Transformation of surgical methods:selective lymph node resection minimizes excessive surgery for early-stage lung cancer
10.3781/j.issn.1000-7431.2024.2401-0050
- VernacularTitle:手术方式的转变:选择性淋巴结切除最大限度地减少早期肺癌的过度手术
- Author:
Xingshi CHEN
1
;
TianXiang CHEN
1
Author Information
1. 上海市胸科医院,上海交通大学医学院附属胸科医院肿瘤外科,上海 200336
- Publication Type:Journal Article
- Keywords:
Early-stage lung cancer;
Systematic lymph node dissection;
Selective lymph node resection;
Lymph node metastasis
- From:
Tumor
2024;44(6):654-660
- CountryChina
- Language:Chinese
-
Abstract:
Lung cancer has become one of the most serious diseases threatening human society.According to statistics,the incidence and mortality rates of lung cancer rank first among all malignant tumors worldwide.Moreover,with the popularization of low-dose CT and other examination methods,more and more patients with lung cancer are detected in the early phase of the tumor.At present,lobectomy with systematic lymph node dissection(SLND)remains the standard treatment for patients with resectable lung cancer.However,in recent years,some studies have shown uncertain survival benefits of SLND for early-stage lung cancer.Instead,SLND was related to the incidence of postoperative complications and decreased immunotherapy efficiency.Therefore,in the treatment of early-stage lung cancer,selective lymph node resection,including mediastinal lymph node sampling(MLNS)and lobe-specific lymph node dissection(L-SLND),are increasingly gaining the attention and acceptance of clinicians.Selective lymph node dissection not only minimizes over-treatment and ensures treatment effectiveness but also reflects a precise understanding of the personalized treatment needs of patients with early-stage lung cancer.
