Lung cancer is one of the most prevalent malignant tumors globally and is associated with a high mortality rate, with NSCLC comprising approximately 80 % of all cases[1]. Surgical resection remains the preferred treatment for patients with early-stage NSCLC. However, the recurrence rate following surgical resection remains substantial. PI in NSCLC is an independent predictor of poor prognosis and is directly related to the choice of surgical approach[2–4].For lung cancer nodules smaller than 3 c…