KMID : 1164620190520040195
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Korean Journal of Thoracic and Cardiovascular Surgery 2019 Volume.52 No. 4 p.195 ~ p.204
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A Meta-Analysis Comparing Lobectomy versus Segmentectomy in Stage I Non-Small Cell Lung Cancer
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Lim Tae-Yoon
Park Samina Kang Chang-Hyun
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Abstract
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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.
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KEYWORD
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Meta-analysis, Non-small-cell lung carcinoma, Lobectomy, Segmentectomy, Survival
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