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December 29, 2025Asian Journal of SurgeryOpen Access

A multicenter retrospective study on surgical outcomes of lobectomy with pulmonary arterioplasty versus pneumonectomy for centrally-located left upper lobe non-small cell lung cancer

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Why the study?

Does lobectomy with pulmonary arterioplasty improve outcomes compared to pneumonectomy in patients with centrally located left upper lobe non-small cell lung cancer?

Population

86 patients with centrally located left upper lobe non-small cell lung cancer

Comparison

Lobectomy with pulmonary arterioplasty vs Pneumonectomy

Design

Cohort

Follow-up

5 years

Key result

Lobectomy with pulmonary arterioplasty for left upper lobe non-small cell lung cancer resulted in a 5-year overall survival of 69.5% vs 40.0% for pneumonectomy, with no significant difference.

Authors

MYMao YoshikawaHTHiroyuki TaoHMHisao Mizutani

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Overview

Supports lung-preserving surgery amid modern perioperative therapies; leaves open need for prospective trials on oncologic outcomes.

Study Design

Type

Observational (n=86)

Multicenter

Yes

Structured PICO

Does lobectomy with pulmonary arterioplasty improve outcomes compared to pneumonectomy in patients with centrally located left upper lobe non-small cell lung cancer?

P
Population
86 patients who underwent either lobectomy with pulmonary arterioplasty or pneumonectomy for centrally located left upper lobe non-small cell lung cancer at multiple centers between 2012 and 2020.
E
Exposure
Lobectomy with pulmonary arterioplasty
C
Comparator
Pneumonectomy
O
Outcome
5-year overall survival ratehard clinical

Main Result

Absolute Event Rate: 69.5% vs 40%

p-value: p=not significant

Lobectomy with pulmonary arterioplasty offers better preservation of respiratory function and fewer complications with comparable survival to pneumonectomy for left upper lobe non-small cell lung cancer.

Cite This Study

Yoshikawa et al. (2025) conducted an observational in centrally located left upper lobe non-small cell lung cancer (n=86). Lobectomy with pulmonary arterioplasty vs. Pneumonectomy was evaluated on 5-year overall survival rate (p=not significant). Lobectomy with pulmonary arterioplasty for left upper lobe non-small cell lung cancer resulted in a 5-year overall survival of 69.5% vs 40.0% for pneumonectomy, with no significant difference.

synapsesocial.com/papers/6aac8e0c73d45ce76cf0fd6dhttps://doi.org/10.1016/j.asjsur.2025.12.024
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