Lung Cancer Surgery Part C: Segmentectomy and Wedge Resection in the Surgical Treatment of NSCLC

Abstract

The standard treatment for stage I NSCLC is lobectomy with mediastinal lymph node sampling or dissection. The role of limited resection for stage IA lesions, especially those <= 2 cm in diameter is controversial despite many proponents. Patients with physiologic limitation prohibiting lobectomy should be evaluated for sublobar resection, as it seems to offer increasingly similar overall and cancer-free survival rates. Limited resection should be done with systematic or complete lymph node sampling.