DOI QR코드

DOI QR Code

Video-Assisted Thoracic Surgery Mediastinal Lymph Node Dissection in Lung Cancer Surgery

  • Kim, Kwhanmien (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2021.06.01
  • Accepted : 2021.07.16
  • Published : 2021.08.05

Abstract

Mediastinal lymph node dissection is an important part of lung cancer surgery that provides accurate nodal staging and may improve survival outcomes. The minimally invasive approach, such as video-assisted thoracic surgery (VATS) lobectomy for patients with non-small cell lung cancer, has become a standard operation worldwide. VATS mediastinal lymph node dissection should be thorough and accurate to ensure the completeness of lung cancer surgery. Herein, the author describes techniques for VATS mediastinal lymph node dissection.

Keywords

Acknowledgement

I would like to thank Nayun Lee for drawing the figures (Figs. 1, 2, 7) in this manuscript.

References

  1. Keller SM, Adak S, Wagner H, Johnson DH. Mediastinal lymph node dissection improves survival in patients with stages II and IIIa non-small cell lung cancer. Ann Thorac Surg 2000;70:358-65. https://doi.org/10.1016/S0003-4975(00)01673-8
  2. Allen MS, Darling GE, Pechet TT, et al. Morbidity and mortality of major pulmonary resections in patients with early-stage lung cancer: initial results of the randomized, prospective ACOSOG Z0030 trial. Ann Thorac Surg 2006;81:1013-9. https://doi.org/10.1016/j.athoracsur.2005.06.066
  3. Watanabe A, Koyanagi T, Ohsawa H, et al. Systematic node dissection by VATS is not inferior to that through an open thoracotomy: a comparative clinicopathologic retrospective study. Surgery 2005; 138:510-7. https://doi.org/10.1016/j.surg.2005.04.005
  4. Sagawa M, Sato M, Sakurada A, et al. A prospective trial of systematic nodal dissection for lung cancer by video-assisted thoracic surgery: can it be perfect? Ann Thorac Surg 2002;73:900-4. https://doi.org/10.1016/S0003-4975(01)03409-9
  5. Palade E, Passlick B, Osei-Agyemang T, Gunter J, Wiesemann S. Video-assisted vs open mediastinal lymphadenectomy for stage I non-small-cell lung cancer: results of a prospective randomized trial. Eur J Cardiothorac Surg 2013;44:244-9. https://doi.org/10.1093/ejcts/ezs668
  6. Lee HS, Jang HJ. Thoracoscopic mediastinal lymph node dissection for lung cancer. Semin Thorac Cardiovasc Surg 2012;24:131-41. https://doi.org/10.1053/j.semtcvs.2012.02.004
  7. Kim K, Kim HK, Park JS, et al. Video-assisted thoracic surgery lobectomy: single institutional experience with 704 cases. Ann Thorac Surg 2010;89:S2118-22. https://doi.org/10.1016/j.athoracsur.2010.03.017
  8. Kim HK, Choi YS, Kim J, Shim YM, Kim K. Outcomes of unexpected pathologic N1 and N2 disease after video-assisted thoracic surgery lobectomy for clinical stage I non-small cell lung cancer. J Thorac Cardiovasc Surg 2010;140:1288-93. https://doi.org/10.1016/j.jtcvs.2010.06.011
  9. Amer K. Thoracoscopic mediastinal lymph node dissection for lung cancer. Semin Thorac Cardiovasc Surg 2012;24:74-8. https://doi.org/10.1053/j.semtcvs.2012.04.010
  10. Shapiro M, Kadakia S, Lim J, et al. Lobe-specific mediastinal nodal dissection is sufficient during lobectomy by video-assisted thoracic surgery or thoracotomy for early-stage lung cancer. Chest 2013;144: 1615-21. https://doi.org/10.1378/chest.12-3069
  11. Ishiguro F, Matsuo K, Fukui T, Mori S, Hatooka S, Mitsudomi T. Effect of selective lymph node dissection based on patterns of lobe-specific lymph node metastases on patient outcome in patients with resectable non-small cell lung cancer: a large-scale retrospective cohort study applying a propensity score. J Thorac Cardiovasc Surg 2010; 139:1001-6. https://doi.org/10.1016/j.jtcvs.2009.07.024
  12. Kim K. VATS mediastinal lymph node dissection. In: Scarci M, Solli P, Sihoe AD, editors. Minimally invasive thoracic surgery: principles and practice of thoracoscopic technique. London: JP Medical Publishers; 2017. p. 37-40.