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Professional Technical IVT

wedge resection

A limited lung surgery that removes a small, wedge-shaped portion of lung tissue containing the tumor.

Full Definition

Wedge resection is the most conservative type of pulmonary resection, removing only the tumor with a small margin of normal lung tissue. This procedure is typically reserved for patients who cannot tolerate more extensive surgery due to poor pulmonary function or comorbidities. While oncologically inferior to lobectomy for most lung cancers, wedge resection may be appropriate for small, peripheral tumors in high-risk patients or for metastasectomy procedures.

Usage

Usage note: Distinguish from segmentectomy, which removes an entire anatomical lung segment rather than a non-anatomical wedge.

In Context

  • "VATS wedge resection was performed for the 1.5 cm nodule." — Operative report
  • "Wedge resection margins were negative for malignancy." — Pathology report

Also known as

limited resection sublobar resection

Contrasted with

lobectomy pneumonectomy

Don't confuse with

segmentectomy enucleation

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