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Segmental resection for bronchogenic carcinoma.

R J Jensik, L P Faber, C F Kittle

The Annals of Thoracic Surgery

|November 1, 1979

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Segmental resection for early-stage lung cancer shows a 53% 5-year survival rate. Epidermoid bronchogenic carcinoma offers the most favorable prognosis in this surgical approach.

Area of Science:

Thoracic Surgery
Surgical Oncology
Pulmonary Medicine

Background:

Segmental resection is a surgical option for peripheral, Stage I bronchogenic carcinoma.
Understanding the outcomes of this procedure is crucial for treatment planning.

Purpose of the Study:

To evaluate the efficacy and outcomes of segmental resection for Stage I lung cancer.
To analyze survival rates and complications associated with this surgical approach.

Main Methods:

A retrospective review of 168 patients undergoing segmental resection for peripheral, Stage I bronchogenic carcinoma between 1957 and 1978.
Analysis of tumor types, resection locations, surgical mortality, complications, and long-term survival.

Main Results:

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The most common tumor types were adenocarcinoma (44%) and epidermoid (34%).
Surgical mortality was low (<2%), with air leak being the most frequent complication (6%).
Actuarial survival rates were 53% at 5 years, 33% at 10 years, and 25% at 15 years. Patients with epidermoid lesions demonstrated the best prognosis.

Conclusions:

Segmental resection is a viable surgical option for select patients with early-stage lung cancer, offering acceptable mortality and complication rates.
Long-term survival is achievable, with significant differences noted based on tumor histology, favoring epidermoid types.