Open AccessIs segmentectomy the future?
Author(s) -
Rodney J. Landreneau,
Matthew J. Schuchert
Publication year - 2019
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2018.12.67
Subject(s) - medicine , lung cancer , lung , pneumonectomy , scrutiny , lung function , surgery , general surgery , stage (stratigraphy) , parenchyma , intensive care medicine , pathology , paleontology , biology , political science , law
The role of anatomic segmentectomy as an acceptable, lung parenchymal sparing alternative to pulmonary lobectomy for the small peripheral stage I lung cancer is under great scrutiny today. This is not a new consideration, particularly for the patient with impaired cardiopulmonary reserve where preservation of lung function may be a critical issue in deciding on surgical resection for local/regional control of their cancer. In this review, we discuss the oncologic issues along with past and present evidence supporting "anatomic" lung preservational surgery in the management of lung cancer.