Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, NY, USA.
J Thorac Cardiovasc Surg. 2012 Sep;144(3):S14-7. doi: 10.1016/j.jtcvs.2012.03.038. Epub 2012 Apr 13.
Accurate mediastinal staging is the hallmark of a good thoracic oncology program. Mediastinal lymph node staging is important for prognostication and to guide the administration of neoadjuvant and adjuvant therapy. In addition, accurate mediastinal staging is necessary for a fair comparison of different clinical studies. The most important surgical advance in mediastinal lymph node staging in the past few years is transcervical staging, by either sternal elevation or video-assisted mediastinoscopy. The present report summarizes the existing published data evaluating such an approach.
准确的纵隔分期是一个好的胸肿瘤学项目的标志。纵隔淋巴结分期对预后判断和指导新辅助及辅助治疗非常重要。此外，准确的纵隔分期对于不同临床研究的公平比较也是必要的。过去几年中纵隔淋巴结分期最重要的手术进展是经颈纵隔分期，通过胸骨抬高或电视辅助纵隔镜检查。本报告总结了现有的评估这种方法的已发表数据。
