Limited operation for stage I lung cancer: a retrospective study
Katakura, H.; Yamashita, N.; Iwakiri, S.; Ozaki, Y.; Nagai, S.; Okazaki, T.; Hanawa, T.; Yasuda, Y.; Misaki, K.; Hatakenaka, R.; Matsubara, Y.; Funatsu, T.; Ikeda, S.
Kyobu Geka. Japanese Journal of Thoracic Surgery 51(1): 46-49
1998
ISSN/ISBN: 0021-5252 PMID: 9455070 Document Number: 496478
Although lobectomy is standard therapy for Stage I non-small cell lung cancer, it often cannot be performed in poor-risk patients. In this report, we describe the results of a retrospective study to assess the usefulness of limited operation for stage I lung cancer. Over a 21-year period, 1,286 lung cancers were resected at our center. Among the 497 patients with stage I lung cancer, 36 sublobar resections were performed. There was only one surgery-related death, and the 5-year survival rate was 46% for all patients. At 5 years, survival was 69.2% for patients with squamous cell carcinoma and 33.7% for patients with adenocarcinoma. Survival rates were higher in patients who underwent mediastinoscopy than those who did not, and depended on histological findings and accurate pathological staging.