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Surgical outcomes after multiple segmentectomy: a cohort study.

Seshiru Nakazawa1, Kimihiro Shimizu2, Natsuko Kawatani1

  • 1Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.

Journal of Thoracic Disease
|March 4, 2022
PubMed
Summary
This summary is machine-generated.

Multiple segmentectomy, a lung-sparing surgery, is feasible for patients with multiple lung lesions. This procedure, involving removal of lung segments from different lobes, shows comparable safety to single segmentectomy despite longer operative times.

Keywords:
Segmentectomylung cancermetastatic lung lesionsimultaneous

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Segmentectomy is a common surgical approach for lung cancer and metastatic lung tumors.
  • Limited data exists on the outcomes of multiple segmentectomies involving different lung lobes.
  • This study aimed to elucidate the clinicopathological features of multiple segmentectomies.

Purpose of the Study:

  • To compare clinicopathological, operative, and postoperative outcomes of multiple segmentectomy versus single segmentectomy.
  • To evaluate the safety and feasibility of multiple segmentectomies for patients with multiple lung lesions.

Main Methods:

  • Retrospective review of patients undergoing segmentectomy between 2010-2019.
  • Definition of multiple segmentectomy as resection of segments from different lobes in a single operation.
  • Comparison of outcomes between multiple and single segmentectomy groups.

Main Results:

  • 11 patients (12 cases) underwent multiple segmentectomy compared to 324 for single segmentectomy.
  • Multiple segmentectomies were predominantly for metastatic lesions, involving a median of 3.5 lesions.
  • Multiple segmentectomy correlated with longer operative times, increased bleeding, and extended hospital stays, but without significant differences in severe complications or mortality.

Conclusions:

  • Multiple segmentectomy is a viable lung-preserving surgical option for patients with multiple lung lesions.
  • The procedure demonstrates feasible postoperative outcomes, comparable in terms of severe complications and mortality to single segmentectomy.