The pros and cons of uniportal VATS segmentectomy in the treatment of early-stage lung cancer: should the procedure be prioritized?

[摘要] Historically, thoracic surgeons limit the resection area in the treatment of lung cancer. Resections of lung cancer by a pneumonectomy were first reported by Graham (1). Cahan reported pneumonectomy with lymph node dissection as a “standard” operation for lung cancer (2). In the 1960s, the standard operation for lung cancer shifted from a pneumonectomy to a lobectomy (3,4). Although sublobar lung resections (wedge resections and segmentectomies) have been applied to lung cancer and other pulmonary diseases, such as mycobacterial infections, in 1995, the Lung Cancer Study Group demonstrated the superiority of a lobectomy with lymph node dissection to sublobar resections in disease-free survival and overall survival in a prospective randomized controlled trial (5). Specifically, locoregional recurrence was approximately three times greater in the sublobar resection group than the lobectomy group. Since this landmark study, a lobectomy with lymph node dissection has been the standard surgical resection for lung cancer.

[学科分类] 呼吸医学

[关键词] Uniportal video-assisted thoracic surgery (uniportal VATS);education;training;segmentectomy