Professional Documents
Culture Documents
Smokers: Non-smokers:
How Tobacco get involved with Lung Cancer
OVERVIEW
• Lobectomy with
mediastinal node
sampling on VATS by
Robert McKenna
• VATs
Perioperative Outcomes
Surgery Time (hours), Blood Loss (ml),
Chest Drain (days), Hospital Stay (days)
Upstage
T2b: >5cm, but 7cm T3: >5cm, but 7cm
Upstage
T3: >7cm T4: >7cm
Population based study on SEER show that 1 to 2cm or <1cm
determine the selection for lobectomy, wedge resection and
segmentectomy.
NSCLC 肿瘤 1-2cm,
OS 和 LCSS:肺叶切除>肺段切除
>楔形切除
Ⅱ Surgery
NSCLC
Ⅲ MDT Surgery LN Staging
GGO>50%
Segmentectomy or Lobectomy
T1b 1-2cm
Solid>50% Lobectomy
SPN
Outer Field Wedge
Pure GGO
Inner/Middle Field Follow up Anxiety ?
Malignancy:
Solid>50% Sublobectomy
Lobectomy
SPN: Imaging—Pathology—Pr ognosis
AIS Lepidic IAD Solid IAD
Different Subtypes
Lepidic Acinar
Solid
Pr ecision
medicine
Now let us think about it again
More and more patients with early stage lung cancer influx into OR
for surgery. It seems like surgeon WIN the business in early stage
lung cancer.
But
EGFR
Histologic Anti–PD-1
ALK
subtype Anti–PD-L1
ROS1
My E-mail: liyongdoctor@126.com
THANK YOU!