OnCo
termsTerm

Segmentectomy (sublobar resection)

aka sublobar resection, wedge resection, segmentectomies

Removing only a segment or wedge of a lung lobe rather than the whole lobe, sparing breathing capacity.

Once reserved for patients who could not tolerate lobectomy, anatomical segmentectomy became a standard option for peripheral tumours ≤2 cm after JCOG0802 (2022) showed better overall survival and CALGB 140503 showed non-inferior disease-free survival. Wedge resection is a non-anatomical version with less lymph node clearance. The same lung-sparing logic drives lung-sparing surgery in mesothelioma and parenchyma-sparing liver resection.

Category
Procedures

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