Segmentectomy <i>versus</i> lobectomy. Which factors are decisive for an optimal oncological outcome?

Michail Galanis; Vasileios Leivaditis; Konstantinos Gioutsos; Ioannis Panagiotopoulos; Asterios Kyratzopoulos; Francesk Mulita; Anastasia Papaporfyriou; Georgios-Ioannis Verras; Konstantinos Tasios; Andreas Antzoulas; Konstantinos Skevis; Theoni Kontou; Efstratios Koletsis; Benjamin Ehle; Manfred Dahm; Konstantinos Grapatsas

doi:10.5114/kitp.2023.131943

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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3/2023
vol. 20

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abstract:

Review paper

**Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?**

Michail Galanis

¹

,

Vasileios Leivaditis

²

,

Konstantinos Gioutsos

¹

,

Ioannis Panagiotopoulos

³

,

Asterios Kyratzopoulos

⁴

,

Francesk Mulita

⁵

,

Anastasia Papaporfyriou

⁶

,

Georgios-Ioannis Verras

,

Konstantinos Tasios

⁵

,

Andreas Antzoulas

⁵

,

Konstantinos Skevis

⁷

,

Theoni Kontou

³

,

Efstratios Koletsis

³

,

Benjamin Ehle

⁸

,

Manfred Dahm

²

,

Konstantinos Grapatsas

⁹

Department of Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, Germany
Department of Cardiothoracic Surgery, General University Hospital of Patras, Patras, Greece
Department of Thoracic Surgery, Klinikum Herford, Herford, Germany
Department of Surgery, General University Hospital of Patras, Patras, Greece
Department of Pulmonology, Internal Medicine II, Vienna University Hospital, Vienna, Austria
Department of Thoracic Surgery, General Hospital of Rhodos, Rhodos, Greece
Department of Thoracic Surgery, Asklepios Lung Clinic Munich-Gauting, Gauting, Germany
Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West German Lung Centre, University Hospital Essen, University Duisburg-Essen, Essen, Germany

Kardiochirurgia i Torakochirurgia Polska 2023; 20 (3): 179-186

DOI: https://doi.org/10.5114/kitp.2023.131943

Online publish date: 2023/10/30

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AMA

Galanis M, Leivaditis V, Gioutsos K, et al. Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2023;20(3):179-186. doi:10.5114/kitp.2023.131943.

APA

Galanis, M., Leivaditis, V., Gioutsos, K., Panagiotopoulos, I., Kyratzopoulos, A.,  & Mulita, F. et al. (2023). Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 20(3), 179-186. https://doi.org/10.5114/kitp.2023.131943

Chicago

Galanis, Michail, Vasileios Leivaditis, Konstantinos Gioutsos, Ioannis Panagiotopoulos, Asterios Kyratzopoulos, Francesk Mulita,  and Anastasia Papaporfyriou et al. 2023. "Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 20 (3): 179-186. doi:10.5114/kitp.2023.131943.

Harvard

Galanis, M., Leivaditis, V., Gioutsos, K., Panagiotopoulos, I., Kyratzopoulos, A., Mulita, F., Papaporfyriou, A., Verras, G., Tasios, K., Antzoulas, A., Skevis, K., Kontou, T., Koletsis, E., Ehle, B., Dahm, M.,  and Grapatsas, K. (2023). Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 20(3), pp.179-186. https://doi.org/10.5114/kitp.2023.131943

MLA

Galanis, Michail et al. "Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 20, no. 3, 2023, pp. 179-186. doi:10.5114/kitp.2023.131943.

Vancouver

Galanis M, Leivaditis V, Gioutsos K, Panagiotopoulos I, Kyratzopoulos A, Mulita F et al. Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2023;20(3):179-186. doi:10.5114/kitp.2023.131943.

PlumX metrics:

Low-dose computed tomography is being used for lung cancer screening in high-risk groups. Detecting lung cancer at an early stage improves the chance of optimal treatment and increases overall survival. This article compares segmentectomy vs. lobectomy as surgical options, in the case of stage I non-small cell lung carcinoma, ideally IA. To compare the 2 previously referred strategies, data were collected from articles (40 studies were reviewed), reviews, and systematic analyses in PubMed Central, as well as reviewing recent literature. Segmentectomy could be an equal alternative to lobectomy in early-stage NSCLC (tumour < 2 cm). It could be preferred for patients with a low cardiopulmonary reserve, who struggle to survive a lobectomy. As far as early-stage NSCLC is concerned, anatomic segmentectomy is an acceptable procedure in a selective group of patients. For better tumour and stage classification, a systematic lymph node dissection should be performed.

keywords:

Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?

lobectomy, non-small-cell lung carcinoma, recurrence, overall survival, segmentectomy, disease-free survival

**Segmentectomy versus lobectomy. Which factors are decisive for an optimal oncological outcome?**