We are analyzing https://link.springer.com/article/10.1186/s12893-019-0643-0.

Title:
Surgical treatment to multiple primary lung cancer patients: a systematic review and meta-analysis | BMC Surgery
Description:
Background As there is no consensus on the optimal surgery strategy for multiple primary lung cancer (MPLC), we conducted this study to address this issue by comparing the prognosis of MPLC patients underwent different surgical strategies including sublobar resection and the standard resection through a systemic review and meta-analysis. Methods Relevant literature was obtained from three databases including PubMed, Embase and Web of Science. Inclusion and exclusion criteria were set for the screening of articles to be selected for further conduction of systemic review and meta-analysis. The HRs of OS of the sublobar group compared with standard resection group were extracted directly or calculated indirectly from included researches. Results Ten researches published from 2000 to 2017 were included in this study, with 468 and 445 MPLC cases for the standard resection group and sublobar resection group respectively. The result suggested that OS of MPLC patients underwent sublobar resection (segmentectomy or wedge resection for at least one lesion) was comparable with those underwent standard resection approach (lobectomy or pneumonectomy for all lesions), with HR 1.07, 95% CI 0.67–1.71, p = 0.784. Further analysis found no difference in subgroups of synchronous and metachronous (from second metachronous lesion), different population region and dominant sex type. Conclusions This study may reveal that sublobar resection is acceptable for patients with MPLC at an early stage, because of the equivalent prognosis to the standard resection and better pulmonary function preservation. Further research is needed to validate these findings.
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Keywords {🔍}

lung, resection, cancer, mplc, article, sublobar, patients, google, scholar, primary, multiple, standard, analysis, surgical, study, prognosis, stage, survival, synchronous, group, surg, data, included, cases, metachronous, treatment, lobectomy, lesions, studies, thorac, research, articles, surgery, researches, clinical, metaanalysis, pulmonary, size, published, literature, quality, access, full, methods, criteria, results, lesion, terms, publication, fig,

Topics {✒️}

org/professionals/physician_gls/pdf/nscl small-cell lung cancer improving peri-operative mortality sun yat-sen university newcastle-ottawa scaling system primary lung cancer ≤ 3 cm underwent lung-sparing resection cardio-thoracic surgery post-operative mplc patients post-operative mplc cases kaplan-meier survival curve ground-glass nodules suspected article download pdf primary lung cancer” primary lung cancer yi-yan lei & hong methods search strategy higgins i-squared test full access t3/t4/m1a category related subjects pre-operative evaluation single lung cancer optimal surgery strategy case random-effect model �multifocal lung cancer” lung cancer characterized multifocal lung cancer cardio-thoracic surg lung cancer due multiple primary lesions subgroup analysis based results literature search privacy choices/manage cookies thoracic surgery metachronous lung cancer unknown primary background primary malignant tumor european economic area ground glass opacity creative commons license bing-yu rao yi-yan lei independent primary tumors small size �lung neoplasms/secondary lung neoplasms/therapy” dominant sex type node-negative subgroup comprehensive online searches

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Multiple lung cancers prognosis: what about histology?

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         headline:Surgical treatment to multiple primary lung cancer patients: a systematic review and meta-analysis
         description:As there is no consensus on the optimal surgery strategy for multiple primary lung cancer (MPLC), we conducted this study to address this issue by comparing the prognosis of MPLC patients underwent different surgical strategies including sublobar resection and the standard resection through a systemic review and meta-analysis. Relevant literature was obtained from three databases including PubMed, Embase and Web of Science. Inclusion and exclusion criteria were set for the screening of articles to be selected for further conduction of systemic review and meta-analysis. The HRs of OS of the sublobar group compared with standard resection group were extracted directly or calculated indirectly from included researches. Ten researches published from 2000 to 2017 were included in this study, with 468 and 445 MPLC cases for the standard resection group and sublobar resection group respectively. The result suggested that OS of MPLC patients underwent sublobar resection (segmentectomy or wedge resection for at least one lesion) was comparable with those underwent standard resection approach (lobectomy or pneumonectomy for all lesions), with HR 1.07, 95% CI 0.67–1.71, p = 0.784. Further analysis found no difference in subgroups of synchronous and metachronous (from second metachronous lesion), different population region and dominant sex type. This study may reveal that sublobar resection is acceptable for patients with MPLC at an early stage, because of the equivalent prognosis to the standard resection and better pulmonary function preservation. Further research is needed to validate these findings.
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      name:Department of Thoracic Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, People’s Republic of China
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