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Table 2 Surgical parameters and pathological features

From: Prognostic factors affecting survival in patients with non-small cell lung cancer treated with salvage surgery after drug therapy: a multi-institutional retrospective study

Characteristics

Cytotoxic agent (n = 12)

TKI (n = 16)

ICI (n = 4)

All drugs (n = 32)

Indications for salvage surgery

 Local progression after drug therapy

3 (25)

11 (69)

1 (25)

15 (47)

 Tumor remission to be resectable

8 (67)

5 (31)

3 (75)

16 (50)

 Discontinuation of prior drug therapy

1 (8)

0

0

1 (3)

Surgical procedure

 Lobectomy

11 (92)

14 (88)

3 (75)

28 (88)

 Segmentectomy

0

1 (6)

1 (25)

2 (6)

 Wedge resection

1 (8)

1 (6)

0

2 (6)

Surgical approach

 Video-assisted thoracic surgery

7 (58)

12 (75)

1 (25)

20 (62)

 Open chest surgery

5 (42)

4 (25)

3 (75)

12 (38)

Mediastinal lymph node dissection (+)

8 (67)

13 (81)

4 (100)

25 (78)

Bronchial stump coverage

4 (33)

5 (31)

1 (25)

10 (31)

Bronco-/pulmonary artery plasty

0

3 (19)

0

3 (9)

Complete resection of the primary lesion

12 (100)

13 (81)

3 (75)

28 (88)

Median blood loss volume, mL (range)

85 (0–1005)

95 (0–300)

596 (0–1006)

100 (0–1006)

Median duration of operation, min (range)

194 (47–444)

218 (77–293)

345 (182–438)

218 (47–444)

Median duration of a chest drain placement, days (range)

2 (0–5)

3 (2–27)

4 (3–6)

3 (0–27)

Median postoperative hospital stay, days (range)

8 (3–34)

7 (4–30)

13 (5–22)

8 (3–34)

Postoperative complication

2 (17)

3 (19)

1 (25)

6 (19)

Pathological stage (yp stage)

 0 (no residual tumor)

1 (8)

1 (6)

2 (50)

4 (13)

 I

4 (33)

8 (50)

0

12 (38)

 II

1 (8)

1 (6)

0

2 (6)

 IIIA

5 (42)

3 (19)

1 (25)

9 (28)

 IIIB

1 (8)

0

0

1 (3)

 IV

0

3 (19)

1 (25)

4 (13)

Histologic type

 Adenocarcinoma

9 (75)

16 (100)

3 (75)

28 (88)

 Squamous cell carcinoma

2 (17)

0

0

2 (6)

 Large cell neuroendocrine carcinoma

1 (8)

0

0

1 (3)

 Non-small cell carcinoma (NOS)

0

0

1 (25)

1 (3)

Driver gene alteration

 ALK

0

1 (6)

0

1 (3)

 EGFR

    

 Exon 19 deletion

1 (8)

13 (81)

0

14 (44)

 Exon 21 L858R

1 (8)

2 (13)

0

3 (9)

PD-L1 expression

 < 1%

1 (8)

8 (50)

1 (25)

10 (31)

 1–50%

1 (8)

0

1 (25)

2 (6)

 > 50%

1 (8)

0

2 (50)

3 (9)

 unknown

9 (79)

8 (50)

0

17 (53)

Therapeutic effect of prior treatment (Ef)

 Ef. 0

1 (8)

2 (13)

0

3 (9)

 Ef. 1

8 (67)

11 (69)

1 (25)

20 (62)

 Ef. 2

2 (17)

2 (13)

1 (25)

5 (16)

 Ef. 3

1 (8)

1 (6)

2 (50)

4 (13)

  1. Values are n (%) or median (range). TKI tyrosine kinase inhibitor, ICI immune checkpoint inhibitor, NOS not otherwise specified, ALK anaplastic lymphoma kinase, EGFR epidermal growth factor receptor, PD-L1 programmed death ligand 1, Ef pathological therapeutic effect