{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T01:21:41Z","timestamp":1776302501082,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Segmentectomy for early\u2010stage lung cancer has benefits for survival and parenchymal preservation. However, segmentectomies are technically challenging, thereby resulting in considerable variability in the quality of resection. In this study, we aimed to review the quality of segmentectomies and analyze their clinical impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study reviewed patients diagnosed with stage I lung cancer after segmentectomies between 2013 and 2021. Segmentectomies were classified as anatomical or nonanatomical; anatomical resection included segmental bronchus and vessel (artery and\/or vein) divisions; others were classified as nonanatomical. The primary outcome was recurrence\u2010free and overall survival, and the secondary outcome was postoperative spirometry and lung plication, which is seen as a fibrotic line along the stapling site.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 132 segmental resections included in this study, 101 (76.5%) were anatomical segmentectomies. The median consolidation\u2010tumor ratio was 0.40, and 83.3% (110\/132) had ground\u2010glass opacities (GGOs). Compared to nonanatomical resections, more N1 and total lymph node stations were retrieved after anatomical segmentectomies. Regarding clinical outcomes, recurrence\u2010free survival was better after anatomical segmentectomy (<jats:italic>p<\/jats:italic>\u2009=\u20090.049); however, overall survival was not significantly different (<jats:italic>p<\/jats:italic>\u2009=\u20090.064). Furthermore, at 3\u20136\u2009months postoperatively, thicker lung plication at the stapling site was observed in nonanatomical resections (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Subgroup analysis for complex segmentectomies revealed a larger decrease in forced\u2010expiration volume in 1\u2009s after nonanatomical resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anatomical segmentectomy resulted in better survival and a lower incidence of thick lung plication, even in GGO\u2010dominant tumors. Therefore, further standardization and quality management of segmentectomy procedures will improve the clinical outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.15162","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T06:51:05Z","timestamp":1701154265000},"page":"57-65","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Segmentectomy quality remains important in ground\u2010glass\u2010dominant stage I lung cancer"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0053-4470","authenticated-orcid":false,"given":"Wongi","family":"Woo","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital Yonsei University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital Yonsei University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae Hyun","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital Yonsei University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital Yonsei University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duk Hwan","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital Yonsei University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8998-9510","authenticated-orcid":false,"given":"Sungsoo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital Yonsei University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201209-1651OC"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0000000000000551"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30958-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3310\/THBQ1793"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02333-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2212083"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2022.05.050"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2022.08.042"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.11.018"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezab367"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz185"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.03.65"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2022.107037"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2022.10.003"}],"container-title":["Thoracic 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