Advances in surgical management of multiple pulmonary nodules
10.3760/cma.j.cn114798-20250513-00417
- VernacularTitle:肺多发结节的外科治疗进展
- Author:
Yi TIAN
1
;
Hongfeng TONG
1
;
Chuan HUANG
1
Author Information
1. 北京医院胸外科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Publication Type:Journal Article
- Keywords:
Lung neoplasms;
Pulmonary surgical procedures;
Mulpitle pulmonary nodules
- From:
Chinese Journal of General Practitioners
2025;24(12):1576-1583
- CountryChina
- Language:Chinese
-
Abstract:
The widespread adoption of low-dose chest CT has facilitated earlier detection and treatment of lung cancer. Conventional surgery remains the primary treatment modality with the most definitive efficacy. However, the rapidly growing number of patients with early-stage lung nodules presents a new challenge in managing those with multiple primary lung nodules (MPLN). Extensive surgical resection of multiple nodules, which can lead to significant pulmonary function loss, demands high cardiopulmonary reserve, and carries a substantial risk of complications, is often not suitable for patients with advanced age, poor general condition, or challenging nodule locations. This article reviews the primary surgical modalities for multiple pulmonary nodules, discussing their respective advantages and disadvantages. It also presents our center′s experience with a hybrid approach that integrates conventional surgery and radiofrequency ablation, aiming to minimize perioperative risks while preserving long-term oncological outcomes.
