%0 Journal Article
%T Asia expert consensus on segmentectomy in non-small cell lung cancer: A modified Delphi study.
%A Liu L
%A Aokage K
%A Chen C
%A Chen C
%A Chen L
%A Kim YH
%A Lee CY
%A Liu C
%A Liu CC
%A Nishio W
%A Suzuki K
%A Tan L
%A Tseng YL
%A Yotsukura M
%A Watanabe SI
%J JTCVS Open
%V 14
%N 0
%D 2023 Jun
%M 37425437
暂无%R 10.1016/j.xjon.2023.03.013
%X <B>UNASSIGNED: </B>Segmentectomy as a parenchymal-sparing surgical approach has been recommended over lobectomy in select patients with early-stage non-small cell lung cancer. This study aimed to address 3 aspects of segmentectomy ("patient indication"; "segmentectomy approaches"; "lymph node assessment") where there is limited clinical guidance.<BR><B>UNASSIGNED: </B>A modified Delphi approach comprising 3 anonymous surveys and 2 expert discussions was used to establish consensus on the aforementioned topics among 15 thoracic surgeons (2 Steering Committee; 2 Task Force; 11 Voting Experts) from Asia who have extensive segmentectomy experience. Statements were developed by the Steering Committee and Task Force based on their clinical experience, published literature (rounds 1-3), and comments received from Voting Experts through surveys (rounds 2-3). Voting Experts indicated their agreement with each statement on a 5-point Likert scale. Consensus was defined as ≥70% of Voting Experts selecting either "Agree"/"Strongly Agree" or "Disagree"/"Strongly Disagree."<BR><B>UNASSIGNED: </B>Consensus from the 11 Voting Experts was reached on 36 statements (11 "patient indication" statements; 19 "segmentation approaches" statements; 6 "lymph node assessment" statements). In rounds 1, 2, and 3, consensus was reached on 48%, 81%, and 100% of drafted statements, respectively.<BR><B>UNASSIGNED: </B>A recent phase 3 trial reported significantly improved 5-year overall survival rates for segmentectomy compared with lobectomy, proposing thoracic surgeons to consider segmentectomy as a surgical option in suitable patients. This consensus serves as a guidance to thoracic surgeons considering segmentectomy in patients with early non-small cell lung cancer, outlining key principles that surgeons should consider in surgical decision-making.