神戸大学附属図書館デジタルアーカイブ
https://hdl.handle.net/20.500.14094/0100489460

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メタデータID
0100489460
アクセス権
open access
出版タイプ
Version of Record
タイトル
Clinical outcomes of left upper segmentectomy vs. lobectomy for early non-small-cell lung cancer: a nationwide database study in Japan
著者
Tane, Shinya ; Okami, Jiro ; Maniwa, Yoshimasa ; Shintani, Yasushi ; Ito, Hiroyuki ; Ohtsuka, Takashi ; Toyooka, Shinichi ; Mori, Takeshi ; Watanabe, Shun-ichi ; Chida, Masayuki ; Endo, Shunsuke ; Nakanishi, Ryoichi ; Kadokura, Mitsutaka ; Suzuki, Hidemi ; Miyaoka, Etsuo ; Yoshino, Ichiro ; Date, Hiroshi ; Japanese Joint Committee of Lung Cancer Registry
著者ID
A3225
研究者ID
1000010707160
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail.html?systemId=98fd351ce98482cc520e17560c007669
著者名
Tane, Shinya
田根, 慎也
タネ, シンヤ
所属機関名
医学研究科
著者名
Okami, Jiro
著者ID
A0782
研究者ID
1000050362778
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail.html?systemId=5a0f3a6ba5a3f888520e17560c007669
著者名
Maniwa, Yoshimasa
眞庭, 謙昌
マニワ, ヨシマサ
所属機関名
医学研究科
著者名
Shintani, Yasushi
著者名
Ito, Hiroyuki
著者名
Ohtsuka, Takashi
著者名
Toyooka, Shinichi
著者名
Mori, Takeshi
著者名
Watanabe, Shun-ichi
著者名
Chida, Masayuki
著者名
Endo, Shunsuke
著者名
Nakanishi, Ryoichi
著者名
Kadokura, Mitsutaka
著者名
Suzuki, Hidemi
著者名
Miyaoka, Etsuo
著者名
Yoshino, Ichiro
著者名
Date, Hiroshi
著者名
Japanese Joint Committee of Lung Cancer Registry
言語
English (英語)
収録物名
Surgery Today
巻(号)
54(10)
ページ
1162-1172
出版者
Springer Nature
刊行日
2024-10
公開日
2024-05-13
注記
Published online: 18 April 2024
抄録
Purpose: Given that left upper lobe and right upper and middle lobes share a similar anatomy, segmentectomy, such as upper division and lingulectomy, should yield identical oncological clearance to left upper lobectomy. We compared the prognosis of segmentectomy with that of lobectomy for early stage non-small-cell lung cancer (NSCLC) in the left upper lobe. Methods: We retrospectively examined 2115 patients who underwent segmentectomy or lobectomy for c-stage I (TNM 8th edition) NSCLC in the left upper lobe in 2010. We compared the oncological outcomes of segmentectomy (n = 483) and lobectomy (n = 483) using a propensity score matching analysis. Results: The 5-year recurrence-free and overall survival rates in the segmentectomy and lobectomy groups were comparable, irrespective of c-stage IA or IB. Subset analyses according to radiological tumor findings showed that segmentectomy yielded oncological outcomes comparable to those of lobectomy for non-pure solid tumors. In cases where the solid tumor exceeded 20 mm, segmentectomy showed a recurrence-free survival inferior to that of lobectomy (p = 0.028), despite an equivalent overall survival (p = 0.38). Conclusion: Segmentectomy may be an acceptable alternative to lobectomy with regard to the overall survival of patients with c-stage I NSCLC in the left upper lobe.
キーワード
Left upper lobe
Non-small-cell lung cancer
Prognosis
Segmentectomy
カテゴリ
医学研究科
学術雑誌論文
権利
© The Author(s) 2024
CC license
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
関連情報
DOI
https://doi.org/10.1007/s00595-024-02844-8