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A Meta-Analysis Comparing Lobectomy versus Segmentectomy in Stage I Non-Small Cell Lung Cancer.一项比较Ⅰ期非小细胞肺癌肺叶切除术与肺段切除术的Meta分析。
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Video-assisted thoracoscopic surgery for non-small-cell lung cancer in elderly patients: a single-center, case-matched study.老年非小细胞肺癌患者的电视辅助胸腔镜手术：一项单中心病例匹配研究
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本文引用的文献

1
Is lobectomy really more effective than sublobar resection in the surgical treatment of second primary lung cancer?肺叶切除术在第二原发性肺癌的外科治疗中真的比亚肺叶切除术更有效吗？
Eur J Cardiothorac Surg. 2013 Aug;44(2):e120-5; discussion e125. doi: 10.1093/ejcts/ezt219. Epub 2013 May 8.
2
Surgical outcomes of lung cancer measuring less than 1 cm in diameter.直径小于1厘米的肺癌的手术结果。
Interact Cardiovasc Thorac Surg. 2012 Nov;15(5):854-8. doi: 10.1093/icvts/ivs337. Epub 2012 Aug 17.
3
Video-assisted thoracoscopic trisegmentectomy and left upper lobectomy provide equivalent survivals for stage IA and IB lung cancer.电视辅助胸腔镜三肺段切除术与左全肺切除术治疗ⅠA 和ⅠB 期肺癌的生存情况相当。
J Thorac Cardiovasc Surg. 2012 Sep;144(3):S23-6. doi: 10.1016/j.jtcvs.2012.05.071.
4
Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy for small-sized stage IA lung cancer.胸腔镜下解剖性肺段切除术与肺叶切除术治疗小型ⅠA 期肺癌的比较。
Ann Thorac Surg. 2012 Aug;94(2):362-7. doi: 10.1016/j.athoracsur.2012.04.047. Epub 2012 Jun 21.
5
Anatomic segmentectomy for the solitary pulmonary nodule and early-stage lung cancer.解剖性肺段切除术治疗孤立性肺结节和早期肺癌。
Ann Thorac Surg. 2012 Jun;93(6):1780-5; discussion 1786-7. doi: 10.1016/j.athoracsur.2011.11.074. Epub 2012 Apr 6.
6
Influence of age and IB status after resection of node-negative non-small cell lung cancer.淋巴结阴性非小细胞肺癌切除术后年龄和 IB 状态的影响。
Ann Thorac Surg. 2012 Mar;93(3):929-35; discussion 935-6. doi: 10.1016/j.athoracsur.2011.09.047.
7
Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths.癌症统计数据，2011 年：消除社会经济和种族差异对癌症过早死亡的影响。
CA Cancer J Clin. 2011 Jul-Aug;61(4):212-36. doi: 10.3322/caac.20121. Epub 2011 Jun 17.
8
Global patterns of cancer incidence and mortality rates and trends.全球癌症发病率、死亡率的分布格局及变化趋势。
Cancer Epidemiol Biomarkers Prev. 2010 Aug;19(8):1893-907. doi: 10.1158/1055-9965.EPI-10-0437. Epub 2010 Jul 20.
9
Accuracy of PET/CT in characterization of solitary pulmonary lesions.PET/CT在孤立性肺结节特征描述中的准确性。
J Nucl Med. 2007 Feb;48(2):214-20.
10
A case-matched study of anatomical segmentectomy versus lobectomy for stage I lung cancer in high-risk patients.一项针对高危患者I期肺癌行解剖性肺段切除术与肺叶切除术的病例对照研究。
Eur J Cardiothorac Surg. 2005 Apr;27(4):675-9. doi: 10.1016/j.ejcts.2005.01.006.

肺叶切除术与肺段切除术治疗非小细胞肺癌疗效的Meta分析

Meta-analysis for curative effect of lobectomy and segmentectomy on non-small cell lung cancer.

作者信息

Tan Qiang, Huang Jia, Ding Zhengping, Lin Hao, Lu Shun, Luo Qingquan

机构信息

Department of Shanghai Lung Cancer Center, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai 200030, China.

出版信息

Int J Clin Exp Med. 2014 Sep 15;7(9):2599-604. eCollection 2014.

PMID:25356115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4211765/
Abstract

OBJECTIVE

To systematically evaluate 5-year survival, local recurrence rate, long-term recurrence rate and complications for lobectomy and segmentectomy in the treatment of NSCLC.

METHODS

Articles on randomized and non-randomized clinical studies of 5-year survival, local recurrence, long-term recurrence and complications after lobectomy and segmentectomy for treatment of NSCLC.

RESULTS

Among the included patients, no difference was found between the two groups in local recurrence. However, the incidence of complication in the segmentectomy group was found to be significantly higher than in the lobectomy group.

CONCLUSION

For treatment of NSCLC, as compared with segmentectomy, suggesting that lobectomy is the preferable method.

摘要

目的

系统评估肺叶切除术和肺段切除术治疗非小细胞肺癌（NSCLC）的5年生存率、局部复发率、长期复发率及并发症。

方法

关于肺叶切除术和肺段切除术治疗NSCLC后5年生存率、局部复发、长期复发及并发症的随机和非随机临床研究文章。

结果

纳入患者中，两组局部复发无差异。然而，发现肺段切除术组并发症发生率显著高于肺叶切除术组。

结论

对于NSCLC的治疗，与肺段切除术相比，提示肺叶切除术是更可取的方法。