Surgical Management of Non-Small Cell Lung Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 15 December 2025 | Viewed by 408

Special Issue Editor


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Guest Editor
Department of Surgery, University of Szeged, H-6720 Szeged, Hungary
Interests: non-small cell lung cancer; surgery

Special Issue Information

Dear Colleagues,

It is a great honor for me to bring this Special Issue to your attention. With this publication, we aim to summarize the current practice and topics of research in the field of surgical treatment of non-small cell lung cancer.

In this Special Issue, original articles and reviews are welcome on the following topics:

  1. Neoadjuvant, adjuvant, or perioperative treatment of NSCLC;
  2. Preoperative investigation of the surgical treatment of NSCLC;
  3. Segmentectomy for NSCLC;
  4. Minimally invasive (VATS and robotic) surgery for NSCLC;
  5. Role of STAS in surgery for NSCLC;
  6. Innovative surgeries for NSCLC;
  7. Main airway surgery for NSCLC.

I look forward to receiving your contributions.

Dr. József Furák
Guest Editor

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Keywords

  • non-small cell lung cancer
  • surgery
  • treatment
  • segmentectomy

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Published Papers (1 paper)

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Research

15 pages, 2051 KiB  
Article
Comparison of the Diagnostic Efficiency of Mediastinal Lymph Node Endobronchial and Endoesophageal Ultrasound with Transcervical Extended Mediastinal Lymphadenectomy in Operable Non-Small Cell Lung Cancer
by Michal Wilkojc, Pawel Gwozdz, Sylweriusz Kosinski, Juliusz Pankowski, Artur Szlubowski, Aleksandra Kiszka-Wilkojc, Wojciech Czajkowski, Robert Kwiatkowski and Marcin Zielinski
Cancers 2025, 17(13), 2207; https://doi.org/10.3390/cancers17132207 - 1 Jul 2025
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Abstract
Objectives: The aim of the study was to compare the diagnostic efficiency between combined endobronchial ultrasound (EBUS)/endoesophageal ultrasound (EUS) and transcervical extended mediastinal lymphadenectomy (TEMLA) for preoperative staging of mediastinal lymph nodes in non-small cell lung cancer (NSCLC). Material and Methods: [...] Read more.
Objectives: The aim of the study was to compare the diagnostic efficiency between combined endobronchial ultrasound (EBUS)/endoesophageal ultrasound (EUS) and transcervical extended mediastinal lymphadenectomy (TEMLA) for preoperative staging of mediastinal lymph nodes in non-small cell lung cancer (NSCLC). Material and Methods: Between June 2011 and December 2017, a single-institution prospective randomized trial was conducted, and 250 patients with cytologically confirmed NSCLC, clinical stages cI–IIIA, were included. Positron emission tomography/computed tomography (PET/CT) was performed in all patients. After exclusions, 204 patients were randomized into the EBUS/EUS or TEMLA arms. Patients without N2/N3 metastases after mediastinal staging underwent surgery. The diagnostic yield and complication rates of the EBUS/EUS and TEMLA groups were compared. Results: There were 103 patients in the EBUS/EUS group, and N2 metastases were found in nine cases (8.7%). Ninety-four patients underwent surgery; in six cases, previously unsuspected N2 metastases were revealed. One hundred and one patients were randomized to the TEMLA group, which detected N2/N3 metastases in 15 cases (15.1%). Three patients were not operated on due to postoperative complications following TEMLA. Eighty-three patients underwent surgery, and a single N2 metastatic nodule was detected in one case. The diagnostic sensitivity, specificity, accuracy, PPV, and NPV were 94%, 100%, 99%, 100%, and 99% for TEMLA, respectively, and 60%, 100%, 94%, 100%, and 94% for EBUS/EUS, respectively. There was a significant difference in sensitivity (60% vs. 94%) between the EBUS/EUS and TEMLA groups in favor of the TEMLA group. Postoperative complications occurred in 6/101 (6%) patients after TEMLA, while no complications were observed in the EBUS/EUS group. Conclusions: TEMLA demonstrated superior sensitivity for detecting N2/3 disease compared to EBUS/EUS in terms of diagnostic performance for mediastinal staging of cI–IIIA NSCLC. Due to its more invasive nature, TEMLA was associated with a higher number of complications compared with EBUS/EUS. Full article
(This article belongs to the Special Issue Surgical Management of Non-Small Cell Lung Cancer)
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