At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on and debated over segmentectomy vs wedge resection.
Dr. Alessandro Brunelli, a consultant thoracic surgeon and Honorary Clinical Associate Professor at St. James’s University Hospital, Leeds, UK, spoke on the topic of “Segmentectomy Is the Operation of Choice for Peripheral <2cm Stage I NSCLC.” He addressed the results of self-reported dyspnea and the deterioration of shortness of breath in long-term survivors after segmentectomy or lobectomy for early-stage lung cancer. Additionally, he presented findings from a retrospective study on wedge resection vs segmentectomy in early-stage lung cancer considering resection margins and lymph node evaluation. Dr. Brunelli also examined nodal upstaging after segmentectomy and highlighted the increased risk of understaging with wedge resections, as well as future trials.
Next, Professor Eric Lim, a consultant thoracic surgeon in the Academic Division of Thoracic Surgery at Royal Brompton Hospital, London, UK, and a Professor of Thoracic Surgery at the National Heart and Lung Institute at Imperial College, London, UK, presented on “Wedge Resection: The Only Way for Peripheral <2cm Stage I NSCLC.” In his presentations, he discussed randomized controlled trial data vs “real world data,” as well as trials comparing segmentectomy to lobectomy trials. He also highlighted the disadvantages of segmentectomy and the advantages of wedge resection.
The session concluded with a debate between Dr. Brunelli and Professor Lim regarding segmentectomy vs wedge resection.
All presentations concluded with Q&A sessions.
In March 2026, the Society for Cardiothoracic Surgery in Great Britain and Ireland held its annual conference, uniting experts in cardiothoracic surgery to explore the newest innovations in technology and surgical methods. Watch for more SCTS 2026 videos in the coming weeks.
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