La chirurgie du cancer du poumon localisé en 2024

Abstract

The progressive implementation of lung cancer screening is leading to earlier diagnoses. The treatment of localised lung cancers remains surgical, and surgery is becoming more personalised, with the possibility of peri-operative treatments even for early stages. In that context, obtaining a pre-operative diagnosis is important. Surgery itself is also becoming more individualised, adapted to the stage and location of the tumour. Complex segmentectomies are increasingly performed, this made possible by robot-assisted surgery, preoperative planning, intraoperative nodule localisation and techniques for defining intersegmental planes. When the indications are respected, sub lobar resections allow an equivalent overall survival and recurrence-free survival compared to lobectomy.