Department of Thoracic Surgery, Center for Lung Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, Republic of Korea.
Semin Thorac Cardiovasc Surg. 2012 Summer;24(2):131-41. doi: 10.1053/j.semtcvs.2012.02.004.
Mediastinal lymph node staging is an important component of the assessment and management of patients with operable non-small cell lung cancer and is necessary to achieve complete resection. During minimally invasive surgery, performance of an equivalent oncologic resection, including adequate lymph node dissection similar in extent to open thoracotomy, is absolutely necessary. We describe our techniques for video-assisted thoracic surgery (VATS) and Robot-assisted VATS (R-VATS) mediastinal lymph node dissection when performing thoracoscopic lobectomy for lung cancer. Between 2008 and 2011, 200 consecutive patients who underwent VATS or R-VATS lobectomies for early stage lung cancer were analyzed. In our series, we removed about 25 lymph nodes per case in both complete VATS and R-VATS. A thorough lymph node dissection in lung cancer is possible with either VATS or R-VATS technique without oncological compromise.
纵隔淋巴结分期是可手术非小细胞肺癌评估和管理的重要组成部分，是实现完全切除的必要条件。在微创手术中，必须进行等效的肿瘤学切除，包括足够的淋巴结清扫，其范围与开胸手术相似。我们描述了在进行电视辅助胸腔镜手术（VATS）和机器人辅助 VATS（R-VATS）肺叶切除术时进行纵隔淋巴结清扫的技术。2008 年至 2011 年间，对 200 例因早期肺癌行 VATS 或 R-VATS 肺叶切除术的患者进行了分析。在我们的系列中，我们在完全 VATS 和 R-VATS 中每个病例中切除了约 25 个淋巴结。彻底的淋巴结清扫在肺癌中是可能的，无论是 VATS 还是 R-VATS 技术，都不会有肿瘤学上的妥协。
