Quality control of lymph node dissection in radical lung cancer resection
- VernacularTitle:根治性肺癌切除术中淋巴结切除的质量控制
- Author:
CHENG Xinghua
1
;
YAO Feng
1
;
LUO Qingquan
1
;
FANG Wentao
1
Author Information
- Publication Type:Journal Article
- Keywords: Lung cancer; lymph node dissection; quality control
- From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2018;25(12):1020-1026
- CountryChina
- Language:Chinese
- Abstract: As a standard of care, lymph node dissection is an indispensible step in lung cancer surgery. The quality of dissection determines completeness of surgery and the accuracy of N staging. Hereby, we suggest labeling all surgically resected nodes according to the new lymph node map in the 8th TNM classification for lung cancer. As systematic lymph node dissection remains the gold standard of lymphadenectomy, at least three mediastinal stations and ten nodes should be removed in an en-bloc fashion, if possible. For patients with stage Ⅰ lung cancer, lymph node dissection via video-assisted thoracoscopic surgery (VATS) or open thoracotomy may has similar oncological outcome. Besides, limited lymph node sampling in selected patients with early staged lung cancer to minimize unnecessary surgical damage still need further investigation.
