Surgical assessment and Intraoperative management of mediastinal lymph nodes in non-small cell lung cancer

被引：71

作者：

Whitson, Bryan A. ^{[1
]}

Groth, Shawn S. ^{[1
]}

Maddaus, Michael A. ^{[1
]}

机构：

[1] Univ Minnesota, Sect Thorac & Foregut Surg, Dept Surg, Minneapolis, MN 55455 USA

来源：

ANNALS OF THORACIC SURGERY | 2007年 / 84卷 / 03期

关键词：

SYSTEMATIC NODAL DISSECTION; MAJOR PULMONARY RESECTIONS; ACOSOG Z0030 TRIAL; RANDOMIZED-TRIAL; CERVICAL MEDIASTINOSCOPY; BRONCHOGENIC-CARCINOMA; PROGNOSTIC-FACTORS; SKIP METASTASIS; IMAGE FUSION; STAGE-II;

D O I：

10.1016/j.athoracsur.2007.04.032

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Mediastinal lymph node status has important prognostic and therapeutic implications for nonsmall cell lung cancer patients. Consequently, an accurate pathologic assessment of mediastinal lymph nodes for metastasis is essential. Despite the significance of nodal assessment, practice patterns among surgeons vary widely. Therefore we reviewed the literature to provide evidence-based recommendations regarding the ideal means and extent of preoperative and intraoperative pathologic mediastinal lymph node staging in non-small cell lung cancer patients. We found that the most sensitive and accurate intraoperative method is a complete mediastinal lymph node dissection. Pathologic evaluation of at least 10 mediastinal lymph node from at least three stations should be performed at the time of surgery.

引用

页码：1059 / 1065

页数：7

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