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Ann Thorac Surg 1992;54:1193-1195
© 1992 The Society of Thoracic Surgeons

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Articles

Radical laser segmentectomy for T1 N0 lung cancer

Department of Thoracic Surgery, The Center for Adult Diseases, Osaka, Japan

Accepted for publication April 17, 1992.

^_* Address reprint requests to Dr Kodama, Department of Thoracic Surgery, The Center for Adult Diseases, 3 Nakamichi 1-chome, Higashinari-ku, Osaka 537, 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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