P-154SPLIT-LOBE RESECTIONS VERSUS LOBECTOMY FOR LUNG CARCINOMA OF THE LEFT UPPER LOBE: A PAIR-MATCHED CASE-CONTOL STUDY

Objectives Segmentectomy is indicated for peripheral small lung carcinoma up to 2 cm diameter confined to one segment, and/or in patients unable to tolerate a lobectomy. The left upper lobe can be divided easily into an upper (segments 1-3) and lingular (segments 4 and 5) segmental group, facillitat...

Full description

Saved in:
Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2013-07, Vol.17 (suppl_1), p.S40-S41
Main Authors: Witte, Biruta, Wolf, M., Hillebrand, H., Huertgen, M.
Format: Article
Language:English
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page S41
container_issue suppl_1
container_start_page S40
container_title Interactive cardiovascular and thoracic surgery
container_volume 17
creator Witte, Biruta
Wolf, M.
Hillebrand, H.
Huertgen, M.
description Objectives Segmentectomy is indicated for peripheral small lung carcinoma up to 2 cm diameter confined to one segment, and/or in patients unable to tolerate a lobectomy. The left upper lobe can be divided easily into an upper (segments 1-3) and lingular (segments 4 and 5) segmental group, facillitating sublobar resections that are probably appropriate for tumours of larger diameters and unfavourable localisation. Methods This study compares 22 consecutive split-lobe resections to 44 pair-matched left upper lobectomy controls with regard to clinical and oncolgical outcome. Results Split-lobe and lobectomy groups had equal tumour diameters (22.5 (11-63) mm vs 25 (7-68) mm) and identical pN stages (pN0 77.3%, pN1 9.1%, pN2 9.1%, ypN0 4.5%), a similar clinical course despite lower pre-OP FEV1 and higher comorbidity in the split-lobe group, and similar long-term overall (0.904 vs 0.821 at 5 years) and disease-free survival (0.854 vs 0.609 at 5 years). Conclusions Left upper lobectomy might be an overtreatment for lung carcinoma resectable by split-lobe procedures. Larger confirmatory studies are neccessary. Disclosure M. Huertgen: consultant for Karl Storz GmbH Storz, Tuttlingen, Germany and for Richard Wolf GmbH, Knittlingen, Germany. All other authors have declared no conflicts of interest.
doi_str_mv 10.1093/icvts/ivt288.154
format article
fullrecord <record><control><sourceid>oup_TOX</sourceid><recordid>TN_cdi_crossref_primary_10_1093_icvts_ivt288_154</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/icvts/ivt288.154</oup_id><sourcerecordid>10.1093/icvts/ivt288.154</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1194-cddf92c66b3782ba70aa18b4eb0f2ead592f22cf99b94dd90865a7f309949e6a3</originalsourceid><addsrcrecordid>eNqFkE1Lw0AQhhdRsFbvHvcu2-5uPprxFtNNG0iyIbsRegqbL6goLUmt-O9NW_HqaV6G5x2GB6FHRmeMgjXf1sfDMN8eD9zzZsyxr9CEOS4Q4J5z_ZfBukV3w_BGKQNq0Qn6ysgIqyyONInli8C5UCLQkUwVfhW5KhQ-rQMtkw0OZY7jIl3hwM-DKJWJj2WI9VrgWIQaF1km8jP-jH2c-VFOEl8Ha7EcC0qQQKZaxljpYrm5RzedeR_ah985RUUoRnZ8YhUFfkxqxsAmddN0wGvXrayFxyuzoMYwr7Lbina8NY0DvOO87gAqsJsGqOc6ZtFZFMCG1jXWFNHL3brfDUPfduW-336Y_rtktDyJK8_iyou4cnQxVp4uld3n_n_6B9UNaLk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>P-154SPLIT-LOBE RESECTIONS VERSUS LOBECTOMY FOR LUNG CARCINOMA OF THE LEFT UPPER LOBE: A PAIR-MATCHED CASE-CONTOL STUDY</title><source>Oxford University Press Open Access</source><creator>Witte, Biruta ; Wolf, M. ; Hillebrand, H. ; Huertgen, M.</creator><creatorcontrib>Witte, Biruta ; Wolf, M. ; Hillebrand, H. ; Huertgen, M.</creatorcontrib><description>Objectives Segmentectomy is indicated for peripheral small lung carcinoma up to 2 cm diameter confined to one segment, and/or in patients unable to tolerate a lobectomy. The left upper lobe can be divided easily into an upper (segments 1-3) and lingular (segments 4 and 5) segmental group, facillitating sublobar resections that are probably appropriate for tumours of larger diameters and unfavourable localisation. Methods This study compares 22 consecutive split-lobe resections to 44 pair-matched left upper lobectomy controls with regard to clinical and oncolgical outcome. Results Split-lobe and lobectomy groups had equal tumour diameters (22.5 (11-63) mm vs 25 (7-68) mm) and identical pN stages (pN0 77.3%, pN1 9.1%, pN2 9.1%, ypN0 4.5%), a similar clinical course despite lower pre-OP FEV1 and higher comorbidity in the split-lobe group, and similar long-term overall (0.904 vs 0.821 at 5 years) and disease-free survival (0.854 vs 0.609 at 5 years). Conclusions Left upper lobectomy might be an overtreatment for lung carcinoma resectable by split-lobe procedures. Larger confirmatory studies are neccessary. Disclosure M. Huertgen: consultant for Karl Storz GmbH Storz, Tuttlingen, Germany and for Richard Wolf GmbH, Knittlingen, Germany. All other authors have declared no conflicts of interest.</description><identifier>ISSN: 1569-9293</identifier><identifier>EISSN: 1569-9285</identifier><identifier>DOI: 10.1093/icvts/ivt288.154</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>Interactive cardiovascular and thoracic surgery, 2013-07, Vol.17 (suppl_1), p.S40-S41</ispartof><rights>The Author 2013. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1604,27924,27925</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/icvts/ivt288.154$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc></links><search><creatorcontrib>Witte, Biruta</creatorcontrib><creatorcontrib>Wolf, M.</creatorcontrib><creatorcontrib>Hillebrand, H.</creatorcontrib><creatorcontrib>Huertgen, M.</creatorcontrib><title>P-154SPLIT-LOBE RESECTIONS VERSUS LOBECTOMY FOR LUNG CARCINOMA OF THE LEFT UPPER LOBE: A PAIR-MATCHED CASE-CONTOL STUDY</title><title>Interactive cardiovascular and thoracic surgery</title><description>Objectives Segmentectomy is indicated for peripheral small lung carcinoma up to 2 cm diameter confined to one segment, and/or in patients unable to tolerate a lobectomy. The left upper lobe can be divided easily into an upper (segments 1-3) and lingular (segments 4 and 5) segmental group, facillitating sublobar resections that are probably appropriate for tumours of larger diameters and unfavourable localisation. Methods This study compares 22 consecutive split-lobe resections to 44 pair-matched left upper lobectomy controls with regard to clinical and oncolgical outcome. Results Split-lobe and lobectomy groups had equal tumour diameters (22.5 (11-63) mm vs 25 (7-68) mm) and identical pN stages (pN0 77.3%, pN1 9.1%, pN2 9.1%, ypN0 4.5%), a similar clinical course despite lower pre-OP FEV1 and higher comorbidity in the split-lobe group, and similar long-term overall (0.904 vs 0.821 at 5 years) and disease-free survival (0.854 vs 0.609 at 5 years). Conclusions Left upper lobectomy might be an overtreatment for lung carcinoma resectable by split-lobe procedures. Larger confirmatory studies are neccessary. Disclosure M. Huertgen: consultant for Karl Storz GmbH Storz, Tuttlingen, Germany and for Richard Wolf GmbH, Knittlingen, Germany. All other authors have declared no conflicts of interest.</description><issn>1569-9293</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFkE1Lw0AQhhdRsFbvHvcu2-5uPprxFtNNG0iyIbsRegqbL6goLUmt-O9NW_HqaV6G5x2GB6FHRmeMgjXf1sfDMN8eD9zzZsyxr9CEOS4Q4J5z_ZfBukV3w_BGKQNq0Qn6ysgIqyyONInli8C5UCLQkUwVfhW5KhQ-rQMtkw0OZY7jIl3hwM-DKJWJj2WI9VrgWIQaF1km8jP-jH2c-VFOEl8Ha7EcC0qQQKZaxljpYrm5RzedeR_ah985RUUoRnZ8YhUFfkxqxsAmddN0wGvXrayFxyuzoMYwr7Lbina8NY0DvOO87gAqsJsGqOc6ZtFZFMCG1jXWFNHL3brfDUPfduW-336Y_rtktDyJK8_iyou4cnQxVp4uld3n_n_6B9UNaLk</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Witte, Biruta</creator><creator>Wolf, M.</creator><creator>Hillebrand, H.</creator><creator>Huertgen, M.</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201307</creationdate><title>P-154SPLIT-LOBE RESECTIONS VERSUS LOBECTOMY FOR LUNG CARCINOMA OF THE LEFT UPPER LOBE: A PAIR-MATCHED CASE-CONTOL STUDY</title><author>Witte, Biruta ; Wolf, M. ; Hillebrand, H. ; Huertgen, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1194-cddf92c66b3782ba70aa18b4eb0f2ead592f22cf99b94dd90865a7f309949e6a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Witte, Biruta</creatorcontrib><creatorcontrib>Wolf, M.</creatorcontrib><creatorcontrib>Hillebrand, H.</creatorcontrib><creatorcontrib>Huertgen, M.</creatorcontrib><collection>CrossRef</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Witte, Biruta</au><au>Wolf, M.</au><au>Hillebrand, H.</au><au>Huertgen, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>P-154SPLIT-LOBE RESECTIONS VERSUS LOBECTOMY FOR LUNG CARCINOMA OF THE LEFT UPPER LOBE: A PAIR-MATCHED CASE-CONTOL STUDY</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><date>2013-07</date><risdate>2013</risdate><volume>17</volume><issue>suppl_1</issue><spage>S40</spage><epage>S41</epage><pages>S40-S41</pages><issn>1569-9293</issn><eissn>1569-9285</eissn><abstract>Objectives Segmentectomy is indicated for peripheral small lung carcinoma up to 2 cm diameter confined to one segment, and/or in patients unable to tolerate a lobectomy. The left upper lobe can be divided easily into an upper (segments 1-3) and lingular (segments 4 and 5) segmental group, facillitating sublobar resections that are probably appropriate for tumours of larger diameters and unfavourable localisation. Methods This study compares 22 consecutive split-lobe resections to 44 pair-matched left upper lobectomy controls with regard to clinical and oncolgical outcome. Results Split-lobe and lobectomy groups had equal tumour diameters (22.5 (11-63) mm vs 25 (7-68) mm) and identical pN stages (pN0 77.3%, pN1 9.1%, pN2 9.1%, ypN0 4.5%), a similar clinical course despite lower pre-OP FEV1 and higher comorbidity in the split-lobe group, and similar long-term overall (0.904 vs 0.821 at 5 years) and disease-free survival (0.854 vs 0.609 at 5 years). Conclusions Left upper lobectomy might be an overtreatment for lung carcinoma resectable by split-lobe procedures. Larger confirmatory studies are neccessary. Disclosure M. Huertgen: consultant for Karl Storz GmbH Storz, Tuttlingen, Germany and for Richard Wolf GmbH, Knittlingen, Germany. All other authors have declared no conflicts of interest.</abstract><pub>Oxford University Press</pub><doi>10.1093/icvts/ivt288.154</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext_linktorsrc
identifier ISSN: 1569-9293
ispartof Interactive cardiovascular and thoracic surgery, 2013-07, Vol.17 (suppl_1), p.S40-S41
issn 1569-9293
1569-9285
language eng
recordid cdi_crossref_primary_10_1093_icvts_ivt288_154
source Oxford University Press Open Access
title P-154SPLIT-LOBE RESECTIONS VERSUS LOBECTOMY FOR LUNG CARCINOMA OF THE LEFT UPPER LOBE: A PAIR-MATCHED CASE-CONTOL STUDY
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T12%3A25%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-oup_TOX&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=P-154SPLIT-LOBE%20RESECTIONS%20VERSUS%20LOBECTOMY%20FOR%20LUNG%20CARCINOMA%20OF%20THE%20LEFT%20UPPER%20LOBE:%20A%20PAIR-MATCHED%20CASE-CONTOL%20STUDY&rft.jtitle=Interactive%20cardiovascular%20and%20thoracic%20surgery&rft.au=Witte,%20Biruta&rft.date=2013-07&rft.volume=17&rft.issue=suppl_1&rft.spage=S40&rft.epage=S41&rft.pages=S40-S41&rft.issn=1569-9293&rft.eissn=1569-9285&rft_id=info:doi/10.1093/icvts/ivt288.154&rft_dat=%3Coup_TOX%3E10.1093/icvts/ivt288.154%3C/oup_TOX%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c1194-cddf92c66b3782ba70aa18b4eb0f2ead592f22cf99b94dd90865a7f309949e6a3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rft_oup_id=10.1093/icvts/ivt288.154&rfr_iscdi=true