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KMID : 1164620190520040195
Korean Journal of Thoracic and Cardiovascular Surgery
2019 Volume.52 No. 4 p.195 ~ p.204
A Meta-Analysis Comparing Lobectomy versus Segmentectomy in Stage I Non-Small Cell Lung Cancer
Lim Tae-Yoon

Park Samina
Kang Chang-Hyun
Abstract
Lobectomy is considered the standard strategy for early-stage non-small cell lung cancer (NSCLC). However, sublobar resection for NSCLC has recently received increased attention. The objective of this study was to compare 5-year survival, recurrence-free survival, postoperative mortality, and postoperative morbidities in patients who received segmentectomy versus those who received lobectomy through a meta-analysis. Sixteen studies were included and the combined hazard ratios or odds ratios were calculated. The results revealed that the 5-year survival rate after segmentectomy was comparable to that of lobectomy for stage IA NSCLC. However, segmentectomy for stage I NSCLC had lower rates of postoperative mortality and morbidities than lobectomy.
KEYWORD
Meta-analysis, Non-small-cell lung carcinoma, Lobectomy, Segmentectomy, Survival
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