung cancer. Ann Thorac Surg. 2012;94(2):362-367.  https://doi.org/10.1016/j.athoracsur.2012.04.047
  17. Dai C, Shen J, Ren Y, et al. Choice of surgical procedure for patients with non-small-cell lung cancer ≤1 cm or >1 to 2 cm among lobectomy, segmentectomy, and wedge resection: a population-based study. J Clin Oncol. 2016;34(26):3175-3182. https://doi.org/10.1200/JCO.2015.64.6729
  18. Saji H, Okada M, Tsuboi M, et al.; West Japan Oncology Group and Japan Clinical Oncology Group. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399(10335):1607-1617. https://doi.org/10.1016/S0140-6736(21)02333-3
  19. Suzuki K, Saji H, Aokage K, et al.; West Japan Oncology Group; Japan Clinical Oncology Group. Comparison of pulmonary segmentectomy and lobectomy: safety results of a randomized trial. J Thorac Cardiovasc Surg. 2019;158(3):895-907.  https://doi.org/10.1016/j.jtcvs.2019.03.090
  20. Altorki NK, Wang X, Wigle D, et al. Perioperative mortality and morbidity after sublobar versus lobar resection for early-stage non-small-cell lung cancer: post-hoc analysis of an international, randomised, phase 3 trial (CALGB/Alliance 140503). Lancet Respir Med. 2018;6(12):915-924.  https://doi.org/10.1016/S2213-2600(18)30411-9
  21. Stamatis G, Leschber G, Schwarz B, et al. Survival outcomes in a prospective randomized multicenter Phase III trial comparing patients undergoing anatomical segmentectomy versus standard lobectomy for non-small cell lung cancer up to 2 cm. Lung Cancer. 2022;172:108-116.  https://doi.org/10.1016/j.lungcan.2022.08.013
  22. Liu Q, Wang H, Zhou D, Deng X, Min J, Dai J. Comparison of clinical outcomes after thoracoscopic sublobectomy versus lobectomy for Stage I nonsmall cell lung cancer: a meta-analysis. J Cancer Res Ther. 2016;12(2):926-931.  https://doi.org/10.4103/0973-1482.174181
  23. Winckelmans T, Decaluwé H, De Leyn P, Van Raemdonck D. Segmentectomy or lobectomy for early-stage non-small-cell lung cancer: a systematic review and meta-analysis. Eur J Cardiothorac Surg. 2020;57(6):1051-1060. https://doi.org/10.1093/ejcts/ezz339
  24. Zeng W, Zhang W, Zhang J, You G, Mao Y, Xu J, Yu D, Peng J, Wei Y. Systematic review and meta-analysis of video-assisted thoracoscopic surgery segmentectomy versus lobectomy for stage I non-small cell lung cancer. World J Surg Oncol. 2020;18(1):44.  https://doi.org/10.1186/s12957-020-01814-x
  25. Martin-Ucar AE, Delgado Roel M. Indication for VATS sublobar resections in early lung cancer. J Thorac Dis. 2013;5 Suppl. 3(Suppl. 3):S194-S199. https://doi.org/10.3978/j.issn.2072-1439.2013.08.41
  26. Detterbeck FC, Boffa DJ, Kim AW, Tanoue LT. The eighth edition lung cancer stage classification. Chest. 2017;151(1):193-203.  https://doi.org/10.1016/j.chest.2016.10.010
  27. Yang CF, Sun Z, Speicher PJ, et al. Use and outcomes of minimally invasive lobectomy for stage I non-small cell lung cancer in the National Cancer Data Base. Ann Thorac Surg. 2016;101(3):1037-1042. https://doi.org/10.1016/j.athoracsur.2015.11.018
  28. Shimizu K, Nakazawa S, Nagashima T, Kuwano H, Mogi A. 3D-CT anatomy for VATS segmentectomy. J Vis Surg. 2017;3:88.  https://doi.org/10.21037/jovs.2017.05.10
  29. Watanabe A, Ohori S, Nakashima S, Mawatari T, Inoue N, Kurimoto Y, Higami T. Feasibility of video-assisted thoracoscopic surgery segmentectomy for selected peripheral lung carcinomas. Eur J Cardiothorac Surg. 2009;35(5):775-780; discussion 780.  https://doi.org/10.1016/j.ejcts.2009.01.013
  30. Watanabe S, Arai K, Watanabe T, Koda W, Urayama H. Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections. Ann Thorac Surg. 2003:75(2):388-392; discussion 392.  https://doi.org/10.1016/s0003-4975(02)04375-8
  31. Oizumi H, Endoh M, Takeda S, Suzuki J, Fukaya K, Sadahiro M. Anatomical lung segmentectomy simulated by computed tomographic angiography. Ann Thorac Surg. 2010;90(4):1382-1383. https://doi.org/10.1016/j.athoracsur.2009.11.062
  32. Sato M, Murayama T, Nakajima J. Techniques of stapler-based navigational thoracoscopic segmentectomy using virtual assisted lung mapping (VAL-MAP). J Thorac Dis. 2016;8(Suppl. 9):S716-S730. https://doi.org/10.21037/jtd.2016.09.56
  33. Miyasaka Y, Oh S, Takahashi N, Takamochi K, Suzuki K. Postoperative complications and respiratory function following segmentectomy of the lung — comparison of the methods of making an inter-segmental plane. Interact Cardiovasc Thorac Surg. 2011;12(3):426-429.  https://doi.org/10.1510/icvts.2010.253989
  34. Tsubota N. An improved method for distinguishing the intersegmental plane of the lung. Surg Today. 2000;30(10):963-964.  https://doi.org/10.1007/s005950070056
  35. Iwata H, Shirahashi K, Mizuno Y, Matsui M, Takemura H. Surgical technique of lung segmental resection with two intersegmental planes. Interact Cardiovasc Thorac Surg. 2013;16(4):423-425.  https://doi.org/10.1093/icvts/ivs560
  36. Roman MA, Nakas A. Comparing outcomes of segmentectomy and lobectomy for non-small cell lung cancer: is less truly more? Chest. 2021;159(1):21-22.  https://doi.org/10.1016/j.chest.2020.07.063
  37. Nomori H, Mori T, Ikeda K, Yoshimoto K, Iyama K, Suzuki M. Segmentectomy for selected cT1N0M0 non-small cell lung cancer: a prospective study at a single institute. J Thorac Cardiovasc Surg. 2012;144(1):87-93.  https://doi.org/10.1016/j.jtcvs.2012.03.034
  38. Nomori H, Okada M. Sleeve segmentectomy. Illustrated anatomical segmentectomy for lung cancer. Springer; 2012: 237-242.  https://doi.org/10.1007/978-4-431-54144-8_7
  39. Tsubota N, Ayabe K, Doi O, Mori T, Namikawa S, Taki T, Watanabe Y. Ongoing prospective study of segmentectomy for small lung tumors. Study Group of Extended Segmentectomy for Small Lung Tumor. Ann Thorac Surg. 1998;66(5):1787-1790. https://doi.org/10.1016/s0003-4975(98)00819-4
  40. Okada M, Yoshikawa K, Hatta T, Tsubota N. Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller? Ann Thorac Surg. 2001;71(3):956-960; discussion 961.  https://doi.org/10.1016/s0003-4975(00)02223-2
  41. Fan W, Yang H, Ma J, Wang Z, Zhao H, Yao F. Indocyanine green fluorescence-navigated thoracoscopy versus traditional inflation-deflation approach in precise uniportal segmentectomy: a short-term outcome comparative study. J Thorac Dis. 2022;14(3):741-748.  https://doi.org/10.21037/jtd-22-292
  42. Sekine Y, Ko E, Oishi H, Miwa M. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg. 2012;143(6):1330-1335. https://doi.org/10.1016/j.jtcvs.2012.01.079
  43. Misaki N, Chang SS, Igai H, Tarumi S, Gotoh M, Yokomise H. New clinically applicable method for visualizing adjacent lung segments using an infrared thoracoscopy system. J Thorac Cardiovasc Surg. 2010;140(4):752-756.  https://doi.org/10.1016/j.jtcvs.2010.07.020
  44. Sun Y, Zhang Q, Wang Z, Shao F, Yang R. Feasibility investigation of near-infrared fluorescence imaging with intravenous indocyanine green method in uniport video-assisted thoracoscopic anatomical segmentectomy for identifying the intersegmental boundary line. Thorac Cancer. 2021;12(9):1407-1414. https://doi.org/10.1111/1759-7714.13923
  45. Okada M, Koike T, Higashiyama M, Yamato Y, Kodama K, Tsubota N. Radical sublobar resection for small-sized non-small cell lung cancer: a multicenter study. J Thorac Cardiovasc Surg. 2006;132(4):769-775.  https://doi.org/10.1016/j.jtcvs.2006.02.063
  46. Altorki NK, Yip R, Hanaoka T, Bauer T, Aye R, Kohman L, Sheppard B, Thurer R, Andaz S, Smith M, et al.; I-ELCAP Investigators. Sublobar resection is equivalent to lobectomy for clinical stage 1A lung cancer in solid nodules. J Thorac Cardiovasc Surg. 2014;147(2):754-762; Discussion 762-764.  https://doi.org/10.1016/j.jtcvs.2013.09.065
  47. Koike T, Koike T, Yoshiya K, Tsuchida M, Toyabe S. Risk factor analysis of locoregional recurrence after sublobar resection in patients with clinical stage IA non-small cell lung cancer. J Thorac Cardiovasc Surg. 2013;146(2):372-378.  https://doi.org/10.1016/j.jtcvs.2013.02.057
  48. Lee PC, Kamel M, Nasar A, Ghaly G, Port JL, Paul S, Stiles BM, Andrews WG, Altorki NK. Lobectomy for non-small cell lung cancer by ideo-assisted thoracic surgery: effects of cumulative institutional experience on adequacy of lymphadenectomy. Ann Thorac Surg. 2016;101(3):1116-1122. https://doi.org/10.1016/j.athoracsur.2015.09.073
  49. Watanabe S, Asamura H, Suzuki K, Tsuchiya R. Problems in diagnosis and surgical management of clinical N1 non-small cell lung cancer. Ann Thorac Surg. 2005;79(5):1682-1685. https://doi.org/10.1016/j.athoracsur.2004.11.025

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.