ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Sublobar resections in early-stage non-small cell lung cancer
Murat Şahin1, Mustafa Bülent Yenigün2, Gökhan Kocaman2, Elif Duman3, Mehmet Ali Sakallı4, Murat Özkan2, Cabir Yüksel2, Ayten Kayı Cangır2, Hakan Kutlay2, Murat Akal2, Serkan Enön2
1Department of Thoracic Surgery, Dr. Abdurrahman Yurtarslan Ankara Oncology Training and Research Hospital, Ankara, Turkey
2Department of Thoracic Surgery, Ankara University Faculty of Medicine Ibn-i Sina Hospital, Ankara, Turkey
3Department of Thoracic Surgery, Yenimahalle Training and Research Hospital, Ankara, Turkey
4Department of Thoracic Surgery, Yüksekova State Hospital, Hakkari, Turkey
DOI : 10.5606/tgkdc.dergisi.2019.17695
Background: This study aims to evaluate the outcomes of sublobar resections in patients with early-stage non-small cell lung cancer and to investigate the factors affecting survival.

Methods: Medical files of a total of 63 patients (52 males, 11 females; mean age 64 years; range, 39 to 81 years) who underwent sublobar resection for suspected or known early-stage non-small cell lung cancer between January 2001 and August 2013 were retrospectively reviewed. Data including demographic characteristics of the patients, comorbid conditions, smoking status, surgical margin, visceral pleura invasion, distance from surgical margin to tumor, tumor size, pathological N status, cell type, tumor localization, and recurrences were recorded.

Results: Survival was significantly longer in the patients with negative surgical margin for tumor (R0) than in those with positive margin (R1) (94.1 months vs. 32.2 months, p<0.01). Survival was also significantly longer in the patients without lymphatic invasion (p<0.01).

Conclusion: In early-stage lung tumors, sublobar resection can be performed, if complete resection is performed. Lymphatic invasion is a negative prognostic factor for survival following sublobar resection.

Keywords : Early stage, lung cancer, sublobar resection, survival
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