Anatomic Lung Resection for Clinical Stage I Non-small Cell Lung Cancer (NSCLC): Equivalent Outcomes Following Anatomic Segmentectomy and Lobectomy

Abstract

PURPOSE: There is increasing enthusiasm with the use of anatomic segmentectomy as definitive surgical management for pathologic stage I NSCLC. Many reports focusing on the role of sublobar resection for stage I lung cancer have focused on pathologic stage, which may bias the perceived oncologic value of sublobar resection for clinical stage I disease. As surgical decision-making is based upon clinical stage, we compared the outcomes of patients undergoing wedge resection (n=130), anatomic segmentectomy (n=235), or lobectomy (n=728) for clinical stage I NSCLC.