Points to make segmentectomy a radical surgery as lobectomy for cT1aN0M0 non-small cell lung cancer

Hiroaki Nomori, Hirohisa Horinouchi, Yotaro Izumi, Mitsutomo Kohno, Takashi Ohtsuka, Masaki Anraku, Keisuke Asakura, Kohei Hashimoto, Takashi Nakayama, Masayuki Okui

Research output: Contribution to journalReview article

Abstract

It is easy to propose that in order to perform a segmentectomy as a radical operation and equivalent treatment option to lobectomy for cT1aN0M0 non-small cell lung cancer, sufficient surgical margin and hilar regional lymph node dissection are the essential requirements. However, these 2 points are not easy. Here, we introduce our techniques. To take a sufficient surgical margin, we usually use a ring-shaped forceps to grasp the tumor, and resect the lung more than 1 cm away from the forceps. To dissect the hilar regional lymph nodes, we encircle the hilar vessels and bronchus with tape and make a sufficient field. We will introduce these points by demonstrating cases.

Original languageEnglish
Pages (from-to)190-195
Number of pages6
JournalJapanese Journal of Lung Cancer
Volume52
Issue number2
DOIs
Publication statusPublished - 2012 Apr 1

Keywords

  • Local recurrence
  • Lung cancer
  • Lymph node dissection
  • Segmentectomy
  • Surgical margin

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine

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  • Cite this

    Nomori, H., Horinouchi, H., Izumi, Y., Kohno, M., Ohtsuka, T., Anraku, M., Asakura, K., Hashimoto, K., Nakayama, T., & Okui, M. (2012). Points to make segmentectomy a radical surgery as lobectomy for cT1aN0M0 non-small cell lung cancer. Japanese Journal of Lung Cancer, 52(2), 190-195. https://doi.org/10.2482/haigan.52.190