[Indication and Results of 3-port Thoracoscopic Limited Resection for Lung Cancer]

Kyobu Geka. 2019 Jan;72(1):38-44.
[Article in Japanese]

Abstract

The tumors with the size of 15 mm or less and less than 50 percent of solid component have been eligible for our radical surgical indication of 3-port thoracoscopic limited resection. The objective is to evaluate the indication. Between 2010 and 2015, we reviewed 206 segmentectomy and 87 partial resection. In those patients, non-radical limited resections included 129 segmentectomy and 29 partial resection. As for imaging findings, the maximum tumor diameter were 16.7 mm vs 10.8 mm and the consolidation/tumor (C/T) ratio were 0.54 vs 0.39. At a mean follow up of 48 months, 5-year overall survival (OS) were 91.4% vs 93.1%, and 5-year recurrent free survival (RFS) were 88.6% vs 93.1%. Overall recurrence(10 patients vs 6 patients) happened in the patients with non-radical limited resections for pure or part solid tumors, therefore it is necessary to consider an indication of limited resection for solid tumors carefully.

MeSH terms

  • Humans
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / surgery*
  • Neoplasm Recurrence, Local / mortality*
  • Pneumonectomy / methods
  • Pneumonectomy / statistics & numerical data
  • Retrospective Studies
  • Survival Analysis
  • Thoracoscopy / methods*
  • Thoracoscopy / mortality
  • Treatment Outcome
  • Tumor Burden