Thermann M
Klinik für Allgemein- und Thoraxchirurgie, Städtische Krankenanstalten Bielefeld.
Schweiz Rundsch Med Prax. 1990 Dec 18;79(51):1592-3.
Mediastinal lymph node dissection in bronchial carcinoma patients means an additional procedure to the tumor resection. The en-bloc dissection is only possible if an upper lobe resection or a pneumonectomy is performed; otherwise, an isolated lymph node mapping is necessary. According to the different anatomical structures, mediastinal lymph node dissection is more easily performed on the right than on the left side, where mobilisation of the aortic arch or a longitudinal sternotomy is mandatory to sample the pre- and paratracheal lymph nodes. Up to now it is uncertain whether lymph node dissection improves the prognosis. But undoubtedly it is the basis for an exact staging.
对支气管癌患者进行纵隔淋巴结清扫意味着在肿瘤切除之外还要进行一项额外的手术。只有在进行上叶切除或全肺切除时才可能进行整块清扫；否则，就需要进行单独的淋巴结定位。根据不同的解剖结构，右侧纵隔淋巴结清扫比左侧更容易进行，在左侧，为了对气管前和气管旁淋巴结进行取样，必须游离主动脉弓或进行纵行胸骨切开术。到目前为止，淋巴结清扫是否能改善预后尚不确定。但毫无疑问，它是准确分期的基础。
