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. 2006 Jan 31;61(7):597–603. doi: 10.1136/thx.2005.051995

Table 2 Trials comparing different surgical approaches for lung cancer.

Study and year Subjects Intervention Control Number randomised Outcomes
Yamaguchi University, Japan (1993–4)24 Clinical stage IA NSCLC, no mediastinoscopy Video‐assisted thoracoscopic lobectomy Thoracotomy and conventional lobectomy 100 Overall 5 year survival
Lung Cancer Study Group Trial, North America (1982–8)22 T1N0M0 peripheral NSCLC fit for lobectomy Limited resection (wedge resection or segmentectomy, i.e. less than lobectomy) Conventional lobectomy 276 Overall 5 year survival, local recurrence rate, death with cancer rate, pulmonary function
University of Munich and Central Hospital, Gauting, Germany (1989–91)13 Resectable NSCLC (stages I–IIIA) Thoracotomy, surgical resection, complete mediastinal lymph node dissection Thoracotomy, surgical resection, systematic sampling of mediastinal lymph nodes 201 Overall and progression free survival (median follow up 47 months)
Yamaguchi University, Japan (1985–92)14 Peripheral NSCLC <2 cm diameter, mediastinal and hilar lymph nodes <1 cm on CT (no mediastinoscopy) Thoracotomy, surgical resection, complete mediastinal lymph node dissection Thoracotomy, surgical resection, systematic sampling of mediastinal lymph nodes 115 Overall 5 year survival
Sun Yat‐Sen University of Medical Sciences, Guangzhou, China (1989–95)15 Pathologically confirmed NSCLC, clinical stages I–IIIA, age <71 years Thoracotomy, surgical resection, complete mediastinal lymph node dissection Thoracotomy, surgical resection, systematic sampling of mediastinal lymph nodes 532 Overall 5 year survival