On Sunday, Feb. 1 at 10:45 a.m., during the “Advancing Lung Cancer Screening Implementation in Real World Settings” session, Dr. Elliot Servais of Lahey Hospital and Medical Center will present The Society of Thoracic Surgeons Expert Consensus on Surgical Quality Standards for Lung Cancer Screening Detected Nodules. As chair of the STS Task Force responsible for the consensus document, Dr. Servais will walk attendees through comprehensive, multidisciplinary recommendations designed to standardize perioperative care for CT lung cancer screening programs nationwide.
Lung cancer screening with low-dose CT has proven effective in reducing disease-specific mortality, but wide variation in how programs manage screen-detected nodules persists. To address this, the STS convened a multidisciplinary panel to review the evidence and establish clear benchmarks for diagnostic evaluation, complication rates, and timeliness of intervention. Through a structured literature review and modified Delphi process, the panel produced 23 consensus statements focused on improving safety, consistency, and coordination in screening pathways.
Key recommendations include permitting surgery without a preoperative tissue diagnosis in select patients—preferably using minimally invasive, parenchymal-sparing techniques—and rejecting pneumonectomy without a diagnosis.
In his presentation, Dr. Servais will also highlight why certain targets, such as achieving a benign resection rate below 10%, may challenge some programs. “Meeting this benchmark requires consistent multidisciplinary review, judicious use of preoperative biopsy, and a willingness to follow equivocal lesions closely—approaches that can reduce unnecessary surgery and improve patient outcomes,” says Dr. Servais.
By integrating diverse clinical perspectives, programs can better determine when invasive intervention is warranted versus when surveillance is safest, improving decision-making and minimizing avoidable procedures.
“Thoracic surgeons must remain central to lung cancer screening programs, and adherence to strong perioperative quality standards—rooted in multidisciplinary evaluation, operative safety, and timely intervention—is critical to ensuring that lung cancer screening continues to save lives with minimal harm to patients,” adds Dr. Servais.