3 Minute Papers: Lobectomy vs Segmentectomy for Lung Cancer

In this video, I summarize a recently published paper in the Lancet entitled: Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial"
Here's a link to the pub med abstract:
pubmed.ncbi.nlm.nih.gov/35461...
Check out my video on how to localize the segmental bronchi on chest CT:
• Lobar and Segmental Lu...
Textbooks I like for chest radiology-
Med students and all residents: Felson’s Principles of Chest Roentgenology
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Radiology residents: Thoracic Imaging: Pulmonary and Cardiovascular Radiology
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Thoracic radiology fellows: Muller’s Imaging of the Chest: Expert Radiology Series
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[@palanthrillether1665]

As a radiology resident, I truly truly appreciate your page. In a world of fewer and fewer cardiothoracic trained attendings, this has taught me an immense amount. I truly thank you for your continued work on this page. I regularly look out for updates. Between the reels, 3 minute papers, You're using a variety of modalities in video format which is absolutely incredible.

[@sagarwagle1]

Your videos are always amazing. I am a radiology resident, and I have learned a lot of radiology from your videos.

[@santiagocanepa9099]

Great video!

[@ferdinandhanife8983]

Nice!

[@nethskoreanostfave9369]

Hello doc do you also diagnose thymus problem and does it can be diagnose thru normal chest xray if any? I have pain in my sternum and radiates thru my shoulder. The pain is like it is inflammed, burning sensation, i dunno which best doctor I can go to because it gives me breathing difficulty almost everyday anytime. I already went to pulmo and cardio they told me clear. My ct scan was done last october first week by my symptoms is getting worse? Can you also help diagnose a patient if she is having a muscular problem with her breathing if not cause my lung problem or is it possible to request for another chest ct because it’s already month of June now? I hope my comment be noticed.

[@tanuj27]

5 year relapse free is similar in both groups but local recurrance is more in segmentectomy group. How to diagnose local recurrance in post op cases ?

[@ThoracicRadiology]

Best place to look is along the staple line. In cases of slow growing tumors, it is important to not just look at the immediate prior study but also remote priors as the growth can be difficult to perceive. Second place to look is for mediastinal/hilar lymphadenopathy.

[@tony8909140815]

But Asamura (PI) himself still can not confidently acknowledge the superiority of segmentectomy over lobectomy in the latest correspondence. So the conclusion I suppose still can not the drawn right now.

[@ThoracicRadiology]

Thanks for that input. Do you have a link to the article you are referring to?