胸外科英文文獻(xiàn)匯報2017.11.23

AnatomicalSegmentectomyandWedgeResections

AreAssociatedwithComparableOutcomesforPatientswithSmallcT1N0Non–SmallCellLungCancer

肺段與肺楔形切除cT1N0NSCLC對比分析2017.11.23

Objectives

Sublobarresection(亞肺葉切除)isadvocatedforpatientswithNSCLCandcompromisedcardiopulmonaryreserve(心肺功能儲備差),andforselectedpatientswithearlystagedisease(選擇性早期肺癌患者).Anatomicsegmentectomy(AS)hastraditionallybeenconsideredsuperior(優(yōu)于)towedgeresection(WR),butwell-balancedcomparativestudiesarelacking.Wehypothesize（猜測）thatWRandASareassociatedwithcomparableoncologicoutcomesforpatientswithcT1N0NSCLC.

NewYorkPresbyterianHospital(美國紐約長老會醫(yī)院)StilesThoracOncolMethods

Aretrospectivereview（回顧性分析）ofaprospectivedatabase（前瞻性數(shù)據(jù)庫）wasperformed(2000–2014)forcT1N0patients,excludingpatientswithmultipleprimarytumors,carcinoidtumors,adenocarcinomainsitu,andminimallyinvasiveadenocarcinoma.（多原發(fā)腫瘤，類癌，原位腺癌，低侵襲性腺癌）Demographic（人口統(tǒng)計）,clinical,andpathologicaldatawerereviewed.Overallsurvival(OS)anddisease-freesurvival(DFS)wereestimatedusingtheKaplan-Meiermethodanddifferencescomparedusinglog-ranktest（對數(shù)秩檢驗）.Multivariableanalysis(MVA)（多變量分析）offactorsaffectingDFSwasperformedbyCoxregressionanalysis（考克斯回歸分析）.Methods

Forfurthercomparisonoftheeffectofresectiontypeonsurvival,propensityscorematching(i.e,byage,sex,Charlsoncomorbidityindex（察爾森指數(shù)),percentforcedexpiratoryvolumein1second(FEV1%),clinicaltumorsize,andtumormaximumstandardizeduptakevalue(腫瘤最大標(biāo)準(zhǔn)化攝取值SUVmax),wa