Extent of lymph node dissection during lung ca resections - PulmCCM
Advertisement
May 122011
 

Complete mediastinal lymph node dissection (MLND) is recommended during all surgical reactions of lung cancer — yet “complete” has never been defined, and in a community study, 43% of patients got no MLND. In prospective randomized clinical trial data on 524 patients, Darling et al found that 99% of patients had at least 6 LNs removed, and 90% had 10 removed, with a median of 18 LNs. Systematic sampling appeared equivalent to complete dissection. “Upstaging” to N2-N3 disease intraoperatively occurred 4% of the time. CHEST 2011;139:1124-1129.

Liked this post? Get a weekly email update (no spam, ever), and explore our library of pulmonary and critical care guidelines, practice updates and review articles.

PulmCCM is an independent publication, not affiliated with or endorsed by any other organization, society and/or journal referenced on the website.

Leave a Comment