经颈纵隔淋巴结清扫术。

Transcervical extended mediastinal lymphadenectomy.

机构信息

Department of Thoracic Surgery, Pulmonary Hospital, Ul. Gładkie 1, 34500 Zakopane, Poland.

出版信息

Thorac Surg Clin. 2010 May;20(2):215-23. doi: 10.1016/j.thorsurg.2010.02.007.

DOI:10.1016/j.thorsurg.2010.02.007

PMID:20451132

Abstract

Operative technique of a new surgical method, transcervical extended mediastinal lymphadenectomy (TEMLA), is described in detail. TEMLA enables almost complete en bloc removal of the mediastinal nodes in semiopen fashion. Sensitivity and negative predictive value of TEMLA for staging were 95.6% and 98.4%, respectively, and for restaging, 95.7% and 98.4%, respectively. Other uses of TEMLA include resection of the mediastinal tumors and resection of the metastatic nodes to the mediastinum, esophagectomy with 3-field dissection (combined with laparoscopy or laparotomy), closure of postpneumonectomy fistula, and right upper pulmonary lobectomy.

摘要

详细描述了一种新的手术方法——经颈纵隔扩大淋巴结切除术（TEMLA）的手术技术。TEMLA 能够以半开放式方式几乎完全整块切除纵隔淋巴结。TEMLA 对分期的敏感性和阴性预测值分别为 95.6%和 98.4%，对再分期的敏感性和阴性预测值分别为 95.7%和 98.4%。TEMLA 的其他用途包括纵隔肿瘤切除术和纵隔转移淋巴结切除术、三野解剖食管切除术（联合腹腔镜或剖腹手术）、肺切除术后支气管胸膜瘘闭合术和右上肺叶切除术。