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The Annals of Thoracic Surgery, Vol 54, 1193-1195, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Radical laser segmentectomy for T1 N0 lung cancer

K Kodama, O Doi, T Yasuda, M Higashiyama and H Yokouchi
Department of Thoracic Surgery, Center for Adult Diseases, Osaka, Japan.

Over the last 40 months, 18 lung cancer patients with T1 N0 non-small cell lung carcinoma have been treated with radical laser segmentectomy. This innovative operative method consists of a combination of anatomical or nonanatomical segmentectomy by neodymium:yttrium-aluminum garnet laser parenchyma sparing with complete hilar lymph node dissection. Although the median follow-up period is too short, there is no local recurrence and no cancer deaths. There have been no major complications. Even deep-seated tumors can be resected with a clear safety margin using this method. Radical laser segmentectomy may be a useful adjunct to preserve normal lung tissue and to perform very radical resection.

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