• Thoracic surgery clinics · May 2007

    Review

    Open lobectomy for patients with stage I non-small cell lung cancer.

    • Shawn S Groth and Michael A Maddaus.
    • Department of Surgery, University of Minnesota Medical School, MMC 207, 420 Delaware Street SE, Minneapolis, MN 55455, USA. groth015@umn.edu
    • Thorac Surg Clin. 2007 May 1;17(2):203-15.

    AbstractUntil additional multi-institutional, randomized, controlled trials provide evidence to the contrary, open lobectomy with mediastinal lymphadenectomy should be considered the gold standard for treating patients with stage I NSCLC with sufficient cardiopulmonary reserve, including older patients. It is the operation with which alternative pulmonary resections, including video-assisted thoracoscopic lobectomy and sublobar resection, should be compared. In treating stage I NSCLC patients, sublobar resection should be reserved for patients with inadequate physiologic reserve to tolerate lobectomy and for those enrolled in clinical trials.

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