{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:27:00Z","timestamp":1761514020631},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,6,8]],"date-time":"2017-06-08T00:00:00Z","timestamp":1496880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,6,8]],"date-time":"2017-06-08T00:00:00Z","timestamp":1496880000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although standard surgical treatment of stage I non\u2010small cell lung cancer (NSCLC) is lobectomy, sublobar resection may be elected for small\u2010sized (\u22642\u00a0cm) peripheral tumors. Our aim was examine the need for completion lobectomy in the event of confirmed pleural or lymphovascular invasion after sublobar resection of NSCLC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 271 consecutive patients undergoing curative resection of stage I NSCLC \u22642\u00a0cm were reviewed retrospectively, analyzing clinicopathologic findings and survival times of those with invasion\u2010positive (visceral pleural or lymphovascular invasion) or invasion\u2010negative (neither visceral pleural nor lymphovascular invasion) tumors by surgical approach (sublobar resection vs lobectomy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Aside from age and pulmonary function, clinicopathologic characteristics of the patient subsets did not differ significantly, nor did 5\u2010year recurrence\u2010free survival rates of surgical subsets (sublobar resection vs lobectomy) in respective tumor groups (invasion\u2010positive 78.9 vs 79.8%, <jats:italic>p<\/jats:italic> = 0.928; invasion\u2010negative 80.2 vs 85.4%, <jats:italic>p<\/jats:italic> = 0.505). In multivariate analysis, dissected lymph node count was the sole parameter significantly impacting recurrence of stage I invasion\u2010positive NSCLC (hazard ratio = 0.914, 95% confidence interval 0.845\u20130.988; <jats:italic>p<\/jats:italic> = 0.023). Sublobar resection was not a risk factor for recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Survival rates for patients with small\u2010sized (\u22642\u00a0cm) NSCLC and visceral pleural or lymphovascular invasion did not differ significantly, whether sublobar resection or lobectomy was done. Hence, completion lobectomy is unnecessary in this setting.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4075-7","type":"journal-article","created":{"date-parts":[[2017,6,8]],"date-time":"2017-06-08T13:08:23Z","timestamp":1496927303000},"page":"2769-2777","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Prognosis After Sublobar Resection of Small\u2010sized Non\u2010small Cell Lung Cancer with Visceral Pleural or Lymphovascular Invasion"],"prefix":"10.1002","volume":"41","author":[{"given":"Youngkyu","family":"Moon","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine The Catholic University of Korea 222 Banpo\u2010daero, Seocho\u2010gu 06591 Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyo Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Hospital Pathology, Seoul St. Mary\u2019s Hospital, College of Medicine The Catholic University of Korea Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Kil","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine The Catholic University of Korea 222 Banpo\u2010daero, Seocho\u2010gu 06591 Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,8]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003\u20104975(95)00537\u2010U"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.07.90"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.02.063"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.10.048"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2015.05.010"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e3181e77604"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyp156"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e31824cbad8"},{"key":"e_1_2_7_10_2","first-page":"1420","article-title":"Factors affecting tumor recurrence after curative surgery for NSCLC: impacts of lymphovascular invasion on early tumor recurrence","volume":"6","author":"Park C","year":"2014","journal-title":"J Thorac Dis"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.11.050"},{"issue":"1200","key":"e_1_2_7_12_2","first-page":"e1203","article-title":"Prognostic significance of histologic differentiation, carcinoembryonic antigen value, and lymphovascular invasion in stage I non\u2010small cell lung cancer","volume":"148","author":"Kuo SW","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.11.002"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2014.04.004"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.11.056"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-88441-7"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2015.10.022"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2013.05.104"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.08.75"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu028"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.07.054"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2016.06.031"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-017-4075-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-017-4075-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-017-4075-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-017-4075-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T17:18:16Z","timestamp":1704907096000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-017-4075-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,8]]},"references-count":21,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1007\/s00268-017-4075-7"],"URL":"https:\/\/doi.org\/10.1007\/s00268-017-4075-7","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,8]]}}}