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[Limited operation for lung cancer: wedge resection using stapling device]

S Sakata¹, I Yoshida, Y Otani

¹Second Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery

|February 10, 1998

Summary

Wedge resection for early lung cancer in poor-risk patients showed a 53% recurrence-free rate, significantly lower than lobectomy. This surgical approach is not recommended, even for high-risk individuals.

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Area of Science:

Thoracic surgery
Surgical oncology
Pulmonary medicine

Context:

Peripheral, clinical stage I lung carcinoma presents treatment challenges, especially in poor-risk patients.
Wedge resection using stapling devices is a minimally invasive option considered for select patients.
Lobectomy remains a standard surgical treatment for early-stage lung cancer.

Purpose:

To evaluate the efficacy of wedge resection with stapling devices for peripheral, clinical stage I lung carcinoma in poor-risk patients.
To compare the recurrence rates between wedge resection and lobectomy in this patient cohort.

Summary:

Ten poor-risk patients with early-stage lung cancer underwent wedge resection using a stapling device.
Four patients experienced local recurrence, and one developed a second primary tumor in the same lobe.

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The three-year recurrence-free rate for wedge resection was 53%, compared to 91% for lobectomy.

Impact:

Wedge resection using stapling devices demonstrates a significantly lower recurrence-free rate compared to lobectomy for early-stage lung cancer.
This surgical technique is deemed unacceptable for treating even poor-risk patients with peripheral, clinical stage I lung carcinoma due to high recurrence rates.