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Arch Iran Med. 2021;24(6): 487-495.
doi: 10.34172/aim.2021.70

Scopus ID: 85113980564
  Abstract View: 1723
  PDF Download: 824

Original Article

Is it Unjustified to Perform Segmentectomy in Surgical Treatment of Lung Adenocarcinoma?

Hüseyin Fatih Sezer 1* ORCID logo, Aykut Eliçora 1, Salih Topçu 1

1 Department of Thoracic Surgery, Kocaeli University Medical School, Kocaeli, Turkey
*Corresponding Author: *Corresponding Author: Hüseyin Fatih Sezer, MD; Department of Thoracic Surgery, Kocaeli University Medical School, Kocaeli, Turkey. Tel: +90-532-1368133; Email: , Email: hfs.hfs@gmail.com

Abstract

Background: The aim of our study differs from similar studies since we compared superiority and similarity of segmentectomy performed for early-stage lung cancer over lobectomy in terms of clinical and oncological results.
Methods: The data from 294 patients who underwent anatomical resection due to primary lung cancer were retrospectively reviewed. Data from 99 patients who underwent lobectomy and segmentectomy due to early-stage lung adenocarcinoma were analyzed. Patients were divided into two groups: 84 patients undergoing lobectomy and 15 patients undergoing segmentectomy. Both groups were analyzed in terms of epidemiological, surgical and oncological results, by comparing several parameters.
Results: The most common postoperative complication was observed in the respiratory system. In total, 25 complication (29.8%) in the lobectomy group and 3 complications (20%) in the segmentectomy group were observed related to the postoperative respiratory system (P = 0.546). There was no statistically significant difference between the two groups in terms of recurrence-metastasis during follow-up, chemotherapy-radiotherapy condition and mortality. Main discharge time and thorax drain termination time were shorter in the segmentectomy group (P = 0.011 and P = 0.033, respectively). There was no statistically significant difference between the two groups in terms of postoperative survival or disease-free time (P = 0.361 and P = 0.461, respectively).
Conclusion: If there is no contraindication, segmentectomy can be considered as the surgical treatment for lung adenocarcinomas with tumor size of 2 cm or less and a minimum 1 cm clean surgical margin.

Cite this article as: Sezer HF, Eliçora A, Topçu S. Is it unjustified to perform segmentectomy in surgical treatment of lung adenocarcinoma? Arch Iran Med. 2021;24(6):487–495. doi: 10.34172/aim.2021.70
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Submitted: 15 Jun 2020
Revision: 09 Nov 2020
Accepted: 16 Nov 2020
ePublished: 01 Jun 2021
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