With advances in medical technology, theproportion of early-stage lung cancerhas been growing. Conforming to the trend of individualized treatment, sublobar resection for early stage lung cancer has been considered more valuable than ever before. Currently, there were still confilictions about the oncological validity of sublobar resection comparing with lobectomy for lung cancer. We reviewed the study status of the following contentious issues: the evidence based medicine, the indications of wedge resection or segmentectomy, the weight of tumor diameter and margin distance, and the choices for the elderly.
随着医学技术的进步，早期肺癌患者数量逐年增加，亚肺叶切除治疗在早期肺癌个体化治疗的价值逐渐受到重视。目前，在早期肺癌的术式选择上，肺叶切除和亚肺叶切除孰优孰劣尚存在一些争议。本文就当前亚肺叶切除治疗早期肺癌的下述争议点进行了总结：①循证医学证据；②楔形和肺段的适应症选择；③肿瘤直径和切缘距离的权重比较；④老年人的术式选择。.