Wedge Resection of Pulmonary Nodules (≤2 cm):
A Consensus Statement by Specialists of Thoracic Surgery (2023 Edition).
10.3779/j.issn.1009-3419.2023.102.17
- Author:
Jian HU
1
;
Jun CHEN
2
;
Chang CHEN
3
;
Wenzhao ZHONG
4
;
Qing GENG
5
Author Information
1. Department of Thoracic Surgery, the First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, China.
2. Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin 300054, China.
3. Department of Thoracic Surgery, Shanghai
Pulmonary Hospital, Tongji University, Shanghai 200433, China.
4. Department of Thoracic Surgery, Guangdong General Hospital,
Guangzhou 519041, China.
5. Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, China.
- Collective Name:Editorial Committee of Consensus on Wedge Resection of Lung Nodules (≤2 cm) (2023 Edition)
- Publication Type:Journal Article
- Keywords:
Consensus;
Pulmonary nodules;
Wedge resection
- MeSH:
Humans;
Thoracic Surgery;
Carcinoma, Non-Small-Cell Lung;
Lung Neoplasms/surgery*;
Thoracic Surgical Procedures;
Multiple Pulmonary Nodules;
Small Cell Lung Carcinoma
- From:
Chinese Journal of Lung Cancer
2023;26(5):338-347
- CountryChina
- Language:Chinese
-
Abstract:
Lung cancer is the highest cancer-related mortality rate in the world, and is one of the most common malignancies. The standard treatment for early-stage non-small cell lung cancer (NSCLC) is radical lobectomy, while recent studies have found that sub-lobectomy of pulmonary nodules (≤2 cm) is not inferior to lobectomy and even improve the prognosis of the patients. These important findings will effectively and positively promote the formation of consensus and principles of wedge resection of pulmonary nodules (≤2 cm) in the field of thoracic surgery. The purpose of this study is to present a national expert consensus on wedge resection of pulmonary nodules (≤2 cm) in the field of thoracic surgery. The experts from Editorial Committee of Consensus on Wedge Resection of Lung Nodules (≤2 cm) (2023 Edition) jointly participated in the revision work. According to the clinical progress about the wedge resection of pulmonary nodules (≤2 cm) at home and abroad during recent years, experts jointly wrote Wedge Resection of Pulmonary Nodules (≤2 cm): a Consensus Statement by Specialists of Thoracic Surgery (2023 Edition), in combination with the homogeneous treatment principles of wedge resection in the field of thoracic surgery in China. This consensus was summarized from the following aspects: (1) Indications of wedge resection of pulmonary nodules (≤2 cm); (2) Resection range of pulmonary nodules (≤2 cm) required for wedge resection; (3) Excisable pulmonary nodules (≤2 cm) for wedge resection. This consensus finally put forward 8 recommended opinions, and sorted out 5 opinions which were still controversial and needed more evidence. The integrated opinions were generated through the discussion held among the experts of thoracic surgery from all over the country, making wedge resection of pulmonary nodules (≤2 cm) more appropriate for China and more standardized and homogeneous for clinical practice. In the future, more relevant researches should be accumulated based on the characteristics of lung cancer and its diagnosis and treatment in China, optimizing the treatment of pulmonary nodules (≤2 cm).