TABLE 2

Studies comparing lobectomy and segmentectomy functional consequences

First author [ref.]YearProcedurePatients nMean pre-operative FEV1 % predPFT delay monthsMean FEV1 change %
Ginsberg [4]1995Lobectomy7193% patients >50%6−9.1
12–18−11.09
Segmentectomy6793% patients >50%6−1.76#
12–18−5.18#
Takizawa [16]1999Lobectomy401050.5−26.7
12−13.7
Segmentectomy401090.5−24.5#
12−6.7#
Keenan [8]2004Lobectomy1477512−10
Segmentectomy545512−5
Martin-Ucar [11]2005Lobectomy12443–6−12
Segmentectomy11453–6+12#
Harada [5]2005Lobectomy45742−24
6−18
Segmentectomy38752−15#,¶
6−12#,¶
Okada [13]2006Lobectomy1682.32 L+2−16.8
Segmentectomy1681.93 L+2−9.4
Kashiwabara [7]2009Lobectomy471076Normal FEV1: −18.9
FEV1 <70%: −12.8
Segmentectomy711096Normal FEV1: −12.9#
FEV1 <70%: −13.8
Saito [14]2014Lobectomy126771−28
6−19
Segmentectomy52781−22
6−10#
Hwang [6]2015Lobectomy94101NA−11.0
Segmentectomy94102NA−8.9
Kim [9]2015Lobectomy2271093−13.6
12−8.49
Segmentectomy731003−4.84#
12−1.74#
Macke [10]2015Lobectomy70856–36−8.2
Segmentectomy89796–36−4.3#
Suzuki [15]2016Lobectomy33752−29
7–12−11
Segmentectomy37732−19
7–12−12
Nomori [12]§2016Segmentectomy117<2 seg: 1057 (6–13)<2 seg: −3#
≥2 seg: 114≥2 seg: −10#
LUD: 117LUD: −16
Lobectomy13LUL: 114LUL: −17

FEV1: forced expiratory volume in 1 s; PFT: pulmonary function test; NA: not available. #: significant difference between lobectomy and segmentectomy; : calculated from data or extracted from figures; +: absolute values in L given where no % pred values available; §: compared resections <2 segments (<2 seg), ≥2 segments (≥2 seg), of the left upper division (LUD) and left upper lobectomy (LUL).