Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective
Surgery remains an essential element of the multimodality radical treatment of patients with early-stage nonsmall cell lung cancer. In addition, thoracic surgery is one of the key specialties involved in the lung cancer tumour board. The importance of the surgeon in the setting of a multidisciplinar...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2024-03-01
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| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/33/171/230195.full |
| _version_ | 1797223642300416000 |
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| author | Clemens Aigner Hasan Batirel Rudolf M. Huber David R. Jones Alan D.L. Sihoe Tomaž Štupnik Alessandro Brunelli |
| author_facet | Clemens Aigner Hasan Batirel Rudolf M. Huber David R. Jones Alan D.L. Sihoe Tomaž Štupnik Alessandro Brunelli |
| author_sort | Clemens Aigner |
| collection | DOAJ |
| description | Surgery remains an essential element of the multimodality radical treatment of patients with early-stage nonsmall cell lung cancer. In addition, thoracic surgery is one of the key specialties involved in the lung cancer tumour board. The importance of the surgeon in the setting of a multidisciplinary panel is ever-increasing in light of the crucial concept of resectability, which is at the base of patient selection for neoadjuvant/adjuvant treatments within trials and in real-world practice. This review covers some of the topics which are relevant in the daily practice of a thoracic oncological surgeon and should also be known by the nonsurgical members of the tumour board. It covers the following topics: the pre-operative selection of the surgical candidate in terms of fitness in light of the ever-improving nonsurgical treatment alternatives unfit patients may benefit from; the definition of resectability, which is so important to include patients into trials and to select the most appropriate radical treatment; the impact of surgical access and surgical extension with the evolving role of minimally invasive surgery, sublobar resections and parenchymal-sparing sleeve resections to avoid pneumonectomy. |
| first_indexed | 2024-04-24T13:40:28Z |
| format | Article |
| id | doaj.art-2463c732387d4ae4aac9d310a2ae1853 |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-04-24T13:40:28Z |
| publishDate | 2024-03-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-2463c732387d4ae4aac9d310a2ae18532024-04-04T08:47:47ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172024-03-013317110.1183/16000617.0195-20230195-2023Resectable non-stage IV nonsmall cell lung cancer: the surgical perspectiveClemens Aigner0Hasan Batirel1Rudolf M. Huber2David R. Jones3Alan D.L. Sihoe4Tomaž Štupnik5Alessandro Brunelli6 Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria Department of Thoracic Surgery, Marmara University, Istanbul, Turkey Division of Respiratory Medicine and Thoracic Oncology, and Thoracic Oncology Centre Munich, Ludwig-Maximilians-Universität in Munich, Munich, Germany Department of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA Department of Cardio-Thoracic Surgery, CUHK Medical Centre, Hong Kong, China Department of Thoracic Surgery, Ljubljana University Medical Centre, Ljubljana, Slovenia Department of Thoracic Surgery, St James's University Hospital, Leeds, UK Surgery remains an essential element of the multimodality radical treatment of patients with early-stage nonsmall cell lung cancer. In addition, thoracic surgery is one of the key specialties involved in the lung cancer tumour board. The importance of the surgeon in the setting of a multidisciplinary panel is ever-increasing in light of the crucial concept of resectability, which is at the base of patient selection for neoadjuvant/adjuvant treatments within trials and in real-world practice. This review covers some of the topics which are relevant in the daily practice of a thoracic oncological surgeon and should also be known by the nonsurgical members of the tumour board. It covers the following topics: the pre-operative selection of the surgical candidate in terms of fitness in light of the ever-improving nonsurgical treatment alternatives unfit patients may benefit from; the definition of resectability, which is so important to include patients into trials and to select the most appropriate radical treatment; the impact of surgical access and surgical extension with the evolving role of minimally invasive surgery, sublobar resections and parenchymal-sparing sleeve resections to avoid pneumonectomy.http://err.ersjournals.com/content/33/171/230195.full |
| spellingShingle | Clemens Aigner Hasan Batirel Rudolf M. Huber David R. Jones Alan D.L. Sihoe Tomaž Štupnik Alessandro Brunelli Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective European Respiratory Review |
| title | Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective |
| title_full | Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective |
| title_fullStr | Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective |
| title_full_unstemmed | Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective |
| title_short | Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective |
| title_sort | resectable non stage iv nonsmall cell lung cancer the surgical perspective |
| url | http://err.ersjournals.com/content/33/171/230195.full |
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