RT Book, Section A1 Raemdonck, Dirk Van A1 Decaluwé, Herbert A1 Leyn, Paul De A1 Carr, Shamus R. A1 Friedberg, Joseph S. A2 Sugarbaker, David J. A2 Bueno, Raphael A2 Colson, Yolonda L. A2 Jaklitsch, Michael T. A2 Krasna, Mark J. A2 Mentzer, Steven J. A2 Williams, Marcia A2 Adams, Ann SR Print(0) ID 1105842342 T1 Segmentectomy for Primary Lung Cancer T2 Adult Chest Surgery, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-178189-3 LK accesssurgery.mhmedical.com/content.aspx?aid=1105842342 RD 2024/04/20 AB Segmentectomy was initially described by Churchill and Belsey1 in 1939 for the treatment of bronchiectasis. Although the operation is still used to treat suppurative and other nonmalignant processes (e.g., aspergilloma, pulmonary sequestration), other pulmonary infections, pulmonary abscesses, and benign tumors of the lung (hamartomas, papillomas), this chapter concerns its controversial use in early-stage lung cancer.2 Until 1950, pneumonectomy was the standard of care for lung cancer. However, increasing awareness of the diminution of respiratory function caused by pneumonectomy soon led to interest in lobectomy and other lesser resections for tumors of amenable size and location. In 1973, Jensik et al.3 reported the first series of segmentectomies for early-stage lung cancer. Since then, limited resection for lung cancer has been a topic of much debate, and the controversy has been plagued by conflicting results between studies comparing segmentectomy and standard lobectomy or pneumonectomy.